caa a22 4500 445343907 CHVBK 20180317142822.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00406-011-0204-8 doi (NATIONALLICENCE)springer-10.1007/s00406-011-0204-8 The psychosis continuum in the general population: findings from the São Paulo Epidemiologic Catchment Area Study [Elektronische Daten] [Alexandre Loch, Yuan-Pang Wang, Wulf Rössler, Luis Tófoli, Camila Silveira, Laura Andrade] The aim of the study was to examine the psychosis continuum in a Latin-American community setting. Data were from the Brazilian São Paulo Epidemiologic Catchment Area Study, a cross-sectional survey conducted in two boroughs of the city of São Paulo. The Composite International Diagnosis Interview (version 1.1) was applied to a probabilistic sample of 1,464 adults, who were interviewed in their household, in order to identify the presence of psychotic symptoms. A subsample was assessed with Schedules for Clinical Assessment in Neuropsychiatry interview. We described the occurrence of psychotic symptoms, categorized into subgroups according to their clinical impact, disability, and help-seeking behavior. The correlation of socio-demographic variables, depressive symptoms, and alcohol and substance use disorders with those psychotic subgroups was analyzed. Polychotomic logistic regression tested the associations between subgroups of psychosis (clinical and subclinical) and the correlates. Of the total sample, 38.0% presented at least one lifetime psychotic symptom, 1.9% met the criteria for an ICD-10 diagnosis of non-affective psychosis, 5.4% presented clinically relevant psychotic symptoms, and 30.7% endorsed clinically non-relevant symptoms. The most common psychotic symptom was delusion with a plausible explanation (in 18.6%). The presence of any psychiatric diagnosis was associated with the presence of psychotic symptoms (OR range, 1.9-8.9). Subclinical psychosis subgroups were found to be associated with the 18-24year age bracket, chronic depressive mood, and alcohol use disorder. Our results support the concept of a psychosis continuum in Latin-American populations, suggesting that different risk factors influence their manifestation across the continuum. Springer-Verlag, 2011 Schizophrenia nationallicence Psychosis nationallicence Subclinical psychosis nationallicence Psychosis continuum nationallicence General population nationallicence Loch Alexandre Section of Psychiatric Epidemiology—LIM 23, Department and Institute of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil aut Wang Yuan-Pang Section of Psychiatric Epidemiology—LIM 23, Department and Institute of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil aut Rössler Wulf Department of General and Social Psychiatry, Psychiatric University Hospital Zurich, Zurich, Switzerland aut Tófoli Luis School of Medicine, Federal University of Ceará, Campus of Sobral, Sobral, Brazil aut Silveira Camila Section of Psychiatric Epidemiology—LIM 23, Department and Institute of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil aut Andrade Laura Section of Psychiatric Epidemiology—LIM 23, Department and Institute of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil aut European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261/7(2011-10-01), 519-527 0940-1334 261:7<519 2011 261 406 https://doi.org/10.1007/s00406-011-0204-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00406-011-0204-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Loch Alexandre Section of Psychiatric Epidemiology—LIM 23, Department and Institute of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil aut NATIONALLICENCE 700 1- Wang Yuan-Pang Section of Psychiatric Epidemiology—LIM 23, Department and Institute of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil aut NATIONALLICENCE 700 1- Rössler Wulf Department of General and Social Psychiatry, Psychiatric University Hospital Zurich, Zurich, Switzerland aut NATIONALLICENCE 700 1- Tófoli Luis School of Medicine, Federal University of Ceará, Campus of Sobral, Sobral, Brazil aut NATIONALLICENCE 700 1- Silveira Camila Section of Psychiatric Epidemiology—LIM 23, Department and Institute of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil aut NATIONALLICENCE 700 1- Andrade Laura Section of Psychiatric Epidemiology—LIM 23, Department and Institute of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil aut NATIONALLICENCE 773 0- European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261/7(2011-10-01), 519-527 0940-1334 261:7<519 2011 261 406 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer