Social adjustment of adolescents at risk for schizophrenia: The Jerusalem Infant Development Study

Social adjustment of adolescents at risk for schizophrenia: The Jerusalem Infant Development Study
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DOI:
10.1097/00004583-200011000-00015
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发表时间:
2000-11-01
影响因子:
13.3
通讯作者:
Marcus, J
Marcus, J
中科院分区:
医学1区
文献类型:
--
作者:
Hans, SL;Auerbach, JG;Marcus, J

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目的:为了更好地了解精神分裂症疾病的核心特征,即社会适应不良是否也可能是精神分裂症遗传风险但没有精神分裂症的年轻人的脆弱性指标。方法:在1992年和1996年之间,27名以色列青少年与精神分裂症的父母,29名青少年没有精神疾病的父母,和30名青少年与父母有一个nonschizophrenic精神障碍进行了评估,对多个领域的社会调整,使用儿童和青少年的社会调整问卷和青年自我报告。结果如下:父母患有精神分裂症的年轻人表现出较差的同伴参与,特别是异性恋参与,以及以不成熟和不受同伴欢迎为特征的社会问题。这些社会适应困难的青少年在精神分裂症的风险不能仅仅归因于早发性精神障碍的存在,虽然这些问题更大的精神分裂症谱系障碍。年轻人的父母有其他疾病表现出不同的模式的社会适应不良的特点是困难,冲突的关系与同龄人和家庭结论:青少年精神分裂症的风险有社会赤字,超出早发性精神病理学,并可能反映脆弱性精神分裂症。
Objective: To better understand whether poor social adjustment, a core characteristic of schizophrenic illness, may also be an indicator of vulnerability in young people who are at genetic risk for schizophrenia, but who do not have schizophrenia. Method: Between 1992 and 1996, 27 Israeli adolescents with a schizophrenic parent, 29 adolescents with no mentally ill parent, and 30 adolescents with a parent having a nonschizophrenic mental disorder were assessed on multiple domains of social adjustment measured using the Social Adjustment Inventory for Children and Adolescents and the Youth Self-Report. Results: Young people with a schizophrenic parent showed poor peer engagement, particularly heterosexual engagement, and social problems characterized by immaturity and unpopularity with peers. These social adjustment difficulties in youths at risk for schizophrenia could not be attributed solely to the presence of early-onset mental disorders, although problems were greater in those with disorders in the schizophrenia spectrum. Young people whose parents had other disorders showed different patterns of social maladjustment characterized by difficult, conflictual relationships with peers and family Conclusion: Adolescents at risk for schizophrenia have social deficits that extend beyond early-onset psychopathology and that may reflect vulnerability to schizophrenic disorder.