Psychotic experiences and religiosity: data from the WHO World Mental Health Surveys

doi:10.1111/acps.12859

. 2018 Apr;137(4):306-315.

doi: 10.1111/acps.12859. Epub 2018 Feb 16.

Psychotic experiences and religiosity: data from the WHO World Mental Health Surveys

V Kovess-Masfety¹, S Saha², C C W Lim², S Aguilar-Gaxiola³, A Al-Hamzawi⁴, J Alonso^{5

6

7}, G Borges⁸, G de Girolamo⁹, P de Jonge^{10

11}, K Demyttenaere¹², S Florescu¹³, J M Haro¹⁴, C Hu¹⁵, E G Karam^{16

17

18}, N Kawakami¹⁹, S Lee²⁰, J P Lepine²¹, F Navarro-Mateu²², J C Stagnaro²³, M Ten Have²⁴, M C Viana²⁵, R C Kessler²⁶, J J McGrath^{2

27}; WHO World Mental Health Survey Collaborators

Collaborators, Affiliations

Collaborators

WHO World Mental Health Survey Collaborators:
Salih Al-Kaisy, Helena Andrade, Corina Benjet, Brendan Bunting, de Almeida, Graça Cardoso, Somnath Chatterji, Alfredo H Cia, Louisa Degenhardt, John Fayyad, Oye Gureje, Yanling He, Hristo Hinkov, Chi-Yi Hu, Yueqin Huang, Andrzej Kiejna, Daphna Levinson, Elena Medina-Mora, Zeina Mneimneh, Jacek Moskalewicz, Beth-Ellen Pennell, Marina Piazza, Jose Posada-Villa, Tim Slade, Dan J Stein, Yolanda Torres, Harvey Whiteford, David R Williams, Bogdan Wojtyniak

Affiliations

¹ Ecole des Hautes Etudes en Santé Publique (EHESP), EA 4057, Paris Descartes University, Paris, France.
² Queensland Centre for Mental Health Research, Queensland Brain Institute, The University of Queensland, St. Lucia, Qld, Australia.
³ Center for Reducing Health Disparities, UC Davis Health System, Sacramento, CA, USA.
⁴ College of Medicine, Al-Qadisiya University, Diwaniya Governorate, Iraq.
⁵ Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain.
⁶ Pompeu Fabra University (UPF), Barcelona, Spain.
⁷ CIBER en Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
⁸ National Institute of Psychiatry Ramón de la Fuente, Mexico City, Mexico.
⁹ Unit of Epidemiological and Evaluation Psychiatry, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS)-St. John of God Clinical Research Centre, Brescia, Italy.
¹⁰ Developmental Psychology, Department of Psychology, Rijksuniversiteit Groningen, Groningen, NL, The Netherlands.
¹¹ Interdisciplinary Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical Center Groningen, Groningen, NL, The Netherlands.
¹² Department of Psychiatry, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium.
¹³ National School of Public Health, Management and Development, Bucharest, Romania.
¹⁴ Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain.
¹⁵ Shenzhen Institute of Mental Health & Shenzhen Kangning Hospital, Shenzhen, China.
¹⁶ Department of Psychiatry and Clinical Psychology, Faculty of Medicine, Balamand University, Beirut, Lebanon.
¹⁷ Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Beirut, Lebanon.
¹⁸ Institute for Development Research Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.
¹⁹ Department of Mental Health, School of Public Health, The University of Tokyo, Tokyo, Japan.
²⁰ Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong.
²¹ Hôpital Lariboisière-Fernand Widal, Assistance Publique Hôpitaux de Paris, Universités Paris Descartes-Paris Diderot, INSERM UMR-S 1144, Paris, France.
²² UDIF-SM, Subdirección General de Planificación, Innovación y Cronicidad, Servicio Murciano de Salud. IMIB-Arrixaca. CIBERESP-Murcia, Murcia, Spain.
²³ Departamento de Psiquiatía y Salud Mental, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina.
²⁴ Trimbos-Instituut, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.
²⁵ Department of Social Medicine, Federal University of Espírito Santo, Vitoria, Brazil.
²⁶ Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
²⁷ National Centre for Register-Based Research, Aarhus BSS, Aarhus University, Aarhus, Denmark.

