Psychotic experiences are associated with greater impairment among students in higher education with depression and anxiety in the United States.

Background: Psychotic experiences are associated with depression and anxiety, but emerging research suggests that psychotic experiences are also associated with impairment within psychopathology.

Methods: We analyzed a subsample from the Healthy Minds Study (2020-2021; N = 91,435) and used multivariable logistic regression to examine the associations between psychotic experiences and impairment resulting from depression and anxiety, adjusting for age, gender, and race/ethnicity.

Results: Around one-in-five students with depression or anxiety impairment reported 12-month psychotic experiences.