Shanghai Changning Mental Health Center, Shanghai 200335, China; Department of Applied Psychology, Hunan university of Chinese medicine, Changsha, Hunan, China.
Department of Applied Psychology, Hunan university of Chinese medicine, Changsha, Hunan, China.
Schizophr Res. 2022 Jun;244:39-45. doi: 10.1016/j.schres.2022.02.037. Epub 2022 May 12.
Although psychotic-like experiences (PLEs) are transient and not pathognomonic for psychiatric disorders, they may increase the risk of concurrent and future psychiatric disorders. However, the prevalence of PLEs and the different effects of PLE subtypes on mood outcomes are still unclear. Thus, this study seeks to investigate the prevalence of PLE subtypes and explore their relationship with the use of specific emotion regulation strategies and the level of affective lability among college students. The history of PLEs, the level of affective lability, and the use of specific emotion regulation strategies were assessed via self-reported questionnaires, and 1905 college students and 1812 college students were included in separate analyses. This study found that 14.44% of college students reported ever experiencing any of the five PLEs, with males reporting more PLE symptoms and a higher number of PLEs than females. Different PLE subtypes had different effects on the use of specific emotion regulation strategies (cognitive reappraisal or suppression) and the level of affective lability and also showed gender differences. Cognitive reappraisal and suppression differently predicted affective lability in males and females, and cognitive reappraisal mediated the relationship between hearing voices in PLEs and affective lability in males. In conclusion, PLEs were common in Chinese college students and gender differences were revealed in the prevalence of PLE subtypes. PLEs were associated with the use of specific emotion regulation strategies and the level of affective lability. Cognitive reappraisal may be a promising target for intervention aimed at relieving the effect of PLEs in non-clinical individuals.
虽然精神病样体验（PLEs）是短暂的，并非精神障碍的特征性症状，但它们可能会增加同时发生和未来发生精神障碍的风险。然而，PLE 亚型的患病率以及不同亚型对情绪结果的影响仍不清楚。因此，本研究旨在调查 PLE 亚型的患病率，并探讨其与特定情绪调节策略的使用以及大学生情感不稳定性水平之间的关系。通过自我报告问卷评估 PLE 病史、情感不稳定性水平和特定情绪调节策略的使用情况，分别对 1905 名大学生和 1812 名大学生进行了分析。本研究发现，14.44%的大学生报告曾经历过五种 PLE 中的任何一种，男性比女性报告更多的 PLE 症状和更多的 PLE。不同的 PLE 亚型对特定情绪调节策略（认知重评或抑制）的使用和情感不稳定性水平有不同的影响，并且表现出性别差异。认知重评和抑制分别预测了男性和女性的情感不稳定性，而认知重评在男性中中介了 PLE 中听到声音与情感不稳定性之间的关系。总之，PLE 在中国大学生中很常见，并且在 PLE 亚型的患病率方面表现出性别差异。PLE 与特定情绪调节策略的使用和情感不稳定性水平有关。认知重评可能是针对非临床个体缓解 PLE 影响的有前途的干预目标。
