Predicting persistence of hallucinations from childhood to adolescence.

Autor:	Steenkamp LR; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, the Netherlands., Tiemeier H; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, the Netherlands and Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, USA., Blanken LME; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, the Netherlands., Hillegers MHJ; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, the Netherlands., Kushner SA; Department of Psychiatry, Erasmus University Medical Centre, the Netherlands., Bolhuis K; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, the Netherlands.
Jazyk:	angličtina
Zdroj:	The British journal of psychiatry : the journal of mental science [Br J Psychiatry] 2021 Dec; Vol. 219 (6), pp. 670-677.
DOI:	10.1192/bjp.2021.115
Abstrakt:	Background: Psychotic experiences predict adverse health outcomes, particularly if they are persistent. However, it is unclear what distinguishes persistent from transient psychotic experiences. Aims: In a large population-based cohort, we aimed to (a) describe the course of hallucinatory experiences from childhood to adolescence, (b) compare characteristics of youth with persistent and remittent hallucinatory experiences, and (c) examine prediction models for persistence. Method: Youth were assessed longitudinally for hallucinatory experiences at mean ages of 10 and 14 years (n = 3473). Multi-informant-rated mental health problems, stressful life events, self-esteem, non-verbal IQ and parental psychopathology were examined in relation to absent, persistent, remittent and incident hallucinatory experiences. We evaluated two prediction models for persistence with logistic regression and assessed discrimination using the area under the curve (AUC). Results: The persistence rate of hallucinatory experiences was 20.5%. Adolescents with persistent hallucinatory experiences had higher baseline levels of hallucinatory experiences, emotional and behavioural problems, as well as lower self-esteem and non-verbal IQ scores than youth with remittent hallucinatory experiences. Although the prediction model for persistence versus absence of hallucinatory experiences demonstrated excellent discriminatory power (AUC-corrected = 0.80), the prediction model for persistence versus remittance demonstrated poor accuracy (AUC-corrected = 0.61). Conclusions: This study provides support for the dynamic expression of childhood hallucinatory experiences and suggests increased neurodevelopmental vulnerability in youth with persistent hallucinatory experiences. Despite the inclusion of a wide array of psychosocial parameters, a prediction model discriminated poorly between youth with persistent versus remittent hallucinatory experiences, confirming that persistent hallucinatory experiences are a complex multifactorial trait.
Databáze:	MEDLINE
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