PMID: 29453789
PMCID: PMC6839106
DOI: 10.1111/acps.12859

Psychotic experiences and religiosity: data from the WHO World Mental Health Surveys

V Kovess-Masfety et al. Acta Psychiatr Scand. 2018 Apr.

. 2018 Apr;137(4):306-315.

doi: 10.1111/acps.12859. Epub 2018 Feb 16.

Authors

Collaborators

WHO World Mental Health Survey Collaborators:
Salih Al-Kaisy, Helena Andrade, Corina Benjet, Brendan Bunting, de Almeida, Graça Cardoso, Somnath Chatterji, Alfredo H Cia, Louisa Degenhardt, John Fayyad, Oye Gureje, Yanling He, Hristo Hinkov, Chi-Yi Hu, Yueqin Huang, Andrzej Kiejna, Daphna Levinson, Elena Medina-Mora, Zeina Mneimneh, Jacek Moskalewicz, Beth-Ellen Pennell, Marina Piazza, Jose Posada-Villa, Tim Slade, Dan J Stein, Yolanda Torres, Harvey Whiteford, David R Williams, Bogdan Wojtyniak

Affiliations

¹ Ecole des Hautes Etudes en Santé Publique (EHESP), EA 4057, Paris Descartes University, Paris, France.
² Queensland Centre for Mental Health Research, Queensland Brain Institute, The University of Queensland, St. Lucia, Qld, Australia.
³ Center for Reducing Health Disparities, UC Davis Health System, Sacramento, CA, USA.
⁴ College of Medicine, Al-Qadisiya University, Diwaniya Governorate, Iraq.
⁵ Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain.
⁶ Pompeu Fabra University (UPF), Barcelona, Spain.
⁷ CIBER en Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
⁸ National Institute of Psychiatry Ramón de la Fuente, Mexico City, Mexico.
⁹ Unit of Epidemiological and Evaluation Psychiatry, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS)-St. John of God Clinical Research Centre, Brescia, Italy.
¹⁰ Developmental Psychology, Department of Psychology, Rijksuniversiteit Groningen, Groningen, NL, The Netherlands.
¹¹ Interdisciplinary Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical Center Groningen, Groningen, NL, The Netherlands.
¹² Department of Psychiatry, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium.
¹³ National School of Public Health, Management and Development, Bucharest, Romania.
¹⁴ Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain.
¹⁵ Shenzhen Institute of Mental Health & Shenzhen Kangning Hospital, Shenzhen, China.
¹⁶ Department of Psychiatry and Clinical Psychology, Faculty of Medicine, Balamand University, Beirut, Lebanon.
¹⁷ Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Beirut, Lebanon.
¹⁸ Institute for Development Research Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.
¹⁹ Department of Mental Health, School of Public Health, The University of Tokyo, Tokyo, Japan.
²⁰ Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong.
²¹ Hôpital Lariboisière-Fernand Widal, Assistance Publique Hôpitaux de Paris, Universités Paris Descartes-Paris Diderot, INSERM UMR-S 1144, Paris, France.
²² UDIF-SM, Subdirección General de Planificación, Innovación y Cronicidad, Servicio Murciano de Salud. IMIB-Arrixaca. CIBERESP-Murcia, Murcia, Spain.
²³ Departamento de Psiquiatía y Salud Mental, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina.
²⁴ Trimbos-Instituut, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.
²⁵ Department of Social Medicine, Federal University of Espírito Santo, Vitoria, Brazil.
²⁶ Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
²⁷ National Centre for Register-Based Research, Aarhus BSS, Aarhus University, Aarhus, Denmark.

PMID: 29453789
PMCID: PMC6839106
DOI: 10.1111/acps.12859

Abstract

Objectives: Religiosity is often associated with better health outcomes. The aim of the study was to examine associations between psychotic experiences (PEs) and religiosity in a large, cross-national sample.

Methods: A total of 25 542 adult respondents across 18 countries from the WHO World Mental Health Surveys were assessed for PEs, religious affiliation and indices of religiosity, DSM-IV mental disorders and general medical conditions. Logistic regression models were used to estimate the association between PEs and religiosity with various adjustments.

