Zhou Rui, Foo Jerome Clifford, Nishida Asuka, Ogawa Sayoko, Togo Fumiharu, Sasaki Tsukasa
Department of Physical and Health Education, Graduate School of Education, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113- 0033, Japan.
Unit for Mental Health Promotion, Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, 156-8506, Tokyo, Japan.
Eur Child Adolesc Psychiatry. 2025 Jun 11. doi: 10.1007/s00787-025-02770-1.
Psychotic-like experiences (PLEs) have been identified as risk factors for mental health issues and behavioral problems including violence. While cross-sectional studies suggest an association between PLEs and violent behavior in adolescents, their longitudinal relationship remains unexamined. This study aims to examine the temporal association between PLEs and violent behavior in adolescents. PLEs and violent behavior were assessed using data from self-report surveys conducted from 2011 to 2019 in a Tokyo junior and senior high school (grades 7-12). The study included 1685 participants aged 12-18 surveyed annually for up to 6 years. Random intercept cross-lagged panel models (RI-CLPMs) were used to examine between-person and within-person associations among study variables, with analyses stratified by gender. Results showed a bidirectional relationship between PLEs and violent behavior on both the between-person (β = 0.23, p < 0.001) and within-person levels (β = 0.07-0.25, p < 0.05). This relationship was significant for PLEs and violence towards objects (between-person: β = 0.22, p < 0.001; within-person: β = 0.07-0.32, p < 0.05), but not for PLEs and interpersonal violence. When analyzed by gender, these associations were significant in girls but not in boys. The findings suggested that PLEs may have a bidirectional relationship with violent behavior (especially violence towards objects), particularly in girls, indicating potential gender-specific pathways in this association. Further research should explore the underlying mechanisms of this bidirectional relationship, with a focus on gender-specific factors.
类精神病性体验（PLEs）已被确定为心理健康问题和包括暴力在内的行为问题的风险因素。虽然横断面研究表明青少年的类精神病性体验与暴力行为之间存在关联，但其纵向关系仍未得到研究。本研究旨在探讨青少年类精神病性体验与暴力行为之间的时间关联。使用2011年至2019年在东京一所初高中（7 - 12年级）进行的自我报告调查数据对类精神病性体验和暴力行为进行评估。该研究包括1685名年龄在12 - 18岁的参与者，他们每年接受调查，最长达6年。随机截距交叉滞后面板模型（RI - CLPMs）用于检验研究变量之间的个体间和个体内关联，并按性别进行分层分析。结果显示，在个体间（β = 0.23，p < 0.001）和个体内水平（β = 0.07 - 0.25，p < 0.05）上，类精神病性体验与暴力行为之间存在双向关系。这种关系在类精神病性体验与针对物体的暴力行为方面显著（个体间：β = 0.22，p < 0.001；个体内：β = 0.07 - 0.32，p < 0.05），但在类精神病性体验与人际暴力方面不显著。按性别分析时，这些关联在女孩中显著，但在男孩中不显著。研究结果表明，类精神病性体验可能与暴力行为（尤其是针对物体的暴力行为）存在双向关系，特别是在女孩中，这表明在这种关联中可能存在特定性别的途径。进一步的研究应探索这种双向关系的潜在机制，重点关注特定性别的因素。
