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When does experience of psychosis result in a need for care? (NEMESIS)
Author(s) -
Bak M.,
Hanssen M.,
Janssen I.,
Bijl R.,
Delespaul P.,
Van Os J.
Publication year - 2002
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1034/j.1600-0447.106.s413.1_13.x
Subject(s) - psychosis , distress , coping (psychology) , attribution , psychology , psychiatry , locus of control , clinical psychology , population , help seeking , mental health , health care , medicine , developmental psychology , social psychology , environmental health , economics , economic growth
Not all individuals with experience of psychosis develop need for care. 7076 general population individuals were studied for 3 years. 47 individuals experienced psychosis with no previous diagnosis of psychotic disorder. They were interviewed by telephone. Need for care was associated with severity of psychotic experiences rather than distress or total level of coping used. Also, individuals with need for care more often resorted to symptomatic coping style (giving in to symptoms; OR=6.07, 95% CI: 1.94, 18.95), which was associated with less perceived control (OR=0.79, 95% CI: 0.63, 0.98). Any type of coping was associated with level of distress, severity of hallucinations and presence of suspiciousness in both groups, but suspiciousness was larger in those in need for care (OR=2.27, 95% CI: 1.33, 3.87). A symptomatic coping style predicts decreased experience of control and results in need for care. Attribution of locus ofcontrol and a more submissive style vis à vis the psychotic experience may contribute to becoming a mental health patient.