Results: Of 25 542 included respondents, 85.6% (SE = 0.3) (n = 21 860) respondents reported having a religious affiliation. Overall, there was no association between religious affiliation status and PEs. Within the subgroup having a religious affiliation, four of five indices of religiosity were significantly associated with increased odds of PEs (odds ratios ranged from 1.3 to 1.9). The findings persisted after adjustments for mental disorders and/or general medical conditions, as well as religious denomination type. There was a significant association between increased religiosity and reporting more types of PEs.

Conclusions: Among individuals with religious affiliations, those who reported more religiosity on four of five indices had increased odds of PEs. Focussed and more qualitative research will be required to unravel the interrelationship between religiosity and PEs.

Keywords: World Mental Health Survey; epidemiology; psychotic experiences; religiosity.

PubMed Disclaimer

Comment in

Religiosity and psychotic experiences.
Oh H. Oh H. Acta Psychiatr Scand. 2018 May;137(5):442-443. doi: 10.1111/acps.12883. Acta Psychiatr Scand. 2018. PMID: 29637547 No abstract available.
Religion and psychotic experiences.
Rosmarin DH, Moreira-Almeida A, Koenig H. Rosmarin DH, et al. Acta Psychiatr Scand. 2018 Aug;138(2):173. doi: 10.1111/acps.12917. Acta Psychiatr Scand. 2018. PMID: 30398296 No abstract available.

Cited by

Religiosity and prevalence of suicide, psychiatric disorders and psychotic symptoms in the French general population.
Brito MA, Amad A, Rolland B, Geoffroy PA, Peyre H, Roelandt JL, Benradia I, Thomas P, Vaiva G, Schürhoff F, Pignon B. Brito MA, et al. Eur Arch Psychiatry Clin Neurosci. 2021 Dec;271(8):1547-1557. doi: 10.1007/s00406-021-01233-3. Epub 2021 Feb 10. Eur Arch Psychiatry Clin Neurosci. 2021. PMID: 33566159
Self-stigma, religiosity, and perceived social support in people with recent-onset psychosis in the Islamic Republic of Iran: Associations with symptom severity and psychosocial functioning.
Djordjevic M, Farhang S, Shirzadi M, Mousavi SB, Bruggeman R, Malek A, Mohagheghi A, Ranjbar F, Shafiee-Kandjani AR, Jongsma HE, Veling W. Djordjevic M, et al. Int J Soc Psychiatry. 2024 May;70(3):542-553. doi: 10.1177/00207640231221090. Epub 2024 Feb 5. Int J Soc Psychiatry. 2024. PMID: 38312047 Free PMC article.
Prevalence, risk factors, and comorbidities of psychotic experiences in Afghanistan: a highly stressful environment.
Kovess-Masfety V, Sabawoon A, Keyes K, Karam E. Kovess-Masfety V, et al. Soc Psychiatry Psychiatr Epidemiol. 2024 Jan;59(1):99-109. doi: 10.1007/s00127-023-02539-4. Epub 2023 Aug 10. Soc Psychiatry Psychiatr Epidemiol. 2024. PMID: 37558897
Translation and Validation of an Italian Language Version of the Religious Beliefs and Mental Illness Stigma Scale (I-RBMIS).
Pingani L, Giberti S, Coriani S, Ferrari S, Fierro L, Mattei G, Nasi AM, Pinelli G, Wesselmann ED, Galeazzi GM. Pingani L, et al. J Relig Health. 2021 Oct;60(5):3530-3544. doi: 10.1007/s10943-021-01195-9. Epub 2021 Feb 6. J Relig Health. 2021. PMID: 33547519
Psychotic-like experiences among university female students in Qatar: A qualitative-phenomenological study.
Yehya A, Khaled SM, Sommer IEC, Woodruff P, Daher-Nashif S. Yehya A, et al. Front Psychiatry. 2022 Sep 23;13:988913. doi: 10.3389/fpsyt.2022.988913. eCollection 2022. Front Psychiatry. 2022. PMID: 36213899 Free PMC article.

