The association between physical health and delusional-like experiences: a general population study

Delusional-like experiences (DLE) are prevalent in the community. Recent community based studies have found that DLE are more common in those with depression and anxiety disorders, and in those with subclinical symptoms of depression and anxiety. Chronic physical disorders are associated with comorb...

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Veröffentlicht in:PloS one 2011-04, Vol.6 (4), p.e18566-e18566
Hauptverfasser: Saha, Sukanta, Scott, James, Varghese, Daniel, McGrath, John
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McGrath, John
description Delusional-like experiences (DLE) are prevalent in the community. Recent community based studies have found that DLE are more common in those with depression and anxiety disorders, and in those with subclinical symptoms of depression and anxiety. Chronic physical disorders are associated with comorbid depression and anxiety; however, there is a lack of evidence about the association of DLE with common physical conditions. The aim of this study was to explore associations between the common physical disorders and DLE using a large population sample. Subjects were drawn from the Australian National Survey of Mental Health and Wellbeing 2007, a national household survey of 8841 residents aged between 16 and 85 years. The presence of DLE, selected common physical disorders and symptoms were assessed using a modified World Mental Health Composite International Diagnostic Interview (CIDI) schedule. We examined the relationship between DLE, and physical health-related variables using logistic regression, with adjustments for potential confounding factors. Of the 8771, 776 (8.4%) subjects positively endorsed one or more DLE. Of the six physical disorders examined, only diabetes and arthritis were significantly associated with the endorsement of DLE. Of the seven broad physical symptoms explored, only hearing problems were consistently associated with DLE. Delusional-like experiences are common in the Australian community, and are associated with selected chronic physical disorders and with impaired hearing. The direction of causality between these variables warrants closer research scrutiny.
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Of the 8771, 776 (8.4%) subjects positively endorsed one or more DLE. Of the six physical disorders examined, only diabetes and arthritis were significantly associated with the endorsement of DLE. Of the seven broad physical symptoms explored, only hearing problems were consistently associated with DLE. Delusional-like experiences are common in the Australian community, and are associated with selected chronic physical disorders and with impaired hearing. The direction of causality between these variables warrants closer research scrutiny.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>21541344</pmid><doi>10.1371/journal.pone.0018566</doi><tpages>e18566</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Anxiety
Arthritis
Asthma
Australia - epidemiology
Communities
Comorbidity
Delusions
Delusions - epidemiology
Diabetes
Diabetes mellitus
Diagnostic systems
Discipline
Disease
Disorders
Female
Health
Health Surveys
Hearing
Humans
International conferences
Male
Medical research
Medicine
Mental depression
Mental disorders
Mental health
Middle Aged
Mortality
Population studies
Psychiatry
Psychosis
Rheumatoid arthritis
Schizophrenia
Stroke
Studies
Surveys
Young Adult
Young adults
title The association between physical health and delusional-like experiences: a general population study
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