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1.
Psychophysiology ; 60(9): e14307, 2023 09.
Article in English | MEDLINE | ID: mdl-37073965

ABSTRACT

Improvisation is a natural occurring phenomenon that is central to social interaction. Yet, improvisation is an understudied area in group processes and intergroup relations. Here we build on theory and research about human herding to study the contributions of improvisation on group efficacy and its biobehavioral underpinnings. We employed a novel multimodal approach and integrative method when observing face-to-face interactions-51 triads (total N = 153) drummed together in spontaneous-free improvisations as a group, while their electrodermal activity was monitored simultaneously with their second-by-second rhythmic coordination on a shared electronic drum machine. Our results show that three hypothesized factors of human herding-physiological synchrony, behavioral coordination, and emotional contagion-predict a sense of group efficacy in its group members. These findings are some of the first to show herding at three levels (physiological, behavioral, and mental) in a single study and lay a basis for understanding the role of improvisation in social interaction.


Subject(s)
Music , Social Interaction , Humans , Emotions , Group Processes
2.
Article in English | MEDLINE | ID: mdl-36901578

ABSTRACT

The COVID-19 pandemic was associated with significant increases in sleep disorder symptoms and chronic worry. We previously demonstrated that worry about the pandemic was more strongly associated with subsequent insomnia than the converse during the acute (first 6 months) phase of the pandemic. In this report, we evaluated whether that association held over one year of the pandemic. Participants (n = 3560) completed self-reported surveys of worries about the pandemic, exposure to virus risk factors, and the Insomnia Severity Index on five occasions throughout the course of one year. In cross-sectional analyses, insomnia was more consistently associated with worries about the pandemic than exposure to COVID-19 risk factors. In mixed-effects models, changes in worries predicted changes in insomnia and vice versa. This bidirectional relationship was further confirmed in cross-lagged panel models. Clinically, these findings suggest that during a global disaster, patients who report elevations in either worry or insomnia should be considered for evidence-based treatments for these symptoms to prevent secondary symptoms in the future. Future research should evaluate the extent to which dissemination of evidence-based practices for chronic worry (a core feature of generalized anxiety disorder or illness anxiety disorder) or insomnia reduces the development of co-occurring symptoms during a global disaster.


Subject(s)
COVID-19 , Sleep Initiation and Maintenance Disorders , Humans , Follow-Up Studies , Pandemics , Cross-Sectional Studies , Anxiety/diagnosis , Depression
3.
Stress Health ; 39(4): 927-939, 2023 Oct.
Article in English | MEDLINE | ID: mdl-36751725

ABSTRACT

The COVID-19 pandemic, and the response of governments to mitigate the pandemic's spread, resulted in exceptional circumstances that comprised a major global stressor, with broad implications for mental health. We aimed to delineate anxiety trajectories over three time-points in the first 6 months of the pandemic and identify baseline risk and resilience factors that predicted anxiety trajectories. Within weeks of the pandemic onset, we established a website (covid19resilience.org), and enrolled 1362 participants (n = 1064 from US; n = 222 from Israel) who provided longitudinal data between April-September 2020. We used latent growth mixture modelling to identify anxiety trajectories and ran multivariate regression models to compare characteristics between trajectory classes. A four-class model best fit the data, including a resilient trajectory (stable low anxiety) the most common (n = 961, 75.08%), and chronic anxiety (n = 149, 11.64%), recovery (n = 96, 7.50%) and delayed anxiety (n = 74, 5.78%) trajectories. Resilient participants were older, not living alone, with higher income, more education, and reported fewer COVID-19 worries and better sleep quality. Higher resilience factors' scores, specifically greater emotion regulation and lower conflict relationships, also uniquely distinguished the resilient trajectory. Results are consistent with the pre-pandemic resilience literature suggesting that most individuals show stable mental health in the face of stressful events. Findings can inform preventative interventions for improved mental health.


