Sullivan Sarah A, Thompson Andy, Kounali Daphne, Lewis Glyn, Zammit Stan
Centre for Academic Mental Health, University of Bristol, Oakfield House, Oakfield Grove, Clifton, Bristol, BS8 2BN, UK.
CLAHRC West, 9th floor, Whitefriars, Lewins Mead, Bristol, BS1 2NT, UK.
Soc Psychiatry Psychiatr Epidemiol. 2017 Jun;52(6):643-655. doi: 10.1007/s00127-017-1359-z. Epub 2017 Mar 7.
To investigate the longitudinal associations between social cognitive ability an external locus of control (externality) and adolescent psychopathology.
7058 participants from a prospective population-based cohort provided data on externality, social communication, and emotion perception between 7 and 16 years and psychotic experiences and depressive symptoms at 12 and 18 years. Bivariate probit modelling was used to investigate associations between these risk factors and psychopathological outcomes.
Externality was associated with psychopathology at 12 (psychotic experiences OR 1.23 95% CI 1.14, 1.33; depression OR 1.12 95% CI 1.02, 1.22) and 18 years (psychotic experiences OR 1.38 95% CI 1.23, 1.55; depression OR 1.40 95% CI 1.28, 1.52). Poor social communication was associated with depression at both ages (12 years OR 1.22 95% CI 1.11, 1.34; 18 years OR 1.21 95% CI 1.10, 1.33) and marginally associated with psychotic experiences. There was marginal evidence of a larger association between externality and psychotic experiences at 12 years (p = 0.06) and between social communication and depression at 12 years (p = 0.03).
Externality was more strongly associated with psychotic experiences. At 18 years change in externality, between 8 and 16 years were associated with a larger increase in the risk of depression. Poor social communication was more strongly associated with depression.
探讨社会认知能力与外部控制点(外控性)和青少年精神病理学之间的纵向关联。
来自一项基于人群的前瞻性队列研究的7058名参与者提供了7至16岁之间的外控性、社会沟通和情绪感知数据,以及12岁和18岁时的精神病体验和抑郁症状数据。采用双变量概率模型研究这些风险因素与精神病理结果之间的关联。
外控性与12岁时的精神病理学相关(精神病体验:比值比1.23,95%置信区间1.14,1.33;抑郁:比值比1.12,95%置信区间1.02,1.22)以及18岁时的精神病理学相关(精神病体验:比值比1.38,95%置信区间1.23,1.55;抑郁:比值比1.40,95%置信区间1.28,1.52)。社交沟通不良与两个年龄段的抑郁均相关(12岁时:比值比1.22,95%置信区间1.11,1.34;18岁时:比值比1.21,95%置信区间1.10,1.33),并与精神病体验存在边缘关联。有边缘证据表明,12岁时外控性与精神病体验之间的关联更大(p = 0.06),以及12岁时社交沟通与抑郁之间的关联更大(p = 0.03)。
外控性与精神病体验的关联更强。在18岁时,8至16岁之间外控性的变化与抑郁风险的更大增加相关。社交沟通不良与抑郁的关联更强。