Phuong Mi Nguyen, Sandra Abrantes-Diaz, Sören Friedrich, Karen Krause, Silvia Schneider, Mar Rus-Calafell
{"title":"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","authors":"Phuong Mi Nguyen, Sandra Abrantes-Diaz, Sören Friedrich, Karen Krause, Silvia Schneider, Mar Rus-Calafell","doi":"10.1111/eip.70084","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>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).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70084","citationCount":"0","resultStr":"{\"title\":\"Severity of Psychotic-Like Experiences in Help-Seeking German Adolescents: An Exploration of Psychosocial Predictors and Psychological Treatment Outcomes\",\"authors\":\"Phuong Mi Nguyen, Sandra Abrantes-Diaz, Sören Friedrich, Karen Krause, Silvia Schneider, Mar Rus-Calafell\",\"doi\":\"10.1111/eip.70084\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>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).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Discussion</h3>\\n \\n <p>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. 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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.
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.