Differences Between Self-Reported Psychotic Experiences, Clinically Relevant Psychotic Experiences, and Attenuated Psychotic Symptoms in the General Population
Carregando...
Citações na Scopus
18
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
FRONTIERS MEDIA SA
Autores
MORIYAMA, Tais Silveira
OS, Jim van
GADELHA, Ary
PAN, Pedro Mario
SALUM, Giovanni Abrahao
MANFRO, Gisela Gus
MARI, Jair de Jesus
ROHDE, Luis Augusto
Citação
FRONTIERS IN PSYCHIATRY, v.10, article ID 782, 13p, 2019
Resumo
Purpose: Psychotic experiences in childhood (such as hearing voices or being suspicious) represent an important phenotype for early intervention. However, these experiences can be defined in several ways: self-reported psychotic experiences (SRPE) rely exclusively on the child's report, clinically validated psychotic experiences (CRPE) are based on clinical assessment, and attenuated psychotic symptoms (APS) represents a categorization to do with clinical relevance in relation to severity. Very few studies have investigated how these distinctions impact clinical and other domains. The present study aims to compare SRPE, CRPE, and APS among children and adolescents. Methods: This study is part of the Brazilian High-Risk Cohort Study for Psychiatric Disorders, in which 2,241 individuals aged 6-14 years provided self-ratings of 20 psychotic experiences using the Community Assessment of Psychic Experiences (CAPE). A trained psychologist conducted an interview to validate or reject reported experiences and to rate the presence of APS and affective flattening. In parallel, parents provided information about child mental health to an independent interviewer. We tested the association of mutually exclusive categories of non-validated SRPE (nSRPE), clinically validated PE below the threshold for APS (nCRPE), and APS (nSRPE = 33%, nCRPE = 11%, APS = 6%), with parents' information about the child's positive attributes and levels of psychopathology and psychologist assessment of blunted affect. Results: Most associations were qualitatively similar, and there was a dose-response in the strength of associations across categories, such that APS > nCRPE > nSRPE. Experiences in all three categories were associated with female sex. nSRPE were associated with overall levels of psychopathology, but to a lesser degree than nCRPE and APS. APS and nCRPE were associated with less positive attributes, with APS more so than nCRPE. Only APS was associated with affective flattening. Conclusions: In children and adolescents, SRPE, CRPE, and APS all index liability for psychopathology, but as clinician rated relevance increases, associations get stronger and become evident across more domains.
Palavras-chave
psychotic experiences, attenuated psychotic symptoms, adolescents, schizophrenia, psychiatric epidemiology
Referências
- [Anonymous], 2013, STAT STAT SOFTW REL
- Armando M, 2010, SCHIZOPHR RES, V119, P258, DOI 10.1016/j.schres.2010.03.001
- Bak M, 2003, SCHIZOPHR RES, V62, P187, DOI 10.1016/S0920-9964(02)00336-5
- Barragan M, 2011, EUR PSYCHIAT, V26, P396, DOI 10.1016/j.eurpsy.2010.12.007
- Barragan M, 2011, PSYCHIAT RES, V186, P225, DOI 10.1016/j.psychres.2010.07.051
- Bartels-Velthuis AA, 2011, BRIT J PSYCHIAT, V199, P296, DOI 10.1192/bjp.bp.110.086918
- Bordin IA, 2013, CAD SAUDE PUBLICA, V29, P13, DOI 10.1590/S0102-311X2013000100004
- Cannon M, 2002, ARCH GEN PSYCHIAT, V59, P449, DOI 10.1001/archpsyc.59.5.449
- Clemmensen L, 2016, PSYCHOL MED, V46, P87, DOI 10.1017/S0033291715001567
- De Loore E, 2011, SCHIZOPHR RES, V127, P252, DOI 10.1016/j.schres.2011.01.015
- Dominguez MDG, 2010, AM J PSYCHIAT, V167, P1075, DOI 10.1176/appi.ajp.2010.09060883
- FALLON T, 1994, J CHILD PSYCHOL PSYC, V35, P1391, DOI 10.1111/j.1469-7610.1994.tb01282.x
- FC A., 2013, IARIW IBGE C INC WEA
- Figueiredo VLM, 2001, ADAPTACAO BRASILEIRA
- Fleitlich-Bilyk B, 2004, J AM ACAD CHILD PSY, V43, P727, DOI 10.1097/01.chi.0000120021.14101.ca
- Fusar-Poli P, 2013, ACTA PSYCHIAT SCAND, V127, P248, DOI 10.1111/acps.12028
- Goodman R, 2000, J CHILD PSYCHOL PSYC, V41, P645, DOI 10.1111/j.1469-7610.2000.tb02345.x
- Goodman R, 2001, J AM ACAD CHILD PSY, V40, P1337, DOI 10.1097/00004583-200111000-00015
- Hoffmann MS, 2016, J AM ACAD CHILD PSY, V55, P47, DOI 10.1016/j.jaac.2015.10.013
- Horwood J, 2008, BRIT J PSYCHIAT, V193, P185, DOI 10.1192/bjp.bp.108.051904
- Jolley S, 2018, BRIT J CLIN PSYCHOL, V57, P328, DOI 10.1111/bjc.12176
- Kaymaz N, 2012, PSYCHOL MED, V42, P2239, DOI 10.1017/S0033291711002911
- Kelleher I, 2012, PSYCHOL MED, V42, P1857, DOI 10.1017/S0033291711002960
- Kelleher I, 2012, BRIT J PSYCHIAT, V201, P26, DOI 10.1192/bjp.bp.111.101543
- Kelleher I, 2015, SCHIZOPHR RES, V165, P9, DOI 10.1016/j.schres.2015.03.020
- Kelleher I, 2013, JAMA PSYCHIAT, V70, P940, DOI 10.1001/jamapsychiatry.2013.140
- Kelleher I, 2011, SCHIZOPHRENIA BULL, V37, P362, DOI 10.1093/schbul/sbp057
- Kelleher I, 2010, BRIT J PSYCHIAT, V197, P167, DOI 10.1192/bjp.bp.109.076018
- Konings M, 2006, ACTA PSYCHIAT SCAND, V114, P55, DOI 10.1111/j.1600-0447.2005.00741.x
- Kring AM, 2008, SCHIZOPHRENIA BULL, V34, P819, DOI 10.1093/schbul/sbn071
- Laurens KR, 2012, PSYCHOL MED, V42, P1495, DOI 10.1017/S0033291711002108
- Laurens KR, 2007, SCHIZOPHR RES, V90, P130, DOI 10.1016/j.schres.2006.11.006
- Lee KW, 2016, EARLY INTERV PSYCHIA, V10, P3, DOI 10.1111/eip.12228
- Linscott RJ, 2013, PSYCHOL MED, V43, P1133, DOI 10.1017/S0033291712001626
- Mark W, 2016, SCHIZOPHRENIA BULL, V42, P34, DOI 10.1093/schbul/sbv088
- MCGORRY PD, 1995, ACTA PSYCHIAT SCAND, V92, P241, DOI 10.1111/j.1600-0447.1995.tb09577.x
- Miklowitz DJ, 2014, J AM ACAD CHILD PSY, V53, P848, DOI 10.1016/j.jaac.2014.04.020
- Mossaheb N, 2012, SCHIZOPHR RES, V141, P210, DOI 10.1016/j.schres.2012.08.008
- National Institute for Health and Care Excellence, 2013, PSYCH SCHIZ CHILDR Y
- Pesquisa ABdEd, 2010, CRIT CLASS EC BRAS
- Polanczyk G, 2010, ARCH GEN PSYCHIAT, V67, P328, DOI 10.1001/archgenpsychiatry.2010.14
- Poulton R, 2000, ARCH GEN PSYCHIAT, V57, P1053, DOI 10.1001/archpsyc.57.11.1053
- Poulton R, 2014, J AM ACAD CHILD PSY, V53, P1279, DOI 10.1016/j.jaac.2014.08.014
- Salum GA, 2015, INT J METH PSYCH RES, V24, P58, DOI 10.1002/mpr.1459
- Schimmelmann BG, 2012, EUR CHILD ADOLES PSY, V21, P239, DOI 10.1007/s00787-012-0271-z
- Schmidt SJ, 2015, EUR PSYCHIAT, V30, P388, DOI 10.1016/j.eurpsy.2015.01.013
- Schultze-Lutter F, 2015, EUR PSYCHIAT, V30, P405, DOI 10.1016/j.eurpsy.2015.01.010
- Schultze-Lutter F, 2014, PSYCHOPATHOLOGY, V47, P194, DOI 10.1159/000355554
- SchwabStone ME, 1996, J AM ACAD CHILD PSY, V35, P878, DOI 10.1097/00004583-199607000-00013
- Scott J, 2009, SCHIZOPHR RES, V107, P179, DOI 10.1016/j.schres.2008.11.002
- Sikich L, 2013, CHILD ADOL PSYCH CL, V22, P655, DOI 10.1016/j.chc.2013.06.005
- Simon AE, 2014, SCHIZOPHR RES, V159, P292, DOI 10.1016/j.schres.2014.09.016
- Snijders T., 1999, MULTILEVEL ANAL INTR
- Stefanis NC, 2002, PSYCHOL MED, V32, P347, DOI 10.1017/S0033291701005141
- TELLEGEN A, 1967, J CONSULT PSYCHOL, V31, P499, DOI 10.1037/h0024963
- van Nierop M, 2012, SCHIZOPHRENIA BULL, V38, P231, DOI 10.1093/schbul/sbr129
- van Os J, 2016, WORLD PSYCHIATRY, V15, P118, DOI 10.1002/wps.20310
- van Os J, 2009, LANCET, V374, P635, DOI 10.1016/S0140-6736(09)60995-8
- Vidal-Ribas P, 2015, BRIT J PSYCHIAT, V206, P17, DOI 10.1192/bjp.bp.114.144519
- Wechsler D, 2002, WISC 3 ESCALA INT WE, V3a
- Weissman MM, 2000, ARCH GEN PSYCHIAT, V57, P675, DOI 10.1001/archpsyc.57.7.675
- Wigman JTW, 2011, SCHIZOPHRENIA BULL, V37, P850, DOI 10.1093/schbul/sbp154
- Woods SW, 2018, SCHIZOPHRENIA BULL, V44, P254, DOI 10.1093/schbul/sbx138
- Yung AR, 2009, AUST NZ J PSYCHIAT, V43, P118, DOI 10.1080/00048670802607188
- Yung AR, 2005, AUST NZ J PSYCHIAT, V39, P964, DOI 10.1080/j.1440-1614.2005.01714.x
- Yung AR, 1996, AUST NZ J PSYCHIAT, V30, P587, DOI 10.3109/00048679609062654
- Yung AR, 2003, SCHIZOPHR RES, V60, P21, DOI 10.1016/S0920-9964(02)00167-6