The Structure of The Extended Psychosis Phenotype in Early Adolescence-A Cross-sample Replication

The extended psychosis phenotype, or the expression of nonclinical positive psychotic experiences, is already prevalent in adolescence and has a dose-response risk relationship with later psychotic disorder. In 2 large adolescent general population samples (n = 5422 and n = 2230), prevalence and str...

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Veröffentlicht in:Schizophrenia bulletin 2011-07, Vol.37 (4), p.850-860
Hauptverfasser: Wigman, Johanna T. W., Vollebergh, Wilma A. M., Raaijmakers, Quinten A. W., Iedema, Jurjen, van Dorsselaer, Saskia, Ormel, Johan, Verhulst, Frank C., van Os, Jim
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container_end_page 860
container_issue 4
container_start_page 850
container_title Schizophrenia bulletin
container_volume 37
creator Wigman, Johanna T. W.
Vollebergh, Wilma A. M.
Raaijmakers, Quinten A. W.
Iedema, Jurjen
van Dorsselaer, Saskia
Ormel, Johan
Verhulst, Frank C.
van Os, Jim
description The extended psychosis phenotype, or the expression of nonclinical positive psychotic experiences, is already prevalent in adolescence and has a dose-response risk relationship with later psychotic disorder. In 2 large adolescent general population samples (n = 5422 and n = 2230), prevalence and structure of the extended psychosis phenotype was investigated. Positive psychotic experiences, broadly defined, were reported by the majority of adolescents. Exploratory analysis with Structural Equation Modelling (Exploratory Factor Analysis followed by Confirmatory Factor Analysis [CFA]) in sample 1 suggested that psychotic experiences were best represented by 5 underlying dimensions; CFA in sample 2 provided a replication of this model. Dimensions were labeled Hallucinations, Delusions, Paranoia, Grandiosity, and Paranormal beliefs. Prevalences differed strongly, Hallucinations having the lowest and Paranoia having the highest rates. Girls reported more experiences on all dimensions, except Grandiosity, and from age 12 to 16 years rates increased. Hallucinations, Delusions, and Paranoia, but not Grandiosity and Paranormal beliefs, were associated with distress and general measures of psychopathology. Thus, only some of the dimensions of the extended psychosis phenotype in young people may represent a continuum with more severe psychopathology and predict later psychiatric disorder.
doi_str_mv 10.1093/schbul/sbp154
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W. ; Vollebergh, Wilma A. M. ; Raaijmakers, Quinten A. W. ; Iedema, Jurjen ; van Dorsselaer, Saskia ; Ormel, Johan ; Verhulst, Frank C. ; van Os, Jim</creator><creatorcontrib>Wigman, Johanna T. W. ; Vollebergh, Wilma A. M. ; Raaijmakers, Quinten A. W. ; Iedema, Jurjen ; van Dorsselaer, Saskia ; Ormel, Johan ; Verhulst, Frank C. ; van Os, Jim</creatorcontrib><description>The extended psychosis phenotype, or the expression of nonclinical positive psychotic experiences, is already prevalent in adolescence and has a dose-response risk relationship with later psychotic disorder. In 2 large adolescent general population samples (n = 5422 and n = 2230), prevalence and structure of the extended psychosis phenotype was investigated. Positive psychotic experiences, broadly defined, were reported by the majority of adolescents. Exploratory