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Psychotic-Like Experiences in Nonpsychotic Help-Seekers: Associations With Distress, Depression, and Disability

机译:非精神病求助者中的精神病样经历:与痛苦,抑郁和残疾相关的联想

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Psychotic-like experiences (PLEs) increase the risk of schizophrenia and other psychotic disorders yet are common in the community. Some PLEs, such as those associated with depression, distress, and poor functioning, may confer increased risk. The aim of this study is to determine the prevalence of PLEs in a nonpsychotic clinical sample and to investigate whether any subtypes of PLEs are associated with the above factors. Consecutive referrals to a youth psychiatric service (N = 140) were assessed to measure PLEs, depression, and functioning. PLE data were factor analyzed, and the associations of psychotic subtypes and distress, depression, and disability were analyzed. Three subtypes of PLEs were identified: Bizarre Experiences, Persecutory Ideas, and Magical Thinking. Bizarre Experiences and Persecutory Ideas were associated with distress, depression, and poor functioning. Magical Thinking was not, unless accompanied by distress. Bizarre Experiences and Persecutory Ideas may be more malignant forms of psychotic symptoms, as they are associated with current disability, and may confer increased risk of development of full-blown psychotic disorder.
机译:类似精神病的经历(PLEs)增加了精神分裂症和其他精神病的风险,但在社区中很普​​遍。某些PLE,例如与抑郁,困扰和机能不佳相关的PLE,可能会增加患病风险。这项研究的目的是确定非精神病性临床样本中的PLE患病率,并调查PLE的任何亚型是否与上述因素有关。评估了连续转诊至青年精神科服务(N = 140)的情况,以测量PLEs,抑郁和功能。 PLE数据进行了因子分析,并分析了精神病亚型与困扰,抑郁和残疾的关系。确定了PLE的三个亚型:奇异经历,迫害思想和魔术思维。奇异的经历和迫害思想与苦恼,沮丧和机能不良有关。除非伴随着痛苦,否则魔术思维就不是。奇异的经历和迫害观念可能是精神病症状的更恶性形式,因为它们与当前的残疾有关,并且可能增加患完全性精神病的风险。

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