Sex differences in auditory verbal hallucinations in early, middle and late adolescence: results from a survey of 17 451 Japanese students aged 12-18 years.
Sex differences in auditory verbal hallucinations in early, middle and late adolescence: results from a survey of 17 451 Japanese students aged 12-18 years.
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DOI：
10.1136/bmjopen-2016-015239
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发表时间：
2017-06-01
期刊：
影响因子：
2.9
通讯作者：
Shimodera S
中科院分区：
文献类型：
--
作者：
Morokuma Y;Endo K;Nishida A;Yamasaki S;Ando S;Morimoto Y;Nakanishi M;Okazaki Y;Furukawa TA;Morinobu S;Shimodera S
女性有较高的比率听觉言语幻觉（AVH）比男性，但是，较少被称为AVH的患病率在青春期早期，中期和晚期的性别差异。我们试图阐明AVH患病率的差异，并检查这些差异在多大程度上可以解释为抑郁症状水平的差异。我们采用横断面设计和自我报告问卷。参与者从日本三重县大津和高知县的公立初中和高中招募。共接触了19436名学生，有18250名学生参加。分析了17451名无缺失数据的学生的回答（年龄12-18岁，法师=15.2岁（SD=1.7），50.6%为女孩）。AVH的评估通过四个项目之一，从精神分裂症部分的日本版的诊断面谈时间表的儿童。使用12项一般健康问卷评估抑郁症状。AVH的患病率在青少年早期（12-13岁）为7.0%，在青少年中期（14-15岁）为6.2%，在青少年晚期（16-18岁）为4.8%。女性与青少年期AVH的高患病率显著相关（青春期早期OR=1.71，95% CI 1.31 ~ 2.23;青春期中期OR=1.42，95% CI 1.14 ~ 1.76;青春期晚期OR=1.52，95% CI 1.23 ~ 1.87）;然而，在调整抑郁症状后，这些差异变得不显著（OR=1.21，95%CI 0.92 - 1.60; OR=1.00，95%CI 0.80 - 1.25; OR=1.16，95%CI 0.93 - 1.44）。幻听的性别差异在成年人和青年人中都可以看到。在女孩中看到的较高的听觉语言幻觉率可能是继发于抑郁症状率的差异。
Women have higher rates of auditory verbal hallucinations (AVH) than men; however, less is known about sex differences in the prevalence of AVH in early, middle and late adolescence. We sought to elucidate the differences in the prevalence of AVH and to examine the degree to which these differences could be explained by differences in levels of depressive symptoms. We used a cross-sectional design and a self-reported questionnaire. Participants were recruited from public junior and senior high schools in Tsu, Mie Prefecture and Kochi Prefecture, Japan. In total, 19 436 students were contacted and 18 250 participated. Responses from 17 451 students with no missing data were analysed (aged 12–18 years, Mage=15.2 years (SD=1.7), 50.6% girls). AVH were assessed through one of four items adopted from the schizophrenia section of the Japanese version of the Diagnostic Interview Schedule for Children. Depressive symptoms were assessed using the 12-item General Health Questionnaire. The prevalence of AVH was 7.0% among early adolescents (aged 12–13 years), 6.2% among middle adolescents (aged 14–15 years) and 4.8% among late adolescents (aged 16–18 years). Being female was significantly associated with a higher prevalence of AVH through adolescence (OR=1.71, 95% CI 1.31 to 2.23 in early adolescence; OR=1.42, 95% CI 1.14 to 1.76 in middle adolescence; OR=1.52, 95% CI 1.23 to 1.87 in late adolescence); however, these differences became non-significant after adjusting for depressive symptoms (OR=1.21, 95% CI 0.92 to 1.60; OR=1.00, 95% CI 0.80 to 1.25; OR=1.16, 95% CI 0.93 to 1.44, respectively). Sex differences in auditory hallucinations are seen in both adult and youth populations. The higher rates of auditory verbal hallucinations seen in girls may be secondary to the differences in the rate of depressive symptoms.
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影响因子：
6.9
作者：
Dhossche, D;Ferdinand, R;Verhulst, F
通讯作者：
Verhulst, F
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