Please use this identifier to cite or link to this item: https://scholarhub.balamand.edu.lb/handle/uob/7780
Title: Prevalence, risk factors, and comorbidities of psychotic experiences in Afghanistan: a highly stressful environment
Authors: Kovess-Masfety, V
Sabawoon, A
Keyes, K
Karam, E
Affiliations: Faculty of Medicine 
Keywords: Afghanistan
Psychotic experiences
Suicidal behavior
Transcultural
Trauma
Issue Date: 2024-01
Publisher: Springer
Part of: Social Psychiatry and Psychiatric Epidemiology
Volume: 59
Issue: 1
Start page: 99
End page: 109
Abstract: 
Objectives
To estimate the prevalence and demographic, psychiatric, and trauma-focused correlates of psychotic experiences (PEs) in the Afghan general population.

Methods
Data were drawn from a cross-sectional household survey implemented in eight regions of Afghanistan (N = 4445). The CIDI structured instrument was administered to adults to assess psychiatric disorders and psychotic experiences; life events and PTSD were assessed using validated instruments. Weighted multivariate models integrated socio-demographics, regions, traumas as determinants of PE.

Results
PEs were frequently reported in the Afghan population: 27.50% of the population reported a lifetime PE. PEs were more common among specific ethnic groups, and were associated with lower income in adjusted regression models. PEs were associated with mental health problems including major depressive disorders (OR = 3.43), PTSD (OR = 5.08), generalized anxiety (OR = 4.2); lifetime suicidal attempts (OR 6.04), lifetime suicidal thoughts (OR = 3.42), addiction (OR = 2.18); and psychological distress and impairment due to mental health (OR = 2.95 and 2.46, respectively).

Conclusion
Psychotic experiences in the Afghan general population confirm general population findings in other countries, that psychotic experiences are common and associated with economic and social marginalization, and part of a continuum of mental health problems experienced in populations. Efforts to reduce and treat psychotic experiences within a broad array of psychiatric conditions are needed.
URI: https://scholarhub.balamand.edu.lb/handle/uob/7780
ISSN: 09337954
DOI: 10.1007/s00127-023-02539-4
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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