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COVID-19 Infection and Psychotic Experiences: Findings From the Healthy Minds Study 2020

BACKGROUND: Clinical reports from across the world have documented psychosis in the context of COVID-19 infection; however, there has yet to be a large-scale epidemiological study to confirm this association. METHODS: We analyzed data from the Healthy Minds Study (N = 15,935; conducted between Septe...

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Autores principales: Oh, Hans, Schiffman, Jason, Marsh, Jonathan, Zhou, Sasha, Koyanagi, Ai, DeVylder, Jordan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8639180/
https://www.ncbi.nlm.nih.gov/pubmed/34877564
http://dx.doi.org/10.1016/j.bpsgos.2021.05.005
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author Oh, Hans
Schiffman, Jason
Marsh, Jonathan
Zhou, Sasha
Koyanagi, Ai
DeVylder, Jordan
author_facet Oh, Hans
Schiffman, Jason
Marsh, Jonathan
Zhou, Sasha
Koyanagi, Ai
DeVylder, Jordan
author_sort Oh, Hans
collection PubMed
description BACKGROUND: Clinical reports from across the world have documented psychosis in the context of COVID-19 infection; however, there has yet to be a large-scale epidemiological study to confirm this association. METHODS: We analyzed data from the Healthy Minds Study (N = 15,935; conducted between September and December 2020), which was administered online to students attending one of 28 colleges in the United States. Using multivariable logistic regression, we examined the associations between COVID-19 infection/severity and psychotic experiences over the past 12 months, adjusting for age, gender, race/ethnicity, and international student status as well as anxiety and depression. RESULTS: More than one fifth of the analytic sample reported COVID-19 infection, and about one in six students with COVID-19 infection reported psychotic experiences over the past 12 months. In weighted multivariable logistic regression models, COVID-19 infection was associated with significantly greater odds of having psychotic experiences (adjusted odds ratio 1.36, 95% CI 1.19–1.48). Compared with being asymptomatic, having moderate (adjusted odds ratio 1.85, 95% CI 1.03–3.31) or severe (adjusted odds ratio 1.76, 95% CI 1.11–2.77) symptoms was associated with significantly greater odds of having psychotic experiences. These associations became statistically nonsignificant when adjusting for depression and anxiety. Hospitalization was not significantly associated with psychotic experiences among students with COVID-19 infection. CONCLUSIONS: Psychotic experiences are associated with COVID-19 infections, though much of the association is attenuated when accounting for anxiety and depression. Findings based on this sample of college students should be replicated outside of the college context to determine whether psychosis is a neuropsychiatric symptom during and after COVID-19 infection.
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spelling pubmed-86391802021-12-03 COVID-19 Infection and Psychotic Experiences: Findings From the Healthy Minds Study 2020 Oh, Hans Schiffman, Jason Marsh, Jonathan Zhou, Sasha Koyanagi, Ai DeVylder, Jordan Biol Psychiatry Glob Open Sci Archival Report BACKGROUND: Clinical reports from across the world have documented psychosis in the context of COVID-19 infection; however, there has yet to be a large-scale epidemiological study to confirm this association. METHODS: We analyzed data from the Healthy Minds Study (N = 15,935; conducted between September and December 2020), which was administered online to students attending one of 28 colleges in the United States. Using multivariable logistic regression, we examined the associations between COVID-19 infection/severity and psychotic experiences over the past 12 months, adjusting for age, gender, race/ethnicity, and international student status as well as anxiety and depression. RESULTS: More than one fifth of the analytic sample reported COVID-19 infection, and about one in six students with COVID-19 infection reported psychotic experiences over the past 12 months. In weighted multivariable logistic regression models, COVID-19 infection was associated with significantly greater odds of having psychotic experiences (adjusted odds ratio 1.36, 95% CI 1.19–1.48). Compared with being asymptomatic, having moderate (adjusted odds ratio 1.85, 95% CI 1.03–3.31) or severe (adjusted odds ratio 1.76, 95% CI 1.11–2.77) symptoms was associated with significantly greater odds of having psychotic experiences. These associations became statistically nonsignificant when adjusting for depression and anxiety. Hospitalization was not significantly associated with psychotic experiences among students with COVID-19 infection. CONCLUSIONS: Psychotic experiences are associated with COVID-19 infections, though much of the association is attenuated when accounting for anxiety and depression. Findings based on this sample of college students should be replicated outside of the college context to determine whether psychosis is a neuropsychiatric symptom during and after COVID-19 infection. Elsevier 2021-05-28 /pmc/articles/PMC8639180/ /pubmed/34877564 http://dx.doi.org/10.1016/j.bpsgos.2021.05.005 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Archival Report
Oh, Hans
Schiffman, Jason
Marsh, Jonathan
Zhou, Sasha
Koyanagi, Ai
DeVylder, Jordan
COVID-19 Infection and Psychotic Experiences: Findings From the Healthy Minds Study 2020
title COVID-19 Infection and Psychotic Experiences: Findings From the Healthy Minds Study 2020
title_full COVID-19 Infection and Psychotic Experiences: Findings From the Healthy Minds Study 2020
title_fullStr COVID-19 Infection and Psychotic Experiences: Findings From the Healthy Minds Study 2020
title_full_unstemmed COVID-19 Infection and Psychotic Experiences: Findings From the Healthy Minds Study 2020
title_short COVID-19 Infection and Psychotic Experiences: Findings From the Healthy Minds Study 2020
title_sort covid-19 infection and psychotic experiences: findings from the healthy minds study 2020
topic Archival Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8639180/
https://www.ncbi.nlm.nih.gov/pubmed/34877564
http://dx.doi.org/10.1016/j.bpsgos.2021.05.005
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