The Cross-Sectional and Longitudinal Effects of Cumulative Multi-Contextual Risk on Psychotic-Like Experiences among Chinese Rural Adolescents.

IF 2.3 3区医学 Q2 PSYCHIATRY

Child Psychiatry & Human Development Pub Date : 2025-04-12 DOI:10.1007/s10578-025-01830-6

Jiaping Yang, Lixia Yang

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Abstract

Psychotic-like experiences (PLEs) are common among adolescents and are associated with an increased risk of psychotic disorders and other mental health issues in adulthood. However, research on PLEs in rural adolescents is limited. Therefore, this study sought to investigate the cross-sectional and longitudinal effects of multiple contextual risk factors on PLEs among 1210 Chinese rural adolescents (45.6% boys; Mage = 13.70 years, SD = 0.81) across a one-year period, utilizing a cumulative risk model. Results revealed that bullying victimization, borderline personality feature (BPF), psychache, depression, and sleep problems were significant risk factors for PLEs. Furthermore, these risk factors demonstrated a cumulative effect on the development of PLEs across time. Additionally, no significant sex differences were observed in the cumulative risk model of PLEs. These findings provide valuable insights into the identification of at-risk adolescents and contribute to the effective implementation of comprehensive preventive measures and interventions targeting PLEs among rural adolescents.

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累积多情境风险对中国农村青少年类精神病经历的横断面和纵向影响。

类精神病经历（ple）在青少年中很常见，并且与成年后精神障碍和其他心理健康问题的风险增加有关。然而，对农村青少年ple的研究还很有限。因此，本研究旨在探讨多重情境危险因素对1210名中国农村青少年(45.6%的男孩；Mage = 13.70 years, SD = 0.81)，采用累积风险模型。结果显示，受欺凌、边缘性人格特征、精神疼痛、抑郁和睡眠问题是影响ple发生的重要因素。此外，随着时间的推移，这些风险因素对ple的发展具有累积效应。此外，在ple累积风险模型中没有观察到显著的性别差异。这些发现为识别高危青少年提供了有价值的见解，并有助于有效实施针对农村青少年中ple的综合预防措施和干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Psychiatry & Human Development Multiple-

CiteScore

0.50

自引率

3.40%

发文量

174

期刊介绍： Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.