See all "Cited by" articles

References

1. LINSCOTT RJ, VAN OS J. An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders. Psychol Med 2013;43:1133–49. - PubMed
1. MCGRATH JJ, SAHA S, AL-HAMZAWI A, ALONSO J, BROMET EJ, BRUFFAERTS R et al. Psychotic Experiences in the General Population: A Cross-National Analysis Based on 31261 Respondents From 18 Countries. JAMA Psychiatry 2015;72:697–705. - PMC - PubMed
1. MCGRATH JJ, SAHA S, AL-HAMZAWI A, ANDRADE L, BENJET C, BROMET EJ et al. The Bidirectional Associations Between Psychotic Experiences and DSM-IV Mental Disorders. Am J Psychiatry 2016;173:997–1006. - PMC - PubMed
1. MORENO C, NUEVO R, CHATTERJI S, VERDES E, ARANGO C, AYUSO-MATEOS JL. Psychotic symptoms are associated with physical health problems independently of a mental disorder diagnosis: results from the WHO World Health Survey. World Psychiatry 2013;12:251–7. - PMC - PubMed
1. OH H, DEVYLDER J. Psychotic symptoms predict health outcomes even after adjusting for substance use, smoking and co-occurring psychiatric disorders: findings from the NCS-R and NLAAS. World Psychiatry 2015;14:101–2. - PMC - PubMed

Publication types

Actions
Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

R13 MH066849/MH/NIMH NIH HHS/United States

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Health Information

[1] LINSCOTT RJ, VAN OS J. An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders. Psychol Med 2013;43:1133–49. - PubMed

[2] LINSCOTT RJ, VAN OS J. An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders. Psychol Med 2013;43:1133–49. - PubMed

[3] MCGRATH JJ, SAHA S, AL-HAMZAWI A, ALONSO J, BROMET EJ, BRUFFAERTS R et al. Psychotic Experiences in the General Population: A Cross-National Analysis Based on 31261 Respondents From 18 Countries. JAMA Psychiatry 2015;72:697–705. - PMC - PubMed

[4] MCGRATH JJ, SAHA S, AL-HAMZAWI A, ALONSO J, BROMET EJ, BRUFFAERTS R et al. Psychotic Experiences in the General Population: A Cross-National Analysis Based on 31261 Respondents From 18 Countries. JAMA Psychiatry 2015;72:697–705. - PMC - PubMed

[5] MCGRATH JJ, SAHA S, AL-HAMZAWI A, ANDRADE L, BENJET C, BROMET EJ et al. The Bidirectional Associations Between Psychotic Experiences and DSM-IV Mental Disorders. Am J Psychiatry 2016;173:997–1006. - PMC - PubMed

[6] MCGRATH JJ, SAHA S, AL-HAMZAWI A, ANDRADE L, BENJET C, BROMET EJ et al. The Bidirectional Associations Between Psychotic Experiences and DSM-IV Mental Disorders. Am J Psychiatry 2016;173:997–1006. - PMC - PubMed

[7] MORENO C, NUEVO R, CHATTERJI S, VERDES E, ARANGO C, AYUSO-MATEOS JL. Psychotic symptoms are associated with physical health problems independently of a mental disorder diagnosis: results from the WHO World Health Survey. World Psychiatry 2013;12:251–7. - PMC - PubMed

[8] MORENO C, NUEVO R, CHATTERJI S, VERDES E, ARANGO C, AYUSO-MATEOS JL. Psychotic symptoms are associated with physical health problems independently of a mental disorder diagnosis: results from the WHO World Health Survey. World Psychiatry 2013;12:251–7. - PMC - PubMed

[9] OH H, DEVYLDER J. Psychotic symptoms predict health outcomes even after adjusting for substance use, smoking and co-occurring psychiatric disorders: findings from the NCS-R and NLAAS. World Psychiatry 2015;14:101–2. - PMC - PubMed

[10] OH H, DEVYLDER J. Psychotic symptoms predict health outcomes even after adjusting for substance use, smoking and co-occurring psychiatric disorders: findings from the NCS-R and NLAAS. World Psychiatry 2015;14:101–2. - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Psychotic experiences and religiosity: data from the WHO World Mental Health Surveys

Collaborators

Affiliations

Psychotic experiences and religiosity: data from the WHO World Mental Health Surveys

Authors

Collaborators

Affiliations

Abstract

Comment in

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical