Dissociation mediates the relationship between peer victimization and hallucinatory experiences among early adolescents.
Dissociation mediates the relationship between peer victimization and hallucinatory experiences among early adolescents.
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DOI：
10.1016/j.scog.2016.04.001
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发表时间：
2016-06
期刊：
影响因子：
--
通讯作者：
Nishida A
中科院分区：
文献类型：
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作者：
Yamasaki S;Ando S;Koike S;Usami S;Endo K;French P;Sasaki T;Furukawa TA;Hasegawa-Hiraiwa M;Kasai K;Nishida A
在临床和普通人群中，同伴受害增加了经历精神病症状的风险，但这种关联的机制仍不清楚。解离，这是有关的同伴受害和幻觉的经验，已被证明是一个重要的调解人之间的关系童年受害和幻觉的经验，成年患者的精神病。然而，没有研究已经检查了一般早期青少年人群中的解离的中介作用。我们研究是否解离介导的同伴受害和幻觉的经验之间的关系，10岁的青少年使用人口为基础的横断面调查的早期青少年和他们的主要父母（东京早期青少年调查; N = 4478）。本研究采用路径分析的方法考察了人格分裂、外部控制源和抑郁症状在同伴伤害和幻觉体验之间的中介作用。假设中介效应的模型表明模型拟合良好（比较拟合指数= 0.999;近似值的均方根误差= 0.015）。同伴受害与解离幻觉之间的中介作用（标准化间接效应= 0.038，p <0.001）具有统计学显著性，而抑郁症状（标准化间接效应=-0.0066，p = 0.318）和外部心理控制源（标准化间接效应= 0.0024，p = 0.321）的中介作用并不显着。这些结果表明，解离是一个中介的同伴受害和幻觉经验之间的关系，在青春期早期。对于适当的干预策略，评估解离和同伴受害，因为它们影响幻觉的经验是必要的。
Peer victimization increases the risk of experiencing psychotic symptoms among clinical and general populations, but the mechanism underlying this association remains unclear. Dissociation, which is related to peer victimization and hallucinatory experiences, has been demonstrated as a significant mediator in the relation between childhood victimization and hallucinatory experience among adult patients with psychosis. However, no studies have examined the mediating effect of dissociation in a general early adolescent population. We examined whether dissociation mediates the relationship between peer victimization and hallucinatory experiences among 10-year-old adolescents using a population-based cross-sectional survey of early adolescents and their main parent (Tokyo Early Adolescence Survey; N = 4478). We examined the mediating effect of dissociation, as well as external locus of control and depressive symptoms, on the relationship between peer victimization and hallucinatory experiences using path analysis. The model assuming mediation effects indicated good model fit (comparative fit index = .999; root mean square error of approximation = .015). The mediation effect between peer victimization and hallucination via dissociation (standardized indirect effect = .038, p < .001) was statistically significant, whereas the mediation effects of depressive symptoms (standardized indirect effect = −.0066, p = 0.318) and external locus of control (standardized indirect effect = .0024, p = 0.321) were not significant. These results suggest that dissociation is a mediator in the relation between peer victimization and hallucinatory experiences in early adolescence. For appropriate intervention strategies, assessing dissociation and peer victimization as they affect hallucinatory experiences is necessary.