Resilience as a Mediator Between School Climate and Psychotic-Like Experiences Among Adolescents: Cross-Sectional and Prospective Analyses

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-08-03 DOI:10.1111/eip.70074

Xuan Wang, Bingna Xu, Yifan Zhang, Xiangting Zhang, Huolian Li, Dongfang Wang, Fang Fan

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引用次数: 0

Abstract

Objectives

School climate may influence psychotic-like experiences (PLEs). The study aimed to explore the association between school climate and PLEs among adolescents and to investigate whether resilience mediates this association.

Methods

A total of 11 860 Chinese junior high school students were involved in a two-wave longitudinal study. The baseline survey (time 1, T1) was conducted from 21 April to 12 May 2021, and the follow-up survey (time 2, T2) was carried out between December 17 and 26, 2021. At T1, adolescents completed questionnaires assessing their school climate, resilience, and sociodemographic characteristics. PLEs were evaluated at both T1 and T2.

Results

The prevalence of PLEs in adolescents was 15.8% at T1 and 13.2% at T2. The correlation analyses indicated that school climate (T1) was positively correlated with resilience (T1) and negatively correlated with PLEs (T1 and T2). After controlling for confounding variables, the final model showed that the impact of school climate on PLEs at T1 (indirect effect = −0.09, 95% CI = −0.22, −0.20) and T2 (indirect effect = −0.01, 95% CI = −0.06, −0.02) was mediated by resilience.

Conclusions

These findings offer new insights into the mechanisms linking school climate and PLEs, highlighting the importance of resilience in the effective prevention and intervention of PLEs among adolescents.

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弹性在学校气氛与青少年类精神病经历之间的中介作用：横断面与前瞻性分析

目的：学校氛围可能影响类精神病体验。本研究旨在探讨学校氛围与青少年主观幸福感之间的关系，并探讨弹性是否在这种关系中起中介作用。方法对11 860名初中生进行双波纵向调查。基线调查（时间1 T1）于2021年4月21日至5月12日进行，随访调查（时间2 T2）于2021年12月17日至26日进行。在T1，青少年完成了评估他们的学校气候、适应能力和社会人口特征的问卷。在T1和T2时分别评估ple。结果青少年ple在T1和T2的患病率分别为15.8%和13.2%。相关分析表明，学校气候（T1）与韧性（T1）呈正相关，与ple （T1和T2）呈负相关。在控制了混杂变量后，最终模型显示，学校气候在T1（间接效应= - 0.09,95% CI = - 0.22, - 0.20）和T2（间接效应= - 0.01,95% CI = - 0.06, - 0.02）时对学习成绩的影响是由弹性介导的。结论这些研究结果为学校氛围与青少年暴力行为的关联机制提供了新的见解，强调了心理韧性在有效预防和干预青少年暴力行为中的重要性。

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

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.