Self-reported psychotic experiences in the general population: a valid screening tool for DSM-III-R psychotic disorders?
Publication year
2003Source
Acta Psychiatrica Scandinavica, 107, 5, (2003), pp. 369-377ISSN
Publication type
Article / Letter to editor
Display more detailsDisplay less details
Organization
SW OZ BSI OGG
Journal title
Acta Psychiatrica Scandinavica
Volume
vol. 107
Issue
iss. 5
Page start
p. 369
Page end
p. 377
Subject
Developmental PsychopathologyAbstract
To examine the diagnostic value of self-reported psychotic-like experiences for DSM-III-R psychotic disorders. Method:
A general population sample of 7076 subjects aged 18–64 years was interviewed with the Composite International Diagnostic Interview (CIDI) and, if there was evidence of psychotic experiences, the Structured Clinical Interview for DSM-III-R. Results:
The probability of having a psychotic disorder increased in a dose–response fashion with the level of self-reported psychotic experiences, but individual CIDI psychotic experience ratings had relatively low post-test probabilities (PPs) (range: 5.1–26.5%). However, limiting the sample to individuals who had been in contact with mental health services substantially improved PPs (range: 13.3–43.1%). Conclusion:
Screening for psychosis in the population carries a high risk of stigmatization in false-positive cases and violation of the right ‘not to know’ in true-positive cases. However, in mental health care users, self-reported psychotic experiences may be a useful screening tool in individuals who have already developed help-seeking.
This item appears in the following Collection(s)
- Academic publications [245400]
- Faculty of Social Sciences [30349]
Upload full text
Use your RU credentials (u/z-number and password) to log in with SURFconext to upload a file for processing by the repository team.