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4508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。
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 5127 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 4508 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.
作者
王东方
黄玉洁
孙梦
张雯
杨新华
欧阳萱
刘哲宁
WANG Dong-fang;HUANG Yu-jie;SUN Meng(Department of Psychiatry,National Clinical Research Center for Mental Disorders,National Technology Institute of Psychiatry,Hunan Key Laboratory of Psychiatry and Mental Health,Mental Health Institute,The Second Xiangya Hospital,Central South University,Changsha,Hunan Province 410011,China;不详)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2021年第2期251-255,共5页
Chinese Journal of Public Health
基金
国家自然科学基金青年项目(81801353)
湖南省研究生科研创新项目(CX2018B397)。
关键词
精神病性体验
青少年
异质性
潜在剖面分析
psychotic-like experience
adolescents
heterogeneity
latent profile analysis
