title: Do different psychotic experiences differentially predict need for care in the general population?
abstract: BACKGROUND
  The pathway from subclinical psychotic experiences to need for care may depend on type of psychotic experience, level of associated distress, and previous experience of psychosis.
  
  
  METHODS
  In a general population sample with no previous Diagnostic and Statistical Manual of Mental Disorders , Revised Third Edition , psychotic disorder (n = 4722), 83 subjects displayed at least one psychotic experience. Within the group of 83, subjects with (n = 24) and without need for care (n = 59) were compared. Presence of psychotic experiences at younger ages had been assessed at earlier interviews.
  
  
  RESULTS
  Of 7 different psychotic experiences, only hearing voices, nonverbal hallucinations, and passivity phenomena were significantly associated with need for care. These associations were largely explained by the distress associated with the psychotic experience, but whether individuals had had psychotic experiences at earlier ages did not matter.
  
  
  CONCLUSIONS
  Different psychotic experiences differ in the associated level of need for care and the mediating role of distress. Longer prior exposure to psychosis may not influence the pathway from subclinical to clinical.
authors: Department of Psychiatry, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, The Netherlands.
authors: Maarten
authors: M
authors: Bak
authors: Inez
authors: I
authors: Myin-Germeys
authors: Philippe
authors: P
authors: Delespaul
authors: Wilma
authors: W
authors: Vollebergh
authors: Ron
authors: R
authors: de Graaf
authors: Jim
authors: J
authors: van Os
mesh_terms: D000293:Adolescent; D000328:Adult; D003863:Depression / Q000453:epidemiology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005500:Follow-Up Studies; D006212:Hallucinations / Q000453:epidemiology; D006301:Health Services Needs and Demand; D006801:Humans; D015994:Incidence; D007406:Interview, Psychological; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011159:Population Surveillance / Q000379:methods*; D015995:Prevalence; D011618:Psychotic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D013850:Thinking