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Trauma and psychotic experiences: transnational data from the World Mental Health Survey

  • John J. McGrath (a1), Sukanta Saha (a2), Carmen C. W. Lim (a3), Sergio Aguilar-Gaxiola (a4), Jordi Alonso (a5), Laura H. Andrade (a6), Evelyn J. Bromet (a7), Ronny Bruffaerts (a8), José M. Caldas de Almeida (a9), Graça Cardoso (a10), Giovanni de Girolamo (a11), John Fayyad (a12), Silvia Florescu (a13), Oye Gureje (a14), Josep M. Haro (a15), Norito Kawakami (a16), Karestan C. Koenen (a17), Viviane Kovess-Masfety (a18), Sing Lee (a19), Jean-Pierre Lepine (a20), Katie A. McLaughlin (a21), Maria E. Medina-Mora (a22), Fernando Navarro-Mateu (a23), Akin Ojagbemi (a24), Jose Posada-Villa (a25), Nancy Sampson (a26), Kate M. Scott (a27), Hisateru Tachimori (a28), Margreet ten Have (a29), Kenneth S. Kendler (a30) and Ronald C. Kessler (a26)...
Abstract
Background

Traumatic events are associated with increased risk of psychotic experiences, but it is unclear whether this association is explained by mental disorders prior to psychotic experience onset.

Aims

To investigate the associations between traumatic events and subsequent psychotic experience onset after adjusting for post-traumatic stress disorder and other mental disorders.

Method

We assessed 29 traumatic event types and psychotic experiences from the World Mental Health surveys and examined the associations of traumatic events with subsequent psychotic experience onset with and without adjustments for mental disorders.

Results

Respondents with any traumatic events had three times the odds of other respondents of subsequently developing psychotic experiences (OR=3.1, 95% CI 2.7–3.7), with variability in strength of association across traumatic event types. These associations persisted after adjustment for mental disorders.

Conclusions

Exposure to traumatic events predicts subsequent onset of psychotic experiences even after adjusting for comorbid mental disorders.

Copyright
Corresponding author
John McGrath, Queensland Brain Institute, The University of Queensland, St Lucia, Queensland 4076, Australia. Email: j.mcgrath@uq.edu.au
Footnotes
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*

See Appendix for list of collaborators.

Declaration of interest

In the past 3 years, R.C.K. received support for his epidemiological studies from Sanofi Aventis, was a consultant for Johnson & Johnson Wellness and Prevention, and served on an advisory board for the Johnson & Johnson Services Inc Lake Nona Life Project. He is a co-owner of DataStat, Inc, a market research firm that carries out healthcare research.

Footnotes
References
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Trauma and psychotic experiences: transnational data from the World Mental Health Survey

  • John J. McGrath (a1), Sukanta Saha (a2), Carmen C. W. Lim (a3), Sergio Aguilar-Gaxiola (a4), Jordi Alonso (a5), Laura H. Andrade (a6), Evelyn J. Bromet (a7), Ronny Bruffaerts (a8), José M. Caldas de Almeida (a9), Graça Cardoso (a10), Giovanni de Girolamo (a11), John Fayyad (a12), Silvia Florescu (a13), Oye Gureje (a14), Josep M. Haro (a15), Norito Kawakami (a16), Karestan C. Koenen (a17), Viviane Kovess-Masfety (a18), Sing Lee (a19), Jean-Pierre Lepine (a20), Katie A. McLaughlin (a21), Maria E. Medina-Mora (a22), Fernando Navarro-Mateu (a23), Akin Ojagbemi (a24), Jose Posada-Villa (a25), Nancy Sampson (a26), Kate M. Scott (a27), Hisateru Tachimori (a28), Margreet ten Have (a29), Kenneth S. Kendler (a30) and Ronald C. Kessler (a26)...
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