Associations between psychotic-like experiences and mental health status and other psychopathologies among Japanese early teens
Associations between psychotic-like experiences and mental health status and other psychopathologies among Japanese early teens
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DOI：
10.1016/j.schres.2007.11.038
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发表时间：
2008-02-01
影响因子：
4.5
通讯作者：
Okazaki, Yuji
中科院分区：
文献类型：
--
作者：
Nishida, Atsushi;Tanii, Hisashi;Okazaki, Yuji
精神病样经历（PLEs）不仅发生在精神病患者中，也发生在一般人群中（货车Os，2003; Kendler等人，1996年）。一些纵向研究报告，在儿童和青少年的PLEs可能是后来的精神疾病和不良的心理社会后果的危险因素。新西兰最近的一项出生队列研究表明，11岁时自我报告的PLEs高度预测26岁时精神分裂症样障碍的诊断（Poulton等人，2000年）。其他纵向研究报道，青少年和成人的PLEs倾向于预测未来的精神障碍，如抑郁症和物质使用障碍（Chapman等人，1994; Dhossche等人，2002; Hanssen等人，2005; Verdoux等人，1999年）。然而，到目前为止，人们对一般人群样本中患有PLEs的儿童和青少年的心理健康状况知之甚少。很少有研究探讨了与年轻人中的PLEs相关的心理社会因素和精神病理学困难（Poulton等人，2000; Lataster等人，2006年）在一个关键的年龄沉淀或预防精神障碍。如果我们能够识别出患有PLEs的儿童和青少年，并从早期发育阶段为他们提供支持，我们可能能够预防日后精神障碍的进一步发展。本研究的目的是调查日本早期青少年中PLEs的患病率以及PLEs的严重程度与不良心理健康状况患病率之间的关系。精神病理因素，受害，生活方式，和寻求帮助的行动，可能与PLEs也进行了探讨。以学校为基础的横断面调查进行。
Psychotic-like experiences (PLEs) occur not only in persons with psychotic disorders, but also in the general population (van Os, 2003; Kendler et al., 1996). Some longitudinal studies have reported that PLEs in childhood and adolescence may be risk factors for later psychiatric disorders and poor psychosocial outcome. A recent birth cohort study in New Zealand indicated that self-reported PLEs at age 11 years were highly predictive of a diagnosis of schizophreniform disorder at age 26 (Poulton et al., 2000). Other longitudinal studies reported that PLEs in adolescents and adults tended to predict future mental disorders, such as depression and substance use disorders (Chapman et al., 1994; Dhossche et al., 2002; Hanssen et al., 2005; Verdoux et al., 1999). Thus far, however, little is known about the mental health status of children and adolescents with PLEs in a general population sample. Few studies have explored the psychosocial factors and psychopathological difficulties associated with PLEs in young people (Poulton et al., 2000; Lataster et al., 2006) at a crucial age for the precipitation or prevention of mental disorders. If we can identify children and adolescents with PLEs and provide support for them from the early developmental stages, we may be able to prevent the further development of mental disorders later in life. The aim of this study was to investigate the prevalence of PLEs and the relationships between the severity of PLEs and the prevalence of poor mental health status in Japanese early teens. Psychopathological factors, victimization, lifestyle, and help-seeking actions that may be associated with PLEs were also explored. A school-based cross-sectional survey was conducted.