Diagnostic outcome of self-reported hallucinations in a community sample of adolescents
Diagnostic outcome of self-reported hallucinations in a community sample of adolescents
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DOI：
10.1017/s003329170200555x
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发表时间：
2002-05-01
影响因子：
6.9
通讯作者：
Verhulst, F
中科院分区：
文献类型：
--
作者：
Dhossche, D;Ferdinand, R;Verhulst, F
Objective.我们的目的是评估诊断结果的自我报告幻觉的青少年从一般人群。样本包括914名年龄在11-18岁之间的青少年，他们参加了一项正在进行的纵向研究。原始样本的参与率为70%。对青少年自我报告问卷的反应被用来确定青少年的幻觉。8年后，使用12个月版复合国际诊断访谈对914名研究受试者中的783名（86%）进行了轴1 DSM-IV诊断评估。没有受试者被诊断为精神分裂样障碍或精神分裂症。6%的青少年和3%的年轻人报告了幻觉。在两个年龄组中，自我报告的幻觉与并发的非精神病性精神问题相关。与对照组相比，在随访中，报告有听觉而非视觉幻觉的青少年有更高的抑郁症和物质使用障碍的发生率，但没有精神病性障碍。青少年自我报告的幻听是由于非精神病性轴I障碍和可能的轴2障碍引起的并发和未来精神损害的标志。不能排除儿童和青少年在以后的生活中发展为精神分裂症或其他精神障碍的选择性流失。
Objective. We aimed to assess the diagnostic outcome of self-reported hallucinations in adolescents from the general population.Method. The sample consisted of 914 adolescents between ages 11-18 participating in an ongoing longitudinal study. The participation rate from the original sample was 70%. Responses on the Youth Self-Report questionnaire were used to ascertain hallucinations in adolescents. Eight years later, Axis 1 DSM-IV diagnoses were assessed using the 12-month version Composite International Diagnostic Interview in 783 (86%) of 914 study subjects. No subjects were diagnosed with schizophreniform disorders or schizophrenia.Results. Hallucinations were reported by 6% of adolescents and 3% of young adults. Self-reported hallucinations were associated with concurrent non-psychotic psychiatric problems in both age groups. Adolescents who reported auditory, but not visual, hallucinations, had higher rates of depressive disorders and substance use disorders, but not psychotic disorders, at follow-up, compared to controls.Conclusions. Self-reported auditory hallucinations in adolescents are markers of concurrent and future psychiatric impairment due to non-psychotic Axis I disorders and possibly Axis 2 disorders. It cannot be excluded that there was selective attrition of children and adolescents who developed Schizophrenic or other psychotic disorders later in life.