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Self‐reported symptoms and health service use in adolescence in persons who later develop psychotic disorders: A prospective case‐control study
Author(s) -
Bratlien Unni,
Øie Merete,
Haug Elisabeth,
Møller Paul,
Andreassen Ole A.,
Lien Lars,
Melle Ingrid
Publication year - 2015
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/eip.12102
Subject(s) - psychiatry , anxiety , depression (economics) , eating disorders , schizophrenia (object oriented programming) , medicine , feeling , psychosis , mental health , population , clinical psychology , cohort , psychology , social psychology , environmental health , economics , macroeconomics
Aim To investigate self‐reported psychiatric and somatic symptoms and health service use at age 16 in persons who later developed a psychotic disorder compared with a control group from the same geographical areas. Method Responses concerning psychiatric or somatic health and health service use from N orwegian youth studies in a cohort of 15‐ and 16‐year‐olds in three N orwegian counties ( N = 11 101, 90% response rate) were gathered. The questionnaire responses from persons later identified with a lifetime diagnosis of DSM ‐ IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) psychotic disorders ( n = 30) (confirmed psychosis, CP ) were compared with responses from the rest of the group (population control, PC ) ( n = 11 067). Follow‐up analyses were made for cases with a confirmed onset of a psychotic disorder after the time of the survey ( n = 21). Results The main significant differences between the CP and PC groups were more self‐reported anxiety, depression and ‘feeling in need of treatment for eating disorders’ at age 16 in the CP group. The rate of self‐reported eating disorder symptoms alone reached the level of statistical significance in the follow‐up analyses. The CP group did not use available health services to a markedly greater extent than the control group. Conclusion We found that, in comparison with others, youths who were later identified with a psychotic disorder reported more symptoms at age 16.