Psychotic-like experiences (PLEs) and mental health status in twin and singleton Japanese high school students
Psychotic-like experiences (PLEs) and mental health status in twin and singleton Japanese high school students
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DOI：
10.1111/j.1751-7893.2010.00186.x
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发表时间：
2010-08-01
影响因子：
2
通讯作者：
Sasaki, Tsukasa
中科院分区：
文献类型：
--
作者：
Oshima, Norihito;Nishida, Atsushi;Sasaki, Tsukasa
目的：研究哪些因素和行为可能是有效预防高危和普通青少年未来精神障碍的关键。这项研究旨在调查双胞胎是否比独生子女更容易受到心理健康问题的影响，包括类似精神病的经历（ple），以及生活方式和社会环境中的哪些因素与心理健康状况不佳有关。方法：以341名日本高中生为研究对象，其中男173名，女168名，双胞胎62名。我们使用包括12项一般健康问卷（GHQ-12）在内的调查问卷，检查了PLEs、一般心理困扰、睡眠时间长短和规律性、家庭暴力、被欺负和其他环境因素。这些变量在双胞胎和单胎之间进行了比较。通过logistic回归研究生活方式和社会环境变量是否影响PLEs和GHQ-12得分。结果：双胎和单胎的PLEs和GHQ-12有显著性差异。经历ple与是否是双胞胎呈负相关（OR = 0.293, 95% CI = 0.101-0.847）和睡眠时间（OR = 0.685, 95% CI = 0.519-0.903）。GHQ-12 > 4与睡眠不规律（OR = 3.042, 95% CI = 1.818-5.090）、被欺负（OR = 3.677, 95% CI = 1.317-10.266）和没有可以信赖的人（OR = 2.615, 95% CI = 1.249-5.475）显著相关。结论：包括ple在内的精神健康状况不佳的双胞胎发生率低于单胎。正如我们所假设的那样，高中生的睡眠时间、睡眠时间和人际关系问题与心理健康有着显著的联系。早期识别方案和关注这些因素的心理健康教育可能会有所帮助。
Aim:Studying what factors and behaviours to work on may be a key to develop the effective prevention of future mental disorder in both high-risk and general young subjects. This study aimed to investigate whether twins are more vulnerable to mental health problems including psychotic-like experiences (PLEs) than singletons and what factors on lifestyle and social environment are associated with poor mental health.Methods:Subjects comprised 341 Japanese high-school students (173 males and 168 females) including 62 twins. We examined PLEs, general psychological distress, length and regularity of sleep, domestic violence, being bullied and other environmental factors using questionnaires including the 12-item General Health Questionnaire (GHQ-12). The variables were compared between twins and singletons. Whether variables on lifestyle and social environment affect PLEs and GHQ-12 scores were studied by logistic regression.Results:Significant difference was observed in PLEs and GHQ-12 between twins and singletons. Experiencing PLEs was negatively associated with being a twin (OR = 0.293, 95% CI = 0.101-0.847) and length of sleep (OR = 0.685, 95% CI = 0.519-0.903). GHQ-12 > 4 was significantly associated with irregular sleep schedule (OR = 3.042, 95% CI = 1.818-5.090), being bullied (OR = 3.677, 95% CI = 1.317-10.266) and having no people to confide in (OR = 2.615, 95% CI = 1.249-5.475).Conclusion:Poor mental health status including experiencing PLEs might be less frequent in twins than in singletons. Problems in sleep length, its schedule and human relationships were significantly associated with mental health in high-school students as we hypothesized. Early identification programmes and mental health education focused on these factors may be helpful.