Hostname: page-component-745bb68f8f-b95js Total loading time: 0 Render date: 2025-01-12T22:40:43.977Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychotic-like experiences and depressive symptoms in a community sample of adolescents

Published online by Cambridge University Press:  16 April 2020

M. Barragan ,
K.R. Laurens ,
J.B. Navarro  and
J.E. Obiols
M. Barragan*
Affiliation:
Department of Clinical and Health Psychology, Psychopathology and Neuropsychology Research Unit, Universidad Autónoma de Barcelona, Edifici B, Cerdanyola del Vallès, 08193 Bellaterra, Barcelona, Spain
K.R. Laurens
Affiliation:
Department of Forensic and Neurodevelopmental Sciences (Box P023), Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, United Kingdom Research Unit for Schizophrenia Epidemiology, School of Psychiatry, University of New South Wales, St. Vincent's Hospital, O’Brien Centre Level 4, 394-404 Victoria Street, DarlinghurstNSW2010, Australia Schizophrenia Research Institute, Sydney, Australia
J.B. Navarro
Affiliation:
Department of Psychobiology and Methodology of Health Sciences, Universitat Autónoma de Barcelona, Edifici B, Cerdanyola del Vallès, 08193 Bellaterra, Barcelona, Spain
J.E. Obiols
Affiliation:
Department of Clinical and Health Psychology, Psychopathology and Neuropsychology Research Unit, Universidad Autónoma de Barcelona, Edifici B, Cerdanyola del Vallès, 08193 Bellaterra, Barcelona, Spain
*
*Corresponding author. Tel.: +34 935812544. E-mail address: JanisMarcela.Barragan@campus.uab.es (M. Barragan).
Get access

Abstract

Purpose

Studies of psychotic-like experiences (PLEs) within community samples of adolescents have explored predominantly positive experiences. There is a paucity of research examining the prevalence and correlates of negative PLEs, and whether particular subtypes of negative PLEs can be identified among the general population of adolescents. This study examined the association of both positive and negative PLEs with depressive symptoms, including detailed analysis of subtypes of positive and negative psychosis dimensions.

Method

A community sample of 777 adolescents (50.9% girls: mean age 14.4 years) completed a questionnaire assessing positive and negative PLEs and depressive symptoms.

Results

Principal component factor analysis identified four factors of positive symptoms (persecutory ideation, grandiose thinking, first-rank/hallucinatory experiences and self-referential thinking), and three factors of negative symptoms (social withdrawal, affective flattening, and avolition). Depressive symptoms were associated positively with persecutory ideation, first-rank/hallucinatory experiences, social withdrawal, and avolition, whereas grandiose thinking related negatively with depressive symptoms. Neither self-referential thinking nor affective flattening related to self-reported depression.

Conclusions

These findings support the view that not all types of positive and negative PLEs in adolescence are associated with depression and, therefore, they may not confer the same vulnerability for psychotic disorders.

Keywords

Positive symptomsNegative symptomsEarly detectionSchizophreniaPsychosis
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 6 , September 2011 , pp. 396 - 401
Copyright
Copyright © Elsevier Masson SAS 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Armando, M, Nelson, B, Yung, AR, Ross, M, Birchwood, M, Girardi, P, et al.Psychotic-like experiences in a community sample of adolescents and young adults. Schizophr Res 2010;119:258–265.CrossRefGoogle Scholar
Bartels-Velthuis, A, Jenner, J, van de Willige, G, van Os, J, Wiersma, DPrevalence and correlates of auditory vocal hallucinations in middle childhood. Br J Psychiatry 2010;196:41–46.CrossRefGoogle ScholarPubMed
Cannon, M, Caspi, A, Moffitt, TE, Harrington, H, Taylor, A, Murray, RM, et al.Evidence for early-childhood, pan-developmental impairment specific to schizophreniform disorder: results from a longitudinal birth cohort. Arch Gen Psychiatry 2002;59:449–456.CrossRefGoogle ScholarPubMed
Chapman, LJ, Chapman, JP, Kwapil, TR, Eckblad, M, Zinser, MCPutatively psychosis-prone subjects 10 years later. J Abnorm Psychol 1994;103:171–183.CrossRefGoogle ScholarPubMed
Cohen, JA power primer. Psychol Bull 1992;112:155–159.CrossRefGoogle ScholarPubMed
Dhossche, D, Ferdinand, R, der Ende, JV, Hofstra, MB, Verhulst, FDiagnostic outcome of self-reported hallucinations in a community sample of adolescents. Psychol Med 2002;32:619–627.CrossRefGoogle Scholar
Dominguez, MD, Can Saka, M, Lieb, R, Wittchen, HU, van Os, J. Early expression of negative/disorganized symptoms predicting psychotic experiences and subsequent clinical psychosis: a 10-year study. Am J Psychiatry 2010: doi:10.1176/appl.ajp.2010.09060883.CrossRefGoogle Scholar
Häfner, H, Löffler, W, Maurer, K, Hambrech, M, an der Heiden, WDepression, negative symptoms, social stagnation and social decline in the early course of schizophrenia. Acta Psychiatr Scand 1999;100:105–118.CrossRefGoogle ScholarPubMed
Hanssen, MS, Bijl, RV, Volleberg, W, van Os, JSelf-reported psychotic experiences in the general population: a valid screening tool for DSM-III psychotic disorders? Acta Psychiatr Scand 2003;107(5):369–377.CrossRefGoogle ScholarPubMed
Horan, WP, Brown, SA, Blanchard, JJSocial anhedonia and schizotypy: the contribution of individual differences in affective traits, stress, and coping. Psychiatry Res 2007;149:147–156.CrossRefGoogle ScholarPubMed
Gooding, DC, Matts, CW, Rollmann, EASustained attention deficits in relation to psychometrically identified schizotypy: evaluating a potential endophenotypic marker. Schizophr Res 2006;82:27–37.CrossRefGoogle ScholarPubMed
Gooding, DC, Tallent, KA, Matts, CWClinical status of at-risk individuals 5 years later: further validation of the psychometric high-risk strategy. J Abnorm Psychol 2005;114:170–175.CrossRefGoogle ScholarPubMed
Kerns, JGSchizotypy facets, cognitive control, and emotion. J Abnorm Psychol 2006;115:418–427.CrossRefGoogle ScholarPubMed
Konings, M, Bak, M, Hanssen, M, van Os, J, Krabbendam, LValidity and reliability of the CAPE: a self-report instrument for the measurement of psychotic experiences in the general population. Acta Psychiatr Scand 2006;114:55–61.CrossRefGoogle ScholarPubMed
Krabbendam, L, Myin-Germeys, L, Hanssen, M, de Graaf, R, Vollebergh, W, Bak, M, et al.Development of depressed mood predicts onset of psychotic disorder in individuals who report hallucinatory experiences. Br J Clin Psychol 2005;44:113–125.CrossRefGoogle ScholarPubMed
Lataster, T, van Os, J, Drukker, M, Henquet, C, Feron, F, Gunther, N, et al.Childhood victimisation and developmental expression of non-clinical delusional ideation and hallucinatory experiences: victimisation and non-clinical psychotic experiences. Soc Psychiatry Psychiatr Epidemiol 2006;41:423–428.CrossRefGoogle ScholarPubMed
Laurens, KR, Hodgins, S, Maughan, B, Murray, RM, Rutter, ML, Taylor, EACommunity screening for psychotic-like experiences and other putative antecedents of schizophrenia in children aged 9–12 years. Schizophr Res 2007;90:130–146.CrossRefGoogle ScholarPubMed
Laurens, KR, Hodgins, S, Taylor, EA, Murray, RM. Is earlier intervention for schizophrenia possible? Identifying antecedents of schizophrenia in children aged 9–12 years. In: David, AS, McGuffin, P, Kapur, S editors. Schizophrenia: the final frontier. London, UK: Psychology Press; in press.Google Scholar
L’Engle, KL, Pardun, CJ, Brown, JDaccessing adolescents: a school-recruited, home-based approach to conducting media and health research. J Early Adolesc 2004;24:144–158.CrossRefGoogle Scholar
