{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:02:44Z","timestamp":1777413764738,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T00:00:00Z","timestamp":1619481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001027","name":"Australian Government Department of Health and Ageing.","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001027","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>While there is considerable current emphasis on youth and early psychosis, relatively little is known about the lives of people who live with psychotic disorders into middle age and beyond. We investigated social functioning, physical health status, substance use and psychiatric symptom profile in people with psychotic disorders aged between 50 and 65\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data were collected as part of the Survey of High Impact Psychosis, a population-based survey of Australians aged 18\u201365\u2009years with a psychotic disorder. We compared those aged 50\u201365\u2009years ( N\u2009=\u2009347) with those aged 18\u201349\u2009years ( N\u2009=\u20091478) across a range of measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The older group contained more women and more people with affective psychoses compared to the younger group. They were also more likely to have had a later onset and a chronic course of illness. The older group were more likely to have negative symptoms but less likely to exhibit positive symptoms; they also had lower current cognition, compared to the younger group. Compared to the younger group, the older group were more likely to be divorced\/separated, to be living alone and to be unemployed. They had substantially lower lifetime use of alcohol and illicit substances, but rates of obesity, metabolic syndrome and diabetes mellitus were higher.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our findings suggest that the characteristics of people with psychosis change significantly as they progress into the middle age and beyond. A better understanding of these differences is important in informing targeted treatment strategies for older people living with psychosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674211009619","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T06:35:12Z","timestamp":1619505312000},"page":"39-49","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Ageing with psychosis \u2013 Fifty and beyond"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6185-9677","authenticated-orcid":false,"given":"Cherrie","family":"Galletly","sequence":"first","affiliation":[{"name":"Interim Dean and Discipline of Psychiatry, Department of Medical Specialties, Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia"},{"name":"Northern Adelaide Local Health Network (NALHN), Lyell McEwin Hospital, Adelaide, SA, Australia"},{"name":"Ramsay Health Care (SA) Mental Health Services, The Adelaide Clinic, Gilberton, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2487-5691","authenticated-orcid":false,"given":"Shuichi","family":"Suetani","sequence":"additional","affiliation":[{"name":"Physical and Mental Health Stream, Queensland Centre for Mental Health Research, Brisbane, QLD, Australia"},{"name":"Queensland Brain Institute, The University of Queensland, St Lucia, QLD, Australia"},{"name":"Metro South Addiction and Mental Health Services, Woolloongabba, QLD, Australia"},{"name":"Department of Medicine, Griffith University, Nathan, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Hahn","sequence":"additional","affiliation":[{"name":"Ramsay Health Care (SA) Mental Health Services, The Adelaide Clinic, Gilberton, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duncan","family":"McKellar","sequence":"additional","affiliation":[{"name":"Northern Adelaide Local Health Network (NALHN), Lyell McEwin Hospital, Adelaide, SA, Australia"},{"name":"Office of the Chief Psychiatrist, SA Department of Health and Wellbeing, Adelaide, SA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3075-1580","authenticated-orcid":false,"given":"David","family":"Castle","sequence":"additional","affiliation":[{"name":"The University of Melbourne, Department of Psychiatry Melbourne, VIC, Australia"},{"name":"St Vincent\u2019s Health Australia, Melbourne, VIC, Australia"},{"name":"Scientific Director, Centre for Complex Interventions, Centre for Addictions and Mental Health; 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