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Psychotic symptoms associate inversely with social support, social autonomy and psychosocial functioning

A community-based study

Bibliographic Data

ID19273775
AuthorsMargarita Guerrero-Jiménez (0000-0002-2162-167X, Mental Health Unit, Virgen de las Nieves University Hospital, Granada, Spain), Blanca Gutiérrez (0000-0002-2750-8440, Department of Psychiatry, Faculty of Medicine, University of Granada, Granada, Spain), Jorge A Cervilla (0000-0001-6891-1992, Department of Psychiatry, Faculty of Medicine, University of Granada, Granada, Spain, corresponding author)
Year2022
Volume68
Issue4
Pages898-907
Publication date2022-06-01
Open AccessYes
TypeARTICLE
VenueInternational Journal of Social Psychiatry (JOURNAL)
Journal identifiersISSN: 0020-7640 • E-ISSN: 1741-2854
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00207640211011198
PMID33876666
OpenAlexW3156997622
LanguageEN
Citations received1
References cited41

Background: Population-based studies exploring psychotic symptoms (PS) show that their prevalence in the community is higher than previously thought. Psychosocial functioning and social support are poorer among people presenting clinical and subclinical PS. Aims: We aimed to estimate the prevalence rate of PS in Andalusia and to explore the association between PS and psychosocial functioning, social support and social autonomy in a Southern European population. Material and methods: This is a cross-sectional study. We undertook multi-stage sampling using different standard stratification techniques. Out of 5496 households approached, we interviewed 4507 (83.7%) randomly selected participants living in the autonomous region of Andalusia (Southern Spain). The Spanish version of the MINI International Neuropsychiatric Interview was used to elicit PS. We also gathered information on socio-demographic factors, suicidality risk, psychosocial functioning, social support and social autonomy. Results: The overall prevalence of PS was 6.7% (95% CI: 5.99–6.45). PS were associated with lower age (OR 0.975; 95% CI (0.967–0.983); p < .0001), female gender (OR = 1.346; 95% CI (1.05–1.07) p = .018), not living in a rural area (OR = 0.677; 95% CI (0.50–0.90) p = 0.009), lower social support (OR = 0.898; 95% CI (0.85–0.94) p < .0001), lower scores on social autonomy (OR = 0.889; 95% CI (0.79–1.00) p = .050), having an increased suicidality risk score (OR = 1.038; 95% CI (1.005–1.07); p = .023) and having lower scores on psychosocial functioning (OR = 0.956; 95% CI (0.95–0.96); p < 0.0001). Conclusions: Social outcomes seem to be strongly inversely associated with PS in spite of presumed higher levels of social support among Southern European cultures

Autonomy · Cross-sectional study · Population · Psychiatry · Psychosocial · Social support · Subclinical infection · Clinical Psychology · Demography · Internal Medicine · Medicine · Mental Health Treatment and Access · Psychology · Schizophrenia research and treatment · Suicide and Self-Harm Studies · Gerontology

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Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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