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Social functioning and subclinical psychosis in adolescence: a longitudinal general adolescent population study
Author(s) -
Heins M.,
Achterhof R.,
Collip D.,
Viechtbauer W.,
Kirtley O. J.,
Gunther N.,
Os J.,
Feron F.,
MyinGermeys I.
Publication year - 2019
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/acps.13069
Subject(s) - subclinical infection , psychology , psychosis , longitudinal study , psychiatry , population , schizophrenia (object oriented programming) , social functioning , clinical psychology , developmental psychology , medicine , distress , environmental health , pathology
Objectives To investigate the longitudinal relationship between subclinical psychotic symptoms and social functioning in a representative general population sample of adolescents. Method Data were derived from a routine general health screening of 1909 adolescents in a circumscribed region. Baseline measurement was in the second grade of secondary school (T0), and follow‐up occurred approximately 2 years later (T1). Social functioning and subclinical psychotic symptoms of hallucinations and delusions were assessed at both time points. Results Baseline (T0) social problems preceded follow‐up (T1) subclinical delusions, but not T1 subclinical hallucinations. Similarly, T0 delusions preceded social problems at T1, but T0 hallucinations did not. Conclusion This longitudinal general population study demonstrated a bidirectional association between social problems and delusions, but found no link between social problems and hallucinations. This may reflect a downward negative spiral where delusional thoughts and social problems reinforce each other.