The Association Between Trajectories of Self-reported Psychotic Experiences and Continuity of Mental Health Care in a Longitudinal Cohort of Adolescents and Young Adults
Abstract
Background and hypothesis: Young people (YP) with psychotic experiences (PE) have an increased risk of developing a psychiatric disorder. Therefore, knowledge on continuity of care from child and adolescent (CAMHS) to adult mental health services (AMHS) in relation to PE is important. Here, we investigated whether the self-reported trajectories of persistent PE were associated with likelihood of transition to AMHS and mental health outcomes.
Study design: In this prospective cohort study, interviews and questionnaires were used to assess PE, mental health, and service use in 763 child and adolescent mental health service users reaching their service's upper age limit in 8 European countries. Trajectories of self-reported PE (3 items) from baseline to 24-month follow-up were determined using growth mixture modeling (GMM). Associations were assessed with auxiliary variables and using mixed models. Study results. At baseline, 56.7% of YP reported PE. GMM identified 5 trajectories over 24 months: medium increasing (5.2%), medium stable (11.7%), medium decreasing (6.5%), high decreasing (4.2%), and low stable (72.4%). PE trajectories were not associated with continuity of specialist care or transition to AMHS. Overall, YP with PE reported more mental health problems at baseline. Persistence of PE or an increase was associated with poorer outcomes at follow-up.
Conclusions: PE are common among CAMHS users when reaching the upper age limit of CAMHS. Persistence or an increase of PE was associated with poorer mental health outcomes, poorer prognosis, and impaired functioning, but were less discriminative for continuity of care.
Author
Gerritsen, Suzanne E
Bolhuis, Koen
van Bodegom, Larissa S
Maras, Athanasios
Overbeek, Mathilde M
van Amelsvoort, Therese Amj
Wolke, Dieter
de Girolamo, Giovanni
Franić, Tomislav
Madan, Jason
McNicholas, Fiona
Paul, Moli
Purper-Ouakil, Diane
Santosh, Paramala
Schulze, Ulrike M E
Singh, Swaran P
Street, Cathy
Tremmery, Sabine
Tuomainen, Helena
Dieleman, Gwen C
Mesman, Esther
Bolhuis, Koen
van Bodegom, Larissa S
Maras, Athanasios
Overbeek, Mathilde M
van Amelsvoort, Therese Amj
Wolke, Dieter
de Girolamo, Giovanni
Franić, Tomislav
Madan, Jason
McNicholas, Fiona
Paul, Moli
Purper-Ouakil, Diane
Santosh, Paramala
Schulze, Ulrike M E
Singh, Swaran P
Street, Cathy
Tremmery, Sabine
Tuomainen, Helena
Dieleman, Gwen C
Mesman, Esther
Citations
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Date
2024-08
Type
Article
Subject
Mental health
Collections
Citation
Gerritsen SE, Bolhuis K, van Bodegom LS, Maras A, Overbeek MM, van Amelsvoort TAMJ, Wolke D, de Girolamo G, Franić T, Madan J, McNicholas F, Paul M, Purper-Ouakil D, Santosh P, Schulze UME, Singh SP, Street C, Tremmery S, Tuomainen H, Dieleman GC, Mesman E. The Association Between Trajectories of Self-reported Psychotic Experiences and Continuity of Mental Health Care in a Longitudinal Cohort of Adolescents and Young Adults. Schizophr Bull. 2024 Aug 7:sbae136. doi: 10.1093/schbul/sbae136. Epub ahead of print. PMID: 39113641.
Journal / Source Title
Schizophrenia Bulletin
DOI
10.1093/schbul/sbae136
PMID
Publisher
Oxford University Press
Publisher’s URL
https://pubmed.ncbi.nlm.nih.gov/39113641/