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王东方, 黄玉洁, 孙梦, 张雯, 杨新华, 欧阳萱, 刘哲宁. 青少年精神病性体验异质性及影响因素分析[J]. 中国公共卫生, 2021, 37(2): 251-255. DOI: 10.11847/zgggws1124617
引用本文: 王东方, 黄玉洁, 孙梦, 张雯, 杨新华, 欧阳萱, 刘哲宁. 青少年精神病性体验异质性及影响因素分析[J]. 中国公共卫生, 2021, 37(2): 251-255. DOI: 10.11847/zgggws1124617
WANG Dong-fang, HUANG Yu-jie, SUN Meng, . Heterogeneity of psychotic-like experiences and related factors among adolescents[J]. Chinese Journal of Public Health, 2021, 37(2): 251-255. DOI: 10.11847/zgggws1124617
Citation: WANG Dong-fang, HUANG Yu-jie, SUN Meng, . Heterogeneity of psychotic-like experiences and related factors among adolescents[J]. Chinese Journal of Public Health, 2021, 37(2): 251-255. DOI: 10.11847/zgggws1124617

青少年精神病性体验异质性及影响因素分析

Heterogeneity of psychotic-like experiences and related factors among adolescents

  • 摘要:
      目的  探讨青少年精神病性体验是否存在异质性,以及相关的社会人口学因素对精神病性体验异质性的可能作用机制。
      方法  于2015 — 2016年采用社区精神病性体验评估问卷(CAPE)对湖南省4 508名初中学生进行调查,并采用潜在剖面分析方法进行潜在亚型探索。
      结果  青少年精神病性体验可以分为3种潜在类别,即低、中和高频精神病性体验型;相较于低频精神病性体验型,高频精神病性体验型年龄(OR = 1.56,95 % CI = 1.27~1.92)更大,女性(OR = 1.64,95 % CI = 1.25~2.14)、来源于城市(OR = 2.04,95 % CI = 1.52~2.74)、汉族(OR = 1.40,95 % CI = 1.06~1.85)、家庭贫困(OR = 2.52,95 % CI = 1.66~3.85)、单亲家庭(OR = 1.56,95 % CI = 1.17~2.07)、有精神疾病家族史(OR = 3.31,95 % CI = 1.93~5.68)的青少年比例更高。
      结论  青少年精神病性体验有着显著的群体异质性,可根据青少年的性别、年龄、家庭情况等特点,开展针对性的早期预防和干预措施。

     

    Abstract:
      Objective  To investigate whether there exists a heterogeneity in psychotic-like experiences (PLEs) and related factors of the heterogeneity among adolescents.
      Methods  Community Assessment of Psychic Experiences (CAPE) was administered among 5 127 students recruited with convenient sampling in Hunan province during 2015 – 2016. Latent profile analysis (LPA) was adopted to explore the heterogeneity of PLEs in the adolescents.
      Results  Among the 4 508 adolescents, the PLEs could be categorized into low, medium, and high frequency types. Compared to the characteristics of respondents with low frequency PLEs, the high frequency PLEs of the respondents was related to following factors: age (odds ratio OR = 1.56, 95% confidence interval 95% CI: 1.27 – 1.92), being female (OR = 1.64, 95% CI: 1.25 – 2.14), from urban regions (OR = 2.04, 95% CI: 1.52 – 2.74), being Han nationality (OR = 1.40, 95% CI: 1.06 – 1.85), in a family without steady income (OR = 2.52, 95% CI: 1.66 – 3.85), in a single parent family (OR = 1.56, 95% CI: 1.17 – 2.07), and with family history of mental illness (OR = 3.31, 95% CI: 1.93 – 5.68).
      Conclusion  There exists a significant heterogeneity in PLEs among adolescents and age, gender, and familial status should be considered when conducting early intervention on PLEs in the adolescents.

     

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