青少年的社交焦虑和偏执信念

IF 3.1
JCPP advances Pub Date : 2024-09-11 DOI:10.1002/jcv2.12280
J. L. Kingston, B. Schlier, E. Leigh, D. Widyasari, R. P. Bentall
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引用次数: 0

摘要

偏执信念在普通青少年人群中很常见。偏执狂等级表明,普通的社会评价关注可能通过参照观念发展成迫害思想,这是偏执狂的一个较温和的中介方面。社交焦虑担忧和偏执信念在青少年和成人群体中共同出现,但它们之间联系的具体情况尚不清楚。在一个普通的青少年人群样本中,我们检查了(a)社交焦虑和偏执是否可以区分,(b)共同发生的模式,(c)区分单独社交焦虑与偏执结合的社会心理因素。方法采用在线横断面调查设计,通过qualics招募英国青少年(n = 604, 14-17岁)。参与者按年龄和性别均等抽样。结果测量模型支持层次结构,偏执狂和社交焦虑的一般因素独立但相关。该模型在14-15岁和16-17岁年龄组中是不变的。最大的亚组有临床显著症状的参与者表现为社交焦虑加偏执升高(21%,n = 124),其次是高度社交焦虑无偏执(14%,n = 84)。无社交焦虑的偏执狂发生率最低(7% n = 39)。亚组比较表明,社交焦虑加偏执的特征是暴露于威胁经历(歧视、欺凌、过去12个月的不良生活事件)、焦虑依恋和高度痛苦,而社交焦虑更多地与自卑、孤独感增强、回避依恋和归属感低有关。结论社交焦虑与偏执在青少年中是可区分的。偏执狂通常与社交焦虑同时发生,尤其是在过去12个月内暴露于威胁环境的人。据报道,患有社交焦虑和偏执的青少年的痛苦程度最高,这强调了提高对这一群体的理解的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Social anxiety and paranoid beliefs in adolescents

Social anxiety and paranoid beliefs in adolescents

Social anxiety and paranoid beliefs in adolescents

Social anxiety and paranoid beliefs in adolescents

Social anxiety and paranoid beliefs in adolescents

Background

Paranoid beliefs are common in the general adolescent population. The paranoia hierarchy suggests common social evaluative concerns may develop into persecutory thoughts via ideas of reference, a milder intermediary facet of paranoia. Socially anxious concerns and paranoid beliefs co-occur in adolescent and adult groups, but the specifics of their association is not well understood. In a general population adolescent sample, we examined (a) whether social anxiety and paranoia can be differentiated, (b) patterns of co-occurrence and (c) psychosocial factors that differentiate social anxiety alone versus in combination with paranoia.

Methods

An online cross-sectional survey design, recruiting UK adolescents (n = 604, 14–17 years), via Qualtrics. Participants were quota sampled for equal distribution on age and gender.

Results

Measurement models supported a hierarchical structure, with separate but correlated general factors of paranoia and social anxiety. This model was invariant across age groups 14–15 and 16–17 years. The largest subgroup of participants with clinically significant symptoms showed elevated social anxiety plus paranoia (21%, n = 124), followed by high social anxiety without paranoia (14%, n = 84). Paranoia without social anxiety occurred the least (7% n = 39). Subgroup comparisons suggested social anxiety plus paranoia was characterised by exposure to threating experiences (discrimination, bullying, adverse life events in the last 12-month), anxious attachment and high levels of distress, whereas social anxiety was more associated with feeling inferior to others, enhanced loneliness, avoidant attachment and a low sense of belonging.

Conclusions

Social anxiety and paranoia are differentiable in adolescents. Paranoia commonly co-occurs with social anxiety, especially in those with exposure to threat environments in the last 12-month. Adolescents with social anxiety plus paranoia reported the highest levels of distress, underscoring the importance of improved understanding of this group.

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