title: Correlates in the Endorsement of Psychotic Symptoms and Services Use: Findings from the Collaborative Psychiatric Epidemiology Surveys.
abstract: Endorsement of psychotic symptoms serves as an indicator of significant health issues and interpersonal distress. Seeking services is the ultimate recourse for many individuals, yet few studies have assessed the help-seeking process in a nationally representative sample. This study, guided by Lewis-Fernández et al.'s (J Nerv Ment Dis 197(5):337-347, 2009) analyses, examined the association of lifetime endorsement of psychotic symptoms with demographic, clinical and support system variables and types of services received. Based on nationally weighted epidemiological data, 11.6 % of adults reported one or more psychotic symptoms. Psychotic symptoms were associated with poor physical and mental health, specifically depressive, anxiety, and substance use disorders. Respondents were more likely to receive services from both informal and mental health providers and were more likely to be hospitalized than those not endorsing psychotic symptoms. Study findings inform community efforts to develop comprehensive services for individuals experiencing psychotic symptoms.
authors.affiliation: School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA, 90089-0411, USA.
authors.forename: Armando
authors.initials: A
authors.lastname: Barragán
authors.affiliation: School of Social Work, University of Southern California, MRF 102C, Los Angeles, CA, 90089-0411, USA. amyamada@usc.edu.
authors.forename: Ann-Marie
authors.initials: AM
authors.lastname: Yamada
authors.affiliation: School of Social Welfare, The University of Kansas, 1545 Lilac Ln, Twente Hall, Lawrence, KS, 66045-3129, USA.
authors.forename: Karen Kyeunghae
authors.initials: KK
authors.lastname: Lee
authors.affiliation: School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA, 90089-0411, USA.
authors.forename: Concepción
authors.initials: C
authors.lastname: Barrio
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D012944:Social Support; D055815:Young Adult
keywords: Epidemiology; Ethnic diversity; Mental health services; Mental illness