W80. Exploring the Methods of Reporting a Schizophrenia Diagnosis and Psychosis

Woolway, Grace; Lynham, Amy; Legge, Sophie E.; Jones, Ian; Walters, James

doi:10.1016/j.euroneuro.2021.08.165

Cited by 2 publications

(2 citation statements)

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“…Despite limitations to self-reports of psychiatric diagnoses, such as participants not being aware of having a diagnosis, or issues of misinterpretation or inaccurate recall, recent studies have indicated that self-endorsement of diagnoses gives a good indicator of the presence of psychiatric disorder, thereby facilitating epidemiological research on a large scale. [25][26][27] The elevated risk of trauma exposure, combined with shared vulnerability factors for the development of PTSD and other psychiatric disorders results in an increased risk of PTSD for those with other primary mental health diagnoses. 12,20 Despite these findings, PTSD often goes undetected and untreated in this population because of symptom overlap and a tendency for clinicians not to fully examine traumatic stress symptoms during clinical assessment.…”

Section: Limitationsmentioning

confidence: 99%

“…Although these methods are the gold‐standard, they are resource intensive and demanding of participant time, which inevitably impacts sample sizes. Despite limitations to self‐reports of psychiatric diagnoses, such as participants not being aware of having a diagnosis, or issues of misinterpretation or inaccurate recall, recent studies have indicated that self‐endorsement of diagnoses gives a good indicator of the presence of psychiatric disorder, thereby facilitating epidemiological research on a large scale 25–27 …”

Section: Introductionmentioning

confidence: 99%

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Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder

Lewis

Roberts

et al. 2022

Acta Psychiatr Scand

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Objective To establish factors associated with ICD‐11 post‐traumatic stress disorder (PTSD) and complex PTSD (CPTSD) in a large sample of adults with lived experience of psychiatric disorder and examine the psychiatric burden associated with the two disorders. Methods One thousand three hundred and five adults were recruited from the National Centre for Mental Health (NCMH) cohort. ICD‐11 PTSD/CPTSD were assessed with the International Trauma Questionnaire (ITQ). Binary logistic regression was used to determine factors associated with both PTSD and CPTSD. One‐way between‐groups analysis of variance was conducted to examine the burden associated with the two disorders in terms of symptoms of anxiety, depression, and psychological wellbeing. For post‐hoc pairwise comparisons, the Tukey HSD test was used, and the magnitude of between‐group differences assessed using Cohen's d. Results Probable ICD‐11 CPTSD was more common than PTSD within the sample (PTSD 2.68%; CPTSD 12.72%). We found evidence that PTSD was associated with interpersonal trauma and household income under £20,000 a year. CPTSD was also associated with interpersonal trauma, higher rates of personality disorder, and lower rates of bipolar disorder. Those with probable‐CPTSD had higher levels of current anxiety and depressive symptoms and lower psychological wellbeing in comparison to those with probable‐PTSD and those with neither disorder. Conclusions CPTSD was more prevalent than PTSD in our sample of people with lived experience of psychiatric disorder. Our findings indicate a need for routine screening for trauma histories and PTSD/CPTSD in clinical settings and a greater focus on the need for interventions to treat CPTSD.

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Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder

Lewis

Roberts

et al. 2022

Acta Psychiatr Scand

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View full text Add to dashboard Cite

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The effect of the COVID-19 pandemic on mental health in individuals with pre-existing mental illness

Lewis

Roberts

et al. 2022

BJPsych open

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Background There is evidence that the COVID-19 pandemic has negatively affected mental health, but most studies have been conducted in the general population. Aims To identify factors associated with mental health during the COVID-19 pandemic in individuals with pre-existing mental illness. Method Participants (N = 2869, 78% women, ages 18–94 years) from a UK cohort (the National Centre for Mental Health) with a history of mental illness completed a cross-sectional online survey in June to August 2020. Mental health assessments were the GAD-7 (anxiety), PHQ-9 (depression) and WHO-5 (well-being) questionnaires, and a self-report question on whether their mental health had changed during the pandemic. Regressions examined associations between mental health outcomes and hypothesised risk factors. Secondary analyses examined associations between specific mental health diagnoses and mental health. Results A total of 60% of participants reported that mental health had worsened during the pandemic. Younger age, difficulty accessing mental health services, low income, income affected by COVID-19, worry about COVID-19, reduced sleep and increased alcohol/drug use were associated with increased depression and anxiety symptoms and reduced well-being. Feeling socially supported by friends/family/services was associated with better mental health and well-being. Participants with a history of anxiety, depression, post-traumatic stress disorder or eating disorder were more likely to report that mental health had worsened during the pandemic than individuals without a history of these diagnoses. Conclusions We identified factors associated with worse mental health during the COVID-19 pandemic in individuals with pre-existing mental illness, in addition to specific groups potentially at elevated risk of poor mental health during the pandemic.

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W80. Exploring the Methods of Reporting a Schizophrenia Diagnosis and Psychosis

Cited by 2 publications

References 0 publications

Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder

Trauma exposure and co‐occurring ICD‐11 post‐traumatic stress disorder and complex post‐traumatic stress disorder in adults with lived experience of psychiatric disorder

The effect of the COVID-19 pandemic on mental health in individuals with pre-existing mental illness

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