Lewandowski, KE, Barrantes-Vidal, N, Nelson-Gray, RO, Clancy, C, Kepley, HO, Kwapil, TRAnxiety and depression symptoms in psychometrically identified schizotypy. Schizophr Res 2006;83:225–235.CrossRefGoogle ScholarPubMed
Loewy, RL, Johnson, JK, Cannon, TDSelf-report of attenuated psychotic experiences in a college population. Schizophr Res 2007;93:144–151.CrossRefGoogle Scholar
Meehl, PESchizotaxia, schizotypy, schizophrenia. Am Psychol 1962;17:827–838.CrossRefGoogle Scholar
Mojtabai, RPsychotic-like experiences and interpersonal violence in the general population. Soc Psychiatry Psychiatr Epidemiol 2006;41:183–190.CrossRefGoogle ScholarPubMed
Nishida, A, Tanii, H, Nishimura, Y, Kajiki, N, Inoue, K, Okada, M, et al.Associations between psychotic-like experiences and mental health status and other psychopathologies among Japanese early teens. Schizophr Res 2008;99:125–133.CrossRefGoogle ScholarPubMed
Poulton, R, Caspi, A, Moffitt, TE, Cannon, M, Murray, R, Harrington, HChildren's self-reported psychotic symptoms and adult schizophreniform disorder: a 15-year longitudinal study. Arch Gen Psychiatry 2000;57:1053–1058.CrossRefGoogle ScholarPubMed
Scott, J, Chant, D, Andrews, G, McGrath, JPsychotic-like experiences in the general community: the correlates of CIDI psychosis screen items in an Australian sample. Psychol Med 2006;36:231–238.CrossRefGoogle Scholar
Scott, J, Martin, G, Bor, W, Sawyer, M, Clark, J, McGrath, JThe prevalence and correlates of hallucinations in Australian adolescents: results from a national survey. Schizophr Res 2009;107:179–185.CrossRefGoogle ScholarPubMed
Stefanis, NC, Delespaul, P, Henquet, C, Bakoula, C, Stefanis, CN, van Os, JEarly adolescent cannabis exposure and positive and negative dimensions of psychosis. Addiction 2004;99:1333–1341.CrossRefGoogle Scholar
Stefanis, NC, Hanssen, M, Smirnis, NK, Avramopoulos, DA, Evdokimidis, IK, Stefanis, CN, et al.Evidence that three dimensions of psychosis have a distribution in the general population. Psychol Med 2002;32:347–358.CrossRefGoogle ScholarPubMed
van Os, J, Hanssen, M, Bijl, RV, Vollebergh, WPrevalence of psychotic disorder and community level of psychotic symptoms: an urban-rural comparison. Arch Gen Psychiatry 2001;58:663–668.CrossRefGoogle Scholar
van Os, J, Linscott, RJ, Myin-Germeys, I, Delespaul, P, Krabbendam, LA systematic review and meta-analysis of the psychosis continuum: evidence for a psychosis proneness–persistence–impairment model of psychotic disorder. Psychol Med 2009;39:179–195.CrossRefGoogle ScholarPubMed
van Rossum, I, Dominguez, MD, Lieb, R, Wittchen, HU, van Os, J. Affective dysregulation and reality distortion: a 10-year prospective study of their association and clinical relevance. Schizophr Bull 2009: doi:10.1093/schbul/sbp101.CrossRefGoogle Scholar
Verdoux, H, van Os, J, Maurice-Tison, S, Gay, B, Salamon, R, Bourgeois, MLIncreased occurrence of depression in psychosis-prone subjects: a follow-up study in primary care settings. Compr Psychiatry 1999;40:462–468.CrossRefGoogle ScholarPubMed
Walker, E, Bollini, AMPubertal neurodevelopment and the emergence of psychotic symptoms. Schizophr Res 2002;54:17–23.CrossRefGoogle ScholarPubMed
Welham, J, Scott, J, Williams, G, Najman, J, Bor, W, O’Callaghan, M, et al.Emotional and behavioural antecedents of young adults who screen positive for non-affective psychosis: a 21-year birth cohort study. Psychol Med 2009;39:625–634.CrossRefGoogle ScholarPubMed
Yoshizumi, T, Murase, S, Honjo, S, Kaneko, H, Murakami, THallucinatory experiences in a community sample of Japanese children. J Am Acad Child Adolesc Psychiatry 2004;43:1030–1036.CrossRefGoogle Scholar
Yung, AR, Buckby, JA, Cotton, SM, Cosgrave, EM, Killackey, EJ, Stanford, C, et al.Psychotic-like experiences in nonpsychotic help-seekers: associations with distress, depression, and disability. Schizophr Bull 2006;32:352–359.CrossRefGoogle Scholar
Yung, A, Nelson, B, Baker, K, Buckby, J, Baksheev, G, Cosgrave, EPsychotic-like experiences in a community sample of adolescents: implications for the continuum model of psychosis and prediction of schizophrenia. Aust N Z J Psychiatry 2009;43:118–128.CrossRefGoogle Scholar
Yung, A, Phillips, LJ, Yuen, HP, Francey, SM, McFarlane, CA, Hallgren, Met al. Psychosis prediction: 12-month follow-up of a high-risk (“prodromal”) group. Schizophr Res 2003:21–32.CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.