青少年妄想症的发展过程:对不信任和一般精神病理学相互作用的纵向分析。

IF 6 2区 医学 Q1 PEDIATRICS
Gennaro Catone, Vincenzo Paolo Senese, Antonio Pascotto, Simone Pisano, Matthew R Broome
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引用次数: 0

摘要

妄想症是一种错误的想法,认为别人正在以你为伤害目标,认知模式表明,症状会随着情绪和关系困扰的增加而加重。与妄想症潜在相关的一个因素是不信任,这是一种较温和的多疑形式。本研究使用社会不信任量表(SMS)和特殊精神病经历问卷(SPEQ)中的妄想症分量表的数据,调查了 739 名学生(基线评估时年龄在 10-12 岁之间,第二次评估时年龄在 12-14 岁之间)非临床妄想症的纵向发展过程。不信任和高度偏执儿童的患病率分别为 14.6%和 15%。另外,基线内化症状(b = 0.241,p
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The developmental course of adolescent paranoia: a longitudinal analysis of the interacting role of mistrust and general psychopathology.

The developmental course of adolescent paranoia: a longitudinal analysis of the interacting role of mistrust and general psychopathology.

Paranoia is the erroneous idea that people are targeting you for harm, and the cognitive model suggests that symptoms increase with emotional and relational distress. A factor potentially associated with paranoia is mistrust, a milder form of suspiciousness. This study investigated the longitudinal course of non-clinical paranoia in a sample of 739 students (age range 10-12 at baseline assessment, 12-14 at second assessment) using data from the Social Mistrust Scale (SMS) and the paranoia subscale of the Specific Psychotic Experiences Questionnaire (SPEQ). Prevalence of mistrustful and high paranoia children was 14.6 and 15% respectively. Independently, baseline internalizing symptoms (b = 0.241, p < 0.001) and mistrust (b = 0.240, p < 0.001) longitudinally predict paranoia after controlling for confounders. The interaction of mistrust and internalizing symptoms at T1 increases the possibility of the onset of paranoia at T2. Therefore, the effect of mistrust on paranoia is more marked when internalizing symptoms are higher. Our results confirm the role of mistrust as a factor involved in the developmental trajectory of paranoia in adolescence, enhanced by the presence of internalizing symptoms. The implications of these results are both theoretical and clinical, as they add developmental information to the cognitive model of paranoia and suggests the assessment and clinical management of mistrust and internalizing symptoms in youth may be useful with the aim of reducing the risk of psychotic experiences.

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来源期刊
CiteScore
12.80
自引率
4.70%
发文量
186
审稿时长
6-12 weeks
期刊介绍: European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark. European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
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