寻求帮助的德国青少年类精神病经历的严重程度:社会心理预测因素和心理治疗结果的探索

IF 2.2 4区 医学 Q3 PSYCHIATRY
Phuong Mi Nguyen, Sandra Abrantes-Diaz, Sören Friedrich, Karen Krause, Silvia Schneider, Mar Rus-Calafell
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引用次数: 0

摘要

类精神病经历(ple)发生在年轻人中,并与成年后严重精神病理的风险增加有关。然而,影响ple严重程度的社会心理因素及其在诊断中的分布仍未得到充分研究。这些方面的最新知识对临床理解和治疗至关重要。本研究旨在通过调查寻求帮助的青少年中与ple相关的患病率和社会心理因素,检查其严重程度在诊断和多发病之间的差异,并探索常规认知行为治疗(CBT)后的初步变化,来扩展现有的研究。方法:这项观察性、非对照研究纳入了275名参加德国青少年常规心理健康服务的青少年。在全部样本中,161名参与者完成了CBT的全部课程。结果基线时,87%的患者报告了至少一次PLE, 54.91%的患者报告了三次或更多。最痛苦的经历包括思想传播、偏执狂、读心术和幻听。诊断的次数对ple的严重程度没有影响,但自我报告的童年身体忽视和过早下结论的存在会影响ple的严重程度。在完成CBT的患者中,结果显示,随着时间的推移,各诊断组的ple严重程度有所降低。本研究强调了在寻求帮助的青少年中跨诊断性ple的高患病率。在心理社会预测因素中,创伤和认知偏差尤其相关,应在心理治疗中加以解决。观察到的CBT后PLEs严重程度的改善,无论主要表现问题如何,都为跨诊断治疗策略提供了有希望的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Severity of Psychotic-Like Experiences in Help-Seeking German Adolescents: An Exploration of Psychosocial Predictors and Psychological Treatment Outcomes

Severity of Psychotic-Like Experiences in Help-Seeking German Adolescents: An Exploration of Psychosocial Predictors and Psychological Treatment Outcomes

Introduction

Psychotic-like experiences (PLEs) occur transdiagnostically in young people and are linked to an increased risk of severe psychopathology in adulthood. However, the psychosocial factors influencing PLEs severity and their distribution across diagnoses remain under-researched. Updated knowledge of these aspects is crucial for clinical understanding and treatment. This study aims to expand existing research by investigating the prevalence and psychosocial factors associated with PLEs in help-seeking adolescents, examining differences in their severity across diagnoses and multimorbidity, and exploring preliminary changes following routine cognitive behavioural therapy (CBT).

Methods

This observational, non-controlled study included 275 adolescents attending a routine mental health service for young people in Germany. Of the full sample, 161 participants completed a full course of CBT.

Results

At baseline, 87% reported at least one PLE, and 54.91% reported three or more. The most distressing experiences included thought broadcasting, paranoia, mind reading, and auditory hallucinations. The number of diagnoses did not affect PLEs severity, but the presence of self-reported childhood physical neglect and jumping to conclusions did. Among those who completed CBT, results showed reductions in PLEs severity over time across diagnostic groups.

Discussion

This study highlights the high prevalence of transdiagnostic PLEs in help-seeking adolescents. Among psychosocial predictors, trauma and cognitive biases were particularly relevant and should be addressed in psychotherapy. The observed improvements in PLEs severity following CBT, irrespective of the primary presenting problem, suggest promising avenues for transdiagnostic therapeutic strategies.

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来源期刊
Early Intervention in Psychiatry
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.
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