Yang Jiaping, Yang Lixia
The Education Development Institute of Liwan District, Guangzhou, 1 Hongyan Road, Liwan District,, Guangzhou, 510375, China.
Zhujiang Hospital of Southern Medical University, Guangzhou, China.
Child Psychiatry Hum Dev. 2025 Apr 12. doi: 10.1007/s10578-025-01830-6.
Psychotic-like experiences (PLEs) are common among adolescents and are associated with an increased risk of psychotic disorders and other mental health issues in adulthood. However, research on PLEs in rural adolescents is limited. Therefore, this study sought to investigate the cross-sectional and longitudinal effects of multiple contextual risk factors on PLEs among 1210 Chinese rural adolescents (45.6% boys; Mage = 13.70 years, SD = 0.81) across a one-year period, utilizing a cumulative risk model. Results revealed that bullying victimization, borderline personality feature (BPF), psychache, depression, and sleep problems were significant risk factors for PLEs. Furthermore, these risk factors demonstrated a cumulative effect on the development of PLEs across time. Additionally, no significant sex differences were observed in the cumulative risk model of PLEs. These findings provide valuable insights into the identification of at-risk adolescents and contribute to the effective implementation of comprehensive preventive measures and interventions targeting PLEs among rural adolescents.
类精神病体验（PLEs）在青少年中很常见，并且与成年后患精神障碍及其他心理健康问题的风险增加有关。然而，针对农村青少年类精神病体验的研究有限。因此，本研究旨在利用累积风险模型，调查1210名中国农村青少年（45.6%为男孩；平均年龄13.70岁，标准差0.81）在一年时间里多种背景风险因素对类精神病体验的横断面和纵向影响。结果显示，受欺凌、边缘型人格特质（BPF）、精神痛苦、抑郁和睡眠问题是类精神病体验的显著风险因素。此外，这些风险因素在一段时间内对类精神病体验的发展表现出累积效应。此外，在类精神病体验的累积风险模型中未观察到显著的性别差异。这些发现为识别高危青少年提供了有价值的见解，并有助于有效实施针对农村青少年类精神病体验的综合预防措施和干预措施。