Subject(s)
COVID-19 , Pandemics , Humans , Longitudinal Studies , Anxiety/epidemiology , Anxiety Disorders/epidemiology , Depression
4.
Proc Natl Acad Sci U S A ; 120(1): e2022385119, 2023 01 03.
Article in English | MEDLINE | ID: mdl-36584298

ABSTRACT

The "Reading the Mind in the Eyes" Test (Eyes Test) is a widely used assessment of "theory of mind." The NIMH Research Domain Criteria recommends it as one of two tests for "understanding mental states." Previous studies have demonstrated an on-average female advantage on the Eyes Test. However, it is unknown whether this female advantage exists across the lifespan and across a large number of countries. Thus, we tested sex and age differences using the English version of the Eyes Test in adolescents and adults across 57 countries. We also tested for associations with sociodemographic and cognitive/personality factors. We leveraged one discovery dataset (N = 305,726) and three validation datasets (Ns = 642; 5,284; and 1,087). The results show that: i) there is a replicable on-average female advantage in performance on the Eyes Test; ii) performance increases through adolescence and shallowly declines across adulthood; iii) the on-average female advantage is evident across the lifespan; iv) there is a significant on-average female advantage in 36 out of 57 countries; v) there is a significant on-average female advantage on translated (non-English) versions of the Eyes Test in 12 out of 16 countries, as confirmed by a systematic review; vi) D-scores, or empathizing-systemizing, predict Eyes Test performance above and beyond sex differences; and vii) the female advantage is negatively linked to "prosperity" and "autonomy," and positively linked to "collectivism," as confirmed by exploratory country-level analyses. We conclude that the on-average female advantage on the Eyes Test is observed across ages and most countries.


Subject(s)
Eye , Sex Characteristics , Adult , Adolescent , Humans , Male , Female , Empathy
5.
Autism Res ; 15(10): 1917-1928, 2022 10.
Article in English | MEDLINE | ID: mdl-36053924

ABSTRACT

A large body of research showed that autistic people have intact emotional (affective) empathy alongside reduced cognitive empathy. However, there are mixed findings and these call for a more subtle understanding of empathy in autism. Empathic disequilibrium refers to the imbalance between emotional and cognitive empathy and is associated with a higher number of autistic traits in the typical population. Here we examined whether empathic disequilibrium predicts both the number of autistic traits and autism diagnosis. In a large sample of autistic (N = 1905) and typical individuals (N = 3009), we examined empathic disequilibrium and empathy as predictors of autistic traits and autism diagnosis, using a polynomial regression with response surface analysis. Empathy and autistic traits were measured using validated self-report questionnaires. Both empathic disequilibrium and empathy predicted linearly and non-linearly autism diagnosis and autistic traits. Specifically, a tendency towards higher emotional than cognitive empathy (empathic disequilibrium towards emotional empathy) predicted both autism diagnosis and the social domain of autistic traits, while higher cognitive than emotional empathy was associated with the non-social domain of autism. Empathic disequilibrium was also more prominent in autistic females. This study provides evidence that beyond empathy as was measured thus far, empathic disequilibrium offers a novel analytical approach for examining the role of empathy. Empathic disequilibrium allows for a more nuanced understanding of the links between empathy and autism. LAY SUMMARY: Many autistic individuals report feelings of excessive empathy, yet their experience is not reflected by most of the current literature, typically suggesting that autism is characterized by intact emotional and reduced cognitive empathy. To fill this gap, we looked at both ends of the imbalance between these components, termed empathic disequilibrium. We show that, like empathy, empathic disequilibrium is related to autism diagnosis and traits, and thus may provide a more nuanced understanding of empathy and its link with autism.


