Thompson Andrew, Sullivan Sarah, Lewis Glyn, Zammit Stanley, Heron Jon, Horwood Jeremy, Thomas Kate, Gunnell David, Hollis Chris, Wolke Dieter, Harrison Glynn
The Academic Unit of Psychiatry, University of Bristol, UK.
Cogn Neuropsychiatry. 2011 Sep;16(5):385-402. doi: 10.1080/13546805.2010.546077. Epub 2011 Jun 28.
INTRODUCTION. Specific attributional styles have been demonstrated in individuals with psychotic disorders and are implicated in the development of psychotic symptoms. We aimed to examine the association between locus of control (LOC) assessed in childhood and psychotic symptoms reported in early adolescence. METHODS. We used a prospective longitudinal design using data from a large birth cohort (the Avon Longitudinal Study of Parents and Children, ALPSAC). 6455 subjects completed a semistructured clinical interview assessing 12 individual psychotic symptoms at a mean age of 12.9 years. A measure of LOC was previously collected in the cohort at the age of 8. RESULTS. Children who reported an externalised LOC at age 8 were at increased risk of reporting both broadly defined (OR 1.77, 95% CI 1.49 to 2.08) and narrowly defined (OR 2.06, 95% CI 1.58 to 2.67) psychotic symptoms at age 13 years. These associations were only slightly attenuated after adjustment for potential confounders. The associations were similar for broadly defined specific paranoid symptoms but weaker for narrowly defined specific paranoid symptoms. CONCLUSIONS. An externalised LOC appears to be associated with later reporting of psychotic symptoms in early adolescence. Further investigation of the role of attributional styles, such as LOC, in increasing the risk for psychotic disorders, is warranted.
引言。已在患有精神障碍的个体中证实了特定的归因方式，且这些方式与精神病性症状的发展有关。我们旨在研究儿童期评估的控制点（LOC）与青春期早期报告的精神病性症状之间的关联。方法。我们采用前瞻性纵向设计，使用来自一个大型出生队列（埃文父母与儿童纵向研究，ALSPAC）的数据。6455名受试者在平均年龄12.9岁时完成了一项半结构化临床访谈，评估了12种个体精神病性症状。该队列先前在8岁时收集了LOC的测量数据。结果。8岁时报告外部控制点的儿童在13岁时报告广义定义（比值比1.77，95%可信区间1.49至2.08）和狭义定义（比值比2.06，95%可信区间1.58至2.67）的精神病性症状的风险增加。在对潜在混杂因素进行调整后，这些关联仅略有减弱。对于广义定义的特定偏执症状，关联相似，但对于狭义定义的特定偏执症状，关联较弱。结论。外部控制点似乎与青春期早期后期报告的精神病性症状有关。有必要进一步研究归因方式，如控制点，在增加精神障碍风险中的作用。
