The 12-month prevalence of psychotic experiences and their association with clinical outcomes in Hong Kong: an epidemiological and a 2-year follow up studies
The relationship between the subtypes of psychotic experiences (PEs) and common mental health symptoms remains unclear. The current study aims to establish the 12-month prevalence of PEs in a representative sample of community-dwelling Chinese population in Hong Kong and explore the relationship of...
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| Published in: | Psychological medicine Vol. 51; no. 14; pp. 2501 - 2508 |
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| Main Authors: | , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Cambridge, UK
Cambridge University Press
01.10.2021
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| ISSN: | 0033-2917, 1469-8978, 1469-8978 |
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| Abstract | The relationship between the subtypes of psychotic experiences (PEs) and common mental health symptoms remains unclear. The current study aims to establish the 12-month prevalence of PEs in a representative sample of community-dwelling Chinese population in Hong Kong and explore the relationship of types of PEs and common mental health symptoms.
This is a population-based two-phase household survey of Chinese population in Hong Kong aged 16-75 (N = 5719) conducted between 2010 and 2013 and a 2-year follow-up study of PEs positive subjects (N = 152). PEs were measured with Psychosis Screening Questionnaire (PSQ) and subjects who endorsed any item on the PSQ without a clinical diagnosis of psychotic disorder were considered as PE-positive. Types of PEs were characterized using a number of PEs (single v. multiple) and latent class analysis. All PE-positive subjects were assessed with common mental health symptoms and suicidal ideations at baseline and 2-year follow-up. PE status was also assessed at 2-year follow-up.
The 12-month prevalence of PEs in Hong Kong was 2.7% with 21.1% had multiple PEs. Three latent classes of PEs were identified: hallucination, paranoia and mixed. Multiple PEs and hallucination latent class of PEs were associated with higher levels of common mental health symptoms. PE persistent rate at 2-year follow-up was 15.1%. Multiple PEs was associated with poorer mental health at 2-year follow-up.
Results highlighted the transient and heterogeneous nature of PEs, and that multiple PEs and hallucination subtype of PEs may be specific indices of poorer common mental health. |
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| AbstractList | The relationship between the subtypes of psychotic experiences (PEs) and common mental health symptoms remains unclear. The current study aims to establish the 12-month prevalence of PEs in a representative sample of community-dwelling Chinese population in Hong Kong and explore the relationship of types of PEs and common mental health symptoms.BACKGROUNDThe relationship between the subtypes of psychotic experiences (PEs) and common mental health symptoms remains unclear. The current study aims to establish the 12-month prevalence of PEs in a representative sample of community-dwelling Chinese population in Hong Kong and explore the relationship of types of PEs and common mental health symptoms.This is a population-based two-phase household survey of Chinese population in Hong Kong aged 16-75 (N = 5719) conducted between 2010 and 2013 and a 2-year follow-up study of PEs positive subjects (N = 152). PEs were measured with Psychosis Screening Questionnaire (PSQ) and subjects who endorsed any item on the PSQ without a clinical diagnosis of psychotic disorder were considered as PE-positive. Types of PEs were characterized using a number of PEs (single v. multiple) and latent class analysis. All PE-positive subjects were assessed with common mental health symptoms and suicidal ideations at baseline and 2-year follow-up. PE status was also assessed at 2-year follow-up.METHODThis is a population-based two-phase household survey of Chinese population in Hong Kong aged 16-75 (N = 5719) conducted between 2010 and 2013 and a 2-year follow-up study of PEs positive subjects (N = 152). PEs were measured with Psychosis Screening Questionnaire (PSQ) and subjects who endorsed any item on the PSQ without a clinical diagnosis of psychotic disorder were considered as PE-positive. Types of PEs were characterized using a number of PEs (single v. multiple) and latent class analysis. All PE-positive subjects were assessed with common mental health symptoms and suicidal ideations at baseline and 2-year follow-up. PE status was also assessed at 2-year follow-up.The 12-month prevalence of PEs in Hong Kong was 2.7% with 21.1% had multiple PEs. Three latent classes of PEs were identified: hallucination, paranoia and mixed. Multiple PEs and hallucination latent class of PEs were associated with higher levels of common mental health symptoms. PE persistent rate at 2-year follow-up was 15.1%. Multiple PEs was associated with poorer mental health at 2-year follow-up.RESULTSThe 12-month prevalence of PEs in Hong Kong was 2.7% with 21.1% had multiple PEs. Three latent classes of PEs were identified: hallucination, paranoia and mixed. Multiple PEs and hallucination latent class of PEs were associated with higher levels of common mental health symptoms. PE persistent rate at 2-year follow-up was 15.1%. Multiple PEs was associated with poorer mental health at 2-year follow-up.Results highlighted the transient and heterogeneous nature of PEs, and that multiple PEs and hallucination subtype of PEs may be specific indices of poorer common mental health.CONCLUSIONSResults highlighted the transient and heterogeneous nature of PEs, and that multiple PEs and hallucination subtype of PEs may be specific indices of poorer common mental health. The relationship between the subtypes of psychotic experiences (PEs) and common mental health symptoms remains unclear. The current study aims to establish the 12-month prevalence of PEs in a representative sample of community-dwelling Chinese population in Hong Kong and explore the relationship of types of PEs and common mental health symptoms. This is a population-based two-phase household survey of Chinese population in Hong Kong aged 16-75 (N = 5719) conducted between 2010 and 2013 and a 2-year follow-up study of PEs positive subjects (N = 152). PEs were measured with Psychosis Screening Questionnaire (PSQ) and subjects who endorsed any item on the PSQ without a clinical diagnosis of psychotic disorder were considered as PE-positive. Types of PEs were characterized using a number of PEs (single v. multiple) and latent class analysis. All PE-positive subjects were assessed with common mental health symptoms and suicidal ideations at baseline and 2-year follow-up. PE status was also assessed at 2-year follow-up. The 12-month prevalence of PEs in Hong Kong was 2.7% with 21.1% had multiple PEs. Three latent classes of PEs were identified: hallucination, paranoia and mixed. Multiple PEs and hallucination latent class of PEs were associated with higher levels of common mental health symptoms. PE persistent rate at 2-year follow-up was 15.1%. Multiple PEs was associated with poorer mental health at 2-year follow-up. Results highlighted the transient and heterogeneous nature of PEs, and that multiple PEs and hallucination subtype of PEs may be specific indices of poorer common mental health. BackgroundThe relationship between the subtypes of psychotic experiences (PEs) and common mental health symptoms remains unclear. The current study aims to establish the 12-month prevalence of PEs in a representative sample of community-dwelling Chinese population in Hong Kong and explore the relationship of types of PEs and common mental health symptoms.MethodThis is a population-based two-phase household survey of Chinese population in Hong Kong aged 16–75 (N = 5719) conducted between 2010 and 2013 and a 2-year follow-up study of PEs positive subjects (N = 152). PEs were measured with Psychosis Screening Questionnaire (PSQ) and subjects who endorsed any item on the PSQ without a clinical diagnosis of psychotic disorder were considered as PE-positive. Types of PEs were characterized using a number of PEs (single v. multiple) and latent class analysis. All PE-positive subjects were assessed with common mental health symptoms and suicidal ideations at baseline and 2-year follow-up. PE status was also assessed at 2-year follow-up.ResultsThe 12-month prevalence of PEs in Hong Kong was 2.7% with 21.1% had multiple PEs. Three latent classes of PEs were identified: hallucination, paranoia and mixed. Multiple PEs and hallucination latent class of PEs were associated with higher levels of common mental health symptoms. PE persistent rate at 2-year follow-up was 15.1%. Multiple PEs was associated with poorer mental health at 2-year follow-up.ConclusionsResults highlighted the transient and heterogeneous nature of PEs, and that multiple PEs and hallucination subtype of PEs may be specific indices of poorer common mental health. |
| Author | Lam, Linda Chiu Wa Lau, Joseph Tak Fai Lam, Ming Pang, Herbert H. Wong, Corine Sau Man Chan, Wai Chi Hui, Christy Lai Ming Chan, Veronica Hei Yan Hung, Se Fong Cheung, Eric Fuk Chi Chan, Sherry Kit Wa Chen, Eric Yu Hai Lee, Edwin Ho Ming Chiu, Helen Fung Kum Lee, Kaspar Kit Wai Chang, Wing Chung Chiang, Tin Po Ng, Roger Man King |
| Author_xml | – sequence: 1 givenname: Sherry Kit Wa orcidid: 0000-0003-2712-5826 surname: Chan fullname: Chan, Sherry Kit Wa email: kwsherry@gmail.com organization: 1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 2 givenname: Kaspar Kit Wai surname: Lee fullname: Lee, Kaspar Kit Wai organization: 3Department of Psychiatry, The Chinese University of Hong Kong – sequence: 3 givenname: Veronica Hei Yan surname: Chan fullname: Chan, Veronica Hei Yan email: kwsherry@gmail.com organization: 1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 4 givenname: Herbert H. surname: Pang fullname: Pang, Herbert H. organization: 4School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 5 givenname: Corine Sau Man surname: Wong fullname: Wong, Corine Sau Man organization: 1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 6 givenname: Christy Lai Ming surname: Hui fullname: Hui, Christy Lai Ming organization: 1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 7 givenname: Wing Chung surname: Chang fullname: Chang, Wing Chung organization: 1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 8 givenname: Edwin Ho Ming surname: Lee fullname: Lee, Edwin Ho Ming organization: 1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 9 givenname: Wai Chi surname: Chan fullname: Chan, Wai Chi email: kwsherry@gmail.com organization: 1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 10 givenname: Eric Fuk Chi surname: Cheung fullname: Cheung, Eric Fuk Chi organization: 5Kwong Wah Hospital, Kowloon, Hong Kong – sequence: 11 givenname: Helen Fung Kum surname: Chiu fullname: Chiu, Helen Fung Kum organization: 3Department of Psychiatry, The Chinese University of Hong Kong – sequence: 12 givenname: Tin Po surname: Chiang fullname: Chiang, Tin Po organization: 6Castle Peak Hospital, Hong Kong – sequence: 13 givenname: Ming surname: Lam fullname: Lam, Ming organization: 6Castle Peak Hospital, Hong Kong – sequence: 14 givenname: Joseph Tak Fai surname: Lau fullname: Lau, Joseph Tak Fai organization: 7Center for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong – sequence: 15 givenname: Roger Man King surname: Ng fullname: Ng, Roger Man King organization: 8Kowloon Hospital, Hong Kong SAR, Hong Kong – sequence: 16 givenname: Se Fong surname: Hung fullname: Hung, Se Fong organization: 1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 17 givenname: Linda Chiu Wa surname: Lam fullname: Lam, Linda Chiu Wa organization: 3Department of Psychiatry, The Chinese University of Hong Kong – sequence: 18 givenname: Eric Yu Hai surname: Chen fullname: Chen, Eric Yu Hai organization: 1Department of Psychiatry, Li Ka Shing Faculty of Medicine, The University of Hong Kong |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32466813$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_psychres_2022_114894 crossref_primary_10_1016_j_schres_2023_03_036 crossref_primary_10_1176_appi_prcp_20220021 crossref_primary_10_1016_S2215_0366_21_00467_3 crossref_primary_10_1016_j_jpsychires_2025_07_025 crossref_primary_10_1111_eip_13271 crossref_primary_10_1017_S0033291722002550 crossref_primary_10_1017_S0033291722002690 crossref_primary_10_3389_fpsyt_2022_814242 |
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| SubjectTerms | Adolescent Adult Aged Alcohol use Asians - statistics & numerical data Census of Population Clinical outcomes Endorsements Epidemiology Female Follow-Up Studies Hallucinations Hallucinations - etiology Hong Kong - epidemiology Humans Independent Living Interviews Latent class analysis Longitudinal studies Male Medical diagnosis Medical screening Mental disorders Mental Disorders - classification Mental health Mental health care Middle Aged Original Article Paranoia Paranoid Disorders - etiology Psychosis Psychotic Disorders - classification Psychotic Disorders - epidemiology Subtypes Suicidal Ideation Suicide Surveys and Questionnaires Symptoms Treatment outcomes Young Adult |
| Title | The 12-month prevalence of psychotic experiences and their association with clinical outcomes in Hong Kong: an epidemiological and a 2-year follow up studies |
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