Subject(s)
Autism Spectrum Disorder , Autistic Disorder , Autism Spectrum Disorder/diagnosis , Autism Spectrum Disorder/psychology , Autistic Disorder/psychology , Empathy , Female , Humans , Phenotype , Surveys and Questionnaires
7.
J Pers Soc Psychol ; 122(2): 286-309, 2022 Feb.
Article in English | MEDLINE | ID: mdl-35130023

ABSTRACT

Are there universal patterns in musical preferences? To address this question, we built on theory and research in personality, cultural, and music psychology to map the terrain of preferences for Western music using data from 356,649 people across six continents. In Study 1 (N = 284,935), participants in 53 countries completed a genre favorability measure, and in Study 2 (N = 71,714), participants in 36 countries completed an audio-based measure of preferential reactions to music. Both studies included self-report measures of the Big Five personality traits and demographics. Results converged to show that individual differences in preferences for Western music can be organized in terms of five latent factors that are invariant (i.e., universal) across countries and that generalize across assessment methods. Furthermore, the patterns of correlations between personality traits and musical preferences were largely consistent across countries and assessment methods. For example, trait Extraversion was correlated with stronger reactions to Contemporary musical styles (which feature rhythmic, upbeat, and electronic attributes), whereas trait Openness was correlated with stronger reactions to Sophisticated musical styles (which feature complex and cerebral attributes often heard in improvisational and instrumental music). The patterns of correlations between musical preferences and gender differences, ethnicity, and other sociodemographic metrics were also largely invariant across countries. Together, these findings strongly suggest that there are universal patterns in preferences for Western music, providing a foundation on which to develop and test hypotheses about the interactions between music, psychology, biology, and culture. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
Music , Choice Behavior , Extraversion, Psychological , Humans , Individuality , Personality
8.
J Sleep Res ; 31(5): e13564, 2022 10.
Article in English | MEDLINE | ID: mdl-35165971

ABSTRACT

The coronavirus disease 2019 (COVID-19) pandemic resulted in significant increases in insomnia, with up to 60% of people reporting increased insomnia. However, it is unclear whether exposure to risk factors for the virus or worries about COVID-19 are more strongly associated with insomnia. Using a three-part survey over the course of the first 6 months of the pandemic, we evaluated associations between COVID-19 exposures, COVID-19 worries, and insomnia. We hypothesised that COVID-19-related worries and exposure to risk of COVID-19 would predict increases in insomnia. Participants (N = 3,560) completed a survey at three time-points indicating their exposures to COVID-19 risk factors, COVID-19-related worries, and insomnia. COVID-19 worry variables were consistently associated with greater insomnia severity, whereas COVID-19 exposure variables were not. COVID-19 worries decreased significantly over time, and there were significant interactions between change in COVID-19 worries and change in insomnia severity over time. Individuals who experienced increases in COVID-19 worries also experienced increases in insomnia severity. Changes in worry during the COVID-19 pandemic were associated with changes in insomnia; worries about COVID-19 were a more consistent predictor of insomnia than COVID-19 exposures. Evidence-based treatments targeting virus-related worries may improve insomnia during this and future calamities.


Subject(s)
COVID-19 , Sleep Initiation and Maintenance Disorders , Anxiety/etiology , Humans , Pandemics , SARS-CoV-2 , Sleep Initiation and Maintenance Disorders/epidemiology
9.
PLoS One ; 16(9): e0257989, 2021.
Article in English | MEDLINE | ID: mdl-34555112

ABSTRACT

[This corrects the article DOI: 10.1371/journal.pone.0249272.].

10.
J Clin Psychol ; 77(11): 2638-2652, 2021 11.
Article in English | MEDLINE | ID: mdl-34260738

ABSTRACT

OBJECTIVE: To develop and validate the Brief-Mentalized Affectivity scale (B-MAS), a shorter version of the Mentalized Affectivity Scale (MAS). METHODS: In Study 1 (N = 978), participants from Amazon's Mechanical Turk were administered a battery of questionnaires including the B-MAS and traditional emotion regulation measures. In Study 2 (N = 230), clients from a community clinic completed a separate battery of measures, including the B-MAS, and personality and emotion regulation measures. RESULTS: There were four main findings: (1) the B-MAS is a psychometrically robust measure of emotion regulation and mentalization; (2) scores on the B-MAS are highly predictive of many clinical diagnoses; (3) scores on the B-MAS are just as or more predictive of wellbeing than traditional emotional regulation measures; and (4) as observed in an urban clinic with a diverse population, the B-MAS is useful clinically, especially because of its brevity. CONCLUSION: The B-MAS contributes to the expanding scope of research on emotion regulation and has valuable clinical applications.


Subject(s)
Mental Health , Personality , Ambulatory Care Facilities , Cross-Sectional Studies , Humans , Psychometrics , Surveys and Questionnaires
11.
Am Psychol ; 76(7): 1172-1185, 2021 10.
Article in English | MEDLINE | ID: mdl-34110844

ABSTRACT

During the COVID-19 pandemic, we have seen that people can adapt quickly to ensure that their social needs are met after being forced to isolate and socially distance. Many individuals turned immediately to music, as evidenced by people singing from balconies, watching live concerts on social media, and group singing online. In this article, we show how these musical adaptations can be understood through the latest advances in the social neuroscience of music-an area that, to date, has been largely overlooked. By streamlining and synthesizing prior theory and research, we introduce a model of the brain that sheds light on the social functions and brain mechanisms that underlie the musical adaptations used for human connection. We highlight the role of oxytocin and the neurocircuitry associated with reward, stress, and the immune system. We show that the social brain networks implicated in music production (in contrast to music listening) overlap with the networks in the brain implicated in the social processes of human cognition-mentalization, empathy, and synchrony-all of which are components of herding; moreover, these components have evolved for social affiliation and connectedness. We conclude that the COVID-19 pandemic could be a starting point for an improved understanding of the relationship between music and the social brain, and we outline goals for future research in the social neuroscience of music. In a time when people across the globe have been unable to meet in person, they have found a way to meet in the music. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
COVID-19 , Cognitive Neuroscience , Music , Brain , Humans , Pandemics , SARS-CoV-2
12.
Front Psychol ; 12: 648013, 2021.
Article in English | MEDLINE | ID: mdl-33935907

ABSTRACT

Music can reduce stress and anxiety, enhance positive mood, and facilitate social bonding. However, little is known about the role of music and related personal or cultural (individualistic vs. collectivistic) variables in maintaining wellbeing during times of stress and social isolation as imposed by the COVID-19 crisis. In an online questionnaire, administered in 11 countries (Argentina, Brazil, China, Colombia, Italy, Mexico, the Netherlands, Norway, Spain, the UK, and USA, N = 5,619), participants rated the relevance of wellbeing goals during the pandemic, and the effectiveness of different activities in obtaining these goals. Music was found to be the most effective activity for three out of five wellbeing goals: enjoyment, venting negative emotions, and self-connection. For diversion, music was equally good as entertainment, while it was second best to create a sense of togetherness, after socialization. This result was evident across different countries and gender, with minor effects of age on specific goals, and a clear effect of the importance of music in people's lives. Cultural effects were generally small and surfaced mainly in the use of music to obtain a sense of togetherness. Interestingly, culture moderated the use of negatively valenced and nostalgic music for those higher in distress.

13.
J Affect Disord ; 291: 1-8, 2021 08 01.
Article in English | MEDLINE | ID: mdl-34022550

ABSTRACT

BACKGROUND: COVID-19 pandemic has major ramifications for global health and economy, with growing concerns about economic recession and implications for mental health. Here we investigated the associations between pandemic-related income loss with financial strain and mental health trajectories over a 1-month course, in two independent cohorts. METHODS: Two independent studies were conducted in the U.S and in Israel at the beginning of the outbreak (March-April 2020, T1; study I: N = 2904, study II: N = 1267) and at a 1-month follow-up (T2; study I: N = 1318, study II: N = 241). Mixed-effects models were applied to assess associations among COVID-19-related income loss, financial strain, and pandemic-related worries about health, with anxiety and depression, controlling for multiple covariates including pre-COVID-19 income. RESULTS: In both studies, income loss and financial strain were associated with greater depressive symptoms at T1, above and beyond T1 anxiety, worries about health, and pre-COVID-19 income. Worsening of income loss was associated with exacerbation of depression at T2 in both studies. Worsening of subjective financial strain was associated with exacerbation of depression at T2 in one study (US). CONCLUSIONS: Income loss and financial strain were uniquely associated with depressive symptoms and their exacerbation over time, above and beyond pandemic-related anxiety. In times when a myriad of stressors are affecting mental health worldwide, our findings reveal specific links between the economic impact of COVID-19 and psychiatric outcomes.


Subject(s)
COVID-19 , Depression , Anxiety/epidemiology , Depression/epidemiology , Humans , Israel/epidemiology , Longitudinal Studies , Pandemics , SARS-CoV-2
14.
Sci Rep ; 11(1): 8622, 2021 04 21.
Article in English | MEDLINE | ID: mdl-33883585

ABSTRACT

Music-induced analgesia (MIA) is a phenomenon that describes a situation in which listening to music influences pain perception. The heterogeneity of music used in MIA studies leads to a problem of a specific effect for an unspecified stimulus. To address this, we use a previously established model of musical preferences that categorizes the multidimensional sonic space of music into three basic dimensions: arousal, valence and depth. Participants entered an experimental pain stimulation while listening to compilations of short musical excerpts characteristic of each of the three attribute dimensions. The results showed an effect on the part of music attribute preferences on average pain, maximal pain, and pain tolerance after controlling for musical attributes and order effects. This suggests that individual preferences for music attributes play a significant role in MIA and that, in clinical contexts, music should not be chosen arbitrarily but according to individual preferences.


Subject(s)
Music/psychology , Pain Management/methods , Pain/physiopathology , Adult , Analgesia/methods , Arousal/physiology , Auditory Perception/physiology , Choice Behavior/physiology , Female , Healthy Volunteers , Humans , Individuality , Male
15.
PLoS One ; 16(4): e0249272, 2021.
Article in English | MEDLINE | ID: mdl-33819283

ABSTRACT

This study proposes a psychometric validation of the Italian version of the Mentalized Affectivity Scale (MAS) developed by Greenberg and colleagues in 2017. The mentalized affectivity construct integrates mentalization ability in the process of emotional regulation. An adult sample (N = 506) completed the 60-items MAS online version. In contrast to the three-factor structure of the original version, the Italian context confirmatory and exploratory factor analyses with splitted sample (CFA = 258; EFA = 248) revealed a five-factor structure. The hierarchically structured MAS factors are: Emotional Processing (being able to process emotion in situations); Expressing Emotions (talking and knowing emotions); Identifying Emotions (awareness of emotions); Control Processing (to control emotional reactions and expression), and Autobiographical Memory (related to childhood experiences). We also verified the convergent validity and reliability of the Italian version of the MAS by correlating the above five factors with measures of emotion regulation and reflective functioning. Moreover, we analyzed the relationships among the factors of the MAS, personality measures and well-being indexes, such as life satisfaction and self-efficacy: The new 35-item MAS scale showed robust correlations with all the tested constructs. Our results confirm that the MAS is a useful measure to assess mentalized affectivity, with the Italian version showing a more complex structure than the original English one, thus enriching the literature about mentalization.


Subject(s)
Psychometrics/methods , Adolescent , Adult , Aged , Emotions , Female , Humans , Italy , Male , Middle Aged , Personal Satisfaction , Personality , Reproducibility of Results , Self Efficacy , Surveys and Questionnaires , Young Adult
16.
J Pers Soc Psychol ; 121(1): 137-150, 2021 Jul.
Article in English | MEDLINE | ID: mdl-32614219

ABSTRACT

Music is a universal phenomenon that has existed in every known culture around the world. It plays a prominent role in society by shaping sociocultural interactions between groups and individuals, and by influencing their emotional and intellectual life. Here, we provide evidence for a new theory on musical preferences. Across three studies we show that people prefer the music of artists who have publicly observable personalities ("personas") similar to their own personality traits (the "self-congruity effect of music"). Study 1 (N = 6,279) and Study 2 (N = 75,296) show that the public personality of artists correlates with the personality of their listeners. Study 3 (N = 4,995) builds on this by showing that the fit between the personality of the listener and the artist predicts musical preferences incremental to the fit for gender, age, and even the audio features of music. Our findings are largely consistent across two methodological approaches to operationalizing an artist's public personality: (a) the public personality as reported by the artist's fans, and (b) the public personality as predicted by machine learning on the basis of the artist's lyrics. We discuss the importance of the self-congruity effect of music in the context of group-level process theories and adaptionist accounts of music. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Subject(s)
Art , Music , Emotions , Humans , Personality , Personality Disorders
17.
Nat Commun ; 11(1): 3959, 2020 08 07.
Article in English | MEDLINE | ID: mdl-32770077

ABSTRACT

It is unclear whether transgender and gender-diverse individuals have elevated rates of autism diagnosis or traits related to autism compared to cisgender individuals in large non-clinic-based cohorts. To investigate this, we use five independently recruited cross-sectional datasets consisting of 641,860 individuals who completed information on gender, neurodevelopmental and psychiatric diagnoses including autism, and measures of traits related to autism (self-report measures of autistic traits, empathy, systemizing, and sensory sensitivity). Compared to cisgender individuals, transgender and gender-diverse individuals have, on average, higher rates of autism, other neurodevelopmental and psychiatric diagnoses. For both autistic and non-autistic individuals, transgender and gender-diverse individuals score, on average, higher on self-report measures of autistic traits, systemizing, and sensory sensitivity, and, on average, lower on self-report measures of empathy. The results may have clinical implications for improving access to mental health care and tailoring adequate support for transgender and gender-diverse individuals.


Subject(s)
Autistic Disorder/diagnosis , Autistic Disorder/psychology , Transgender Persons/psychology , Adolescent , Adult , Aged , Aged, 80 and over , Confidence Intervals , Female , Humans , Male , Middle Aged , Odds Ratio , Self Report , Young Adult
18.
Transl Psychiatry ; 10(1): 291, 2020 08 20.
Article in English | MEDLINE | ID: mdl-32820171

ABSTRACT

COVID-19 pandemic is a global calamity posing an unprecedented opportunity to study resilience. We developed a brief resilience survey probing self-reliance, emotion-regulation, interpersonal-relationship patterns and neighborhood-environment, and applied it online during the acute COVID-19 outbreak (April 6-15, 2020), on a crowdsourcing research website ( www.covid19resilience.org ) advertised through social media. We evaluated level of stress (worries) regarding COVID-19: (1) contracting, (2) dying from, (3) currently having, (4) family member contracting, (5) unknowingly infecting others with (6) experiencing significant financial burden following. Anxiety (GAD7) and depression (PHQ2) were measured. Totally, 3042 participants (n = 1964 females, age range 18-79, mean age = 39) completed the resilience and COVID-19-related stress survey and 1350 of them (mean age = 41, SD = 13; n = 997 females) completed GAD7 and PHQ2. Participants significantly endorsed more distress about family contracting COVID-19 (48.5%) and unknowingly infecting others (36%), than getting COVID-19 themselves (19.9%), p < 0.0005 covarying for demographics and proxy COVID-19 exposures like getting tested and knowing infected individuals. Patterns of COVID-19 related worries, rates of anxiety (GAD7 > 10, 22.2%) and depression (PHQ2 > 2, 16.1%) did not differ between healthcare providers and non-healthcare providers. Higher resilience scores were associated with lower COVID-19 related worries (main effect F1,3054 = 134.9; p < 0.00001, covarying for confounders). Increase in 1 SD on resilience score was associated with reduced rate of anxiety (65%) and depression (69%), across healthcare and non-healthcare professionals. Findings provide empirical evidence on mental health associated with COVID-19 outbreak in a large convenience sample, setting a stage for longitudinal studies evaluating mental health trajectories following COVID-19 pandemic.


Subject(s)
Anxiety/epidemiology , Coronavirus Infections/psychology , Depression/epidemiology , Health Personnel/psychology , Pneumonia, Viral/psychology , Resilience, Psychological , Stress, Psychological/epidemiology , Adolescent , Adult , Aged , Betacoronavirus , COVID-19 , Coronavirus Infections/epidemiology , Female , Humans , Male , Middle Aged , Pandemics , Pneumonia, Viral/epidemiology , Regression Analysis , SARS-CoV-2 , Social Media , Surveys and Questionnaires , Young Adult
19.
JAMA Psychiatry ; 77(11): 1137-1146, 2020 11 01.
Article in English | MEDLINE | ID: mdl-32667664

ABSTRACT

Importance: Psychosis is a known risk factor for offending behavior, but little is known about the association between clinical contact with mental health services after an offense and reoffending. Objective: To examine the association between early contact with mental health services and reoffending after an index offense in individuals with psychosis. Design, Setting, and Participants: In this cohort study, individuals diagnosed with psychosis before their index offense from July 1, 2001, to December 31, 2012, and who received a noncustodial sentence were identified by linking health and offending databases in New South Wales, Australia. The incidence of and risk factors for reoffending and time to reoffending within 2 years from the index offense were examined using Cox proportional hazards regression and Kaplan-Meier survival estimates. Specifically, the association between contact with mental health services within 30 days after an offense and reoffending was examined. Data were analyzed from July 1, 2019, to March 5, 2020. Exposures: Hospital admission, emergency department presentation, and contact with community mental health services associated with psychosis. Main Outcomes and Measures: Reoffending within 2 years of the index offense was compared in individuals with and without clinical contact with mental health services within 30 days after an offense, with adjustment for potential confounders. Results: Of the 7030 offenders with psychosis (4933 male [70.2%]; median age at the index offense, 34 [interquartile range, 26-42] years), 2605 (37.1%) had clinical contact with mental health services within 30 days after the index offense. The risk of reoffending was significantly lower in those with vs without clinical contact (adjusted hazard ratio [AHR], 0.83; 95% CI, 0.76-0.91). The risk of reoffending was 30% less in male offenders with 5 or more clinical contacts compared with male offenders with no clinical contact (AHR, 0.71; 95% CI, 0.59-0.84). Reoffending in both male and female offenders was associated with younger age (eg, AHR for male offenders aged <18 years, 3.31 [95% CI, 2.39-4.59]; AHR for female offenders aged <18 years, 2.60 [95% CI, 1.69-3.99]) and offending history (eg, AHR for male offenders with ≥4 prior offenses, 2.28 [95% CI, 1.98-2.64]; AHR for female offenders with ≥4 prior offenses, 2.22 [95% CI, 1.67-2.96]). Conclusions and Relevance: In this cohort, early and frequent clinical contact with mental health services after an offense in individuals with psychosis was associated with reduced risk of reoffending in this group. More support may be needed for early treatment of those with serious mental illness who are at risk of reoffending.


Subject(s)
Criminals/statistics & numerical data , Mental Health Services/statistics & numerical data , Patient Acceptance of Health Care/statistics & numerical data , Psychotic Disorders/diagnosis , Adolescent , Adult , Cohort Studies , Criminals/psychology , Female , Humans , Kaplan-Meier Estimate , Male , Middle Aged , New South Wales/epidemiology , Patient Acceptance of Health Care/psychology , Proportional Hazards Models , Psychotic Disorders/epidemiology , Psychotic Disorders/psychology , Risk Assessment/methods , Risk Assessment/statistics & numerical data
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