Centre for Mental Health, Addiction and Suicide Research, School of Social and Community Medicine, University of Bristol, Bristol, UK.
Soc Psychiatry Psychiatr Epidemiol. 2013 Jul;48(7):1053-65. doi: 10.1007/s00127-013-0715-x. Epub 2013 Jun 7.
Both adolescent psychotic experiences and poor social functioning precede psychotic disorder; however, whether poor social functioning is also a risk factor for rather than a consequence of adolescent psychotic experiences is not clear. We investigate this question as well as whether deterioration in social functioning confers the strongest risk of psychotic experiences and whether theory of mind ability mediates any association, in a large community sample.
Measures of social functioning (peer problems and prosocial behaviour) at ages 7 and 11 and theory of mind ability and psychotic experiences at age 12 were collected in a large community sample (n = 3,592). The association between social functioning and psychotic experiences was examined using logistic regression models at each age and any additional impact of deterioration in social functioning between ages 7 and 11. The potential role of theory of mind as a mediator was also investigated.
Peer problems at both ages were independently associated with psychotic experiences at age 12 (7 years OR 1.11 95 % CI 1.03, 1.20), (11 years OR 1.13 95 % CI 1.05, 1.22). Theory of mind ability did not mediate this association. The association was not restricted to those with deteriorating social functioning (interaction term; p = 0.49).
Poor childhood social functioning precedes adolescent psychotic experiences. There was no evidence that those with deteriorating social functioning were at greatest risk.
青少年精神病体验和较差的社会功能都先于精神病障碍；然而，较差的社会功能是否也是青少年精神病体验的风险因素而不仅仅是其结果尚不清楚。我们在一个大的社区样本中调查了这个问题，以及社会功能的恶化是否会带来最强的精神病体验风险，以及心理理论能力是否会调解任何关联。
在一个大的社区样本（n=3592）中，在 7 岁和 11 岁时收集社会功能（同伴问题和亲社会行为）的测量值，以及心理理论能力和 12 岁时的精神病体验。使用逻辑回归模型在每个年龄检查社会功能与精神病体验之间的关联，并检查 7 岁至 11 岁之间社会功能恶化的任何额外影响。还调查了心理理论作为中介的潜在作用。
两个年龄的同伴问题都与 12 岁的精神病体验独立相关（7 岁 OR 1.11 95%CI 1.03, 1.20），（11 岁 OR 1.13 95%CI 1.05, 1.22）。心理理论能力并没有调解这种关联。这种关联不限于社会功能恶化的人群（交互项；p=0.49）。
较差的儿童社会功能先于青少年精神病体验。没有证据表明社会功能恶化的人风险最大。
