Service use for mental health problems in people with delusional-like experiences: a nationwide population based survey.

<h4>Objective</h4>Previous population-based studies have found that delusional-like experiences (DLEs) are prevalent in the community, and are associated with a wide range of mental health disorders. The aim of the study was to investigate mental health service use by people with DLEs.&l...

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Autores principales:	Sukanta Saha, John McGrath, James Scott
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8ae7dfeace5b4b809add48787bd65d44
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spelling	oai:doaj.org-article:8ae7dfeace5b4b809add48787bd65d442021-11-18T08:58:36ZService use for mental health problems in people with delusional-like experiences: a nationwide population based survey.1932-620310.1371/journal.pone.0071951https://doaj.org/article/8ae7dfeace5b4b809add48787bd65d442013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23991012/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>Previous population-based studies have found that delusional-like experiences (DLEs) are prevalent in the community, and are associated with a wide range of mental health disorders. The aim of the study was to investigate mental health service use by people with DLEs.<h4>Methods</h4>Subjects were drawn from the Australian National Survey of Mental Health and Wellbeing 2007 of 8 841 community residents aged between 16 and 85 years. The Composite International Diagnostic Interview (CIDI) was used to identify DLEs. Service utilization was assessed using a module that elicited information about hospital admissions, consultations with various health professionals, and prescription medication use. This study focussed on service use for mental health problems. We used logistic regression to examine the association, adjusting for potential confounding factors.<h4>Results</h4>Of 8 773 included participants, 8.4% (n = 776) positively endorsed one or more DLEs. With respect to consultations for mental health needs, individuals who endorsed DLEs were more likely to consult health professionals compared with those who did not endorse DLEs. Individuals with DLEs were also more likely to use prescription medicine. When we repeated the main analysis in a subgroup excluding any CIDI diagnosis of mental health disorders the results remained largely unchanged.<h4>Conclusions</h4>DLEs are common in the general population, and individuals with DLEs have an increased rate of accessing services for their mental health needs. Individuals endorsing both DLEs and increased help-seeking may identify a group of vulnerable people who have increased risk of developing psychotic illnesses later in life. This needs closer scrutiny in longitudinal prospective studies.Sukanta SahaJohn McGrathJames ScottPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 8, p e71951 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sukanta Saha John McGrath James Scott Service use for mental health problems in people with delusional-like experiences: a nationwide population based survey.
description	<h4>Objective</h4>Previous population-based studies have found that delusional-like experiences (DLEs) are prevalent in the community, and are associated with a wide range of mental health disorders. The aim of the study was to investigate mental health service use by people with DLEs.<h4>Methods</h4>Subjects were drawn from the Australian National Survey of Mental Health and Wellbeing 2007 of 8 841 community residents aged between 16 and 85 years. The Composite International Diagnostic Interview (CIDI) was used to identify DLEs. Service utilization was assessed using a module that elicited information about hospital admissions, consultations with various health professionals, and prescription medication use. This study focussed on service use for mental health problems. We used logistic regression to examine the association, adjusting for potential confounding factors.<h4>Results</h4>Of 8 773 included participants, 8.4% (n = 776) positively endorsed one or more DLEs. With respect to consultations for mental health needs, individuals who endorsed DLEs were more likely to consult health professionals compared with those who did not endorse DLEs. Individuals with DLEs were also more likely to use prescription medicine. When we repeated the main analysis in a subgroup excluding any CIDI diagnosis of mental health disorders the results remained largely unchanged.<h4>Conclusions</h4>DLEs are common in the general population, and individuals with DLEs have an increased rate of accessing services for their mental health needs. Individuals endorsing both DLEs and increased help-seeking may identify a group of vulnerable people who have increased risk of developing psychotic illnesses later in life. This needs closer scrutiny in longitudinal prospective studies.
format	article
author	Sukanta Saha John McGrath James Scott
author_facet	Sukanta Saha John McGrath James Scott
author_sort	Sukanta Saha
title	Service use for mental health problems in people with delusional-like experiences: a nationwide population based survey.
title_short	Service use for mental health problems in people with delusional-like experiences: a nationwide population based survey.
title_full	Service use for mental health problems in people with delusional-like experiences: a nationwide population based survey.
title_fullStr	Service use for mental health problems in people with delusional-like experiences: a nationwide population based survey.
title_full_unstemmed	Service use for mental health problems in people with delusional-like experiences: a nationwide population based survey.
title_sort	service use for mental health problems in people with delusional-like experiences: a nationwide population based survey.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/8ae7dfeace5b4b809add48787bd65d44
work_keys_str_mv	AT sukantasaha serviceuseformentalhealthproblemsinpeoplewithdelusionallikeexperiencesanationwidepopulationbasedsurvey AT johnmcgrath serviceuseformentalhealthproblemsinpeoplewithdelusionallikeexperiencesanationwidepopulationbasedsurvey AT jamesscott serviceuseformentalhealthproblemsinpeoplewithdelusionallikeexperiencesanationwidepopulationbasedsurvey
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Service use for mental health problems in people with delusional-like experiences: a nationwide population based survey.

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