Department of Child Psychiatry, Institute of Clinical Medicine, Oulu University Hospital, Oulu, Finland.
Soc Psychiatry Psychiatr Epidemiol. 2011 Jan;46(1):17-27. doi: 10.1007/s00127-009-0165-7. Epub 2009 Nov 12.
Our aim was to study the association between psychotic-like symptoms and inattention/hyperactivity symptoms in a general adolescent population.
The sample is based on a population-based prospective mother-child birth cohort, the Northern Finland Birth Cohort 1986. In the 15-16-year follow-up survey, the adolescents completed the Youth Self-Report questionnaire as well as the PROD-Screen questionnaire that addressed prodromal symptoms of psychosis. Meanwhile, their parents assessed inattention and hyperactive symptoms of their offspring by completing the Strengths and Weaknesses of ADHD Symptoms and Normal Behaviors questionnaire (N = 5,318). The cross-sectional associations between psychotic-like symptoms and inattention/hyperactivity symptoms were studied with logistic regression models.
The association between negative psychotic-like symptoms and inattention symptoms, especially the dreamy type of inattention symptoms (e.g., difficulties in organizing tasks, losing things, being forgetful), was statistically significant for both genders. Psychotic-like symptoms, however, were not associated with hyperactivity symptoms.
The present findings demonstrate that an association between psychotic-like symptoms and attentional dysfunction, which has been found in clinical samples, is also present in a general adolescent population.
本研究旨在探讨一般青少年人群中类精神病症状与注意力不集中/多动症状之间的关系。
本研究基于一项基于人群的前瞻性母婴出生队列研究,即芬兰北部出生队列 1986 年研究。在 15-16 岁的随访调查中,青少年完成了青少年自我报告问卷以及 PROD-Screen 问卷,以评估精神病前驱症状。同时,他们的父母通过填写 ADHD 症状和正常行为问卷(Strengths and Weaknesses of ADHD Symptoms and Normal Behaviors questionnaire,N = 5318)来评估子女的注意力不集中和多动症状。采用逻辑回归模型研究类精神病症状与注意力不集中/多动症状之间的横断面关联。
对于男性和女性,负性类精神病症状与注意力不集中症状,特别是梦幻型注意力不集中症状(如组织任务困难、丢东西、健忘)之间存在统计学显著关联。然而,类精神病症状与多动症状无关。
本研究结果表明,在临床样本中发现的类精神病症状与注意力功能障碍之间存在关联,在一般青少年人群中也存在这种关联。