关键词: Adolescent General population Psychotic-like experience Questionnaire School Trauma

Mesh : Humans Adolescent Male Female Psychotic Disorders / epidemiology Young Adult Hallucinations / epidemiology Sex Factors Age Factors Surveys and Questionnaires Adult Health Surveys

来  源:   DOI:10.1016/j.schres.2024.06.046

Abstract:
BACKGROUND: Subclinical psychotic-like experiences (PLEs) are common among general population adolescents but have been found to correlate with various problems in well-being. Due to limited sample sizes these effects have not been well differentiated by sex and age.
METHODS: Using a nationally representative survey of almost 160,000 adolescents, we studied endorsement and correlates of PLEs by sex among middle adolescence pupils (ages 14-16) and late adolescence students (ages 16-20). PLEs were investigated with three questionnaire items: auditory and visual hallucinatory experiences and suspicious thought content, using a frequency response scale.
RESULTS: Weekly PLEs were reported by 14 % of the adolescents, more often in females (17 %) than males (11 %) and in the younger age group (17 %) compared to the older adolescents (10 %). A latent PLE factor represented the three assessed PLEs with good fit. Factor scores were highest for the younger females and lowest for the older males. The PLE factor correlated with two latent factors of other well-being, namely living environment (\"adversity\", loading most heavily on parental mental abuse; r = 0.63), and concurrent mental health (\"distress\", loading most heavily on depressive symptoms; r = 0.50). Adversity was associated especially strongly with PLEs in 14-16-year-old males.
CONCLUSIONS: This cross-sectional study reaching the whole 14-20 age group in schools in Finland offers data on the meaning and relevance of PLEs as general markers of vulnerability. Many adolescents experience PLEs recurrently and these experiences are associated with a wide variety of burden in the adolescent\'s everyday life.
摘要:
背景:亚临床精神病样经历(PLE)在一般人群青少年中很常见,但已发现与幸福感中的各种问题相关。由于样本量有限,这些影响尚未按性别和年龄很好地区分。
方法:使用一项全国代表性调查,对近160,000名青少年进行调查,我们研究了青春期中期学生(14-16岁)和青春期后期学生(16-20岁)中按性别划分的PLE的认可和相关性.用听觉和视觉幻觉体验和可疑思维内容三个问卷项目调查了PLE,使用频率响应标度。
结果:14%的青少年每周报告PLE,女性(17%)比男性(11%)和年轻年龄组(17%)比年龄较大的青少年(10%)更常见。潜在的PLE因子代表了三个评估的PLE,具有良好的拟合度。年轻女性的因子得分最高,而老年男性的因子得分最低。PLE因素与其他幸福感的两个潜在因素相关,即生活环境(“逆境”,对父母精神虐待的负担最大;r=0.63),和并发的心理健康(“痛苦”,抑郁症状负荷最大;r=0.50)。在14-16岁的男性中,逆境与PLE尤其相关。
结论:这项针对芬兰学校中整个14-20岁年龄组的横断面研究提供了有关PLE作为脆弱性一般标志的含义和相关性的数据。许多青少年反复经历PLE,这些经历与青少年日常生活中的各种负担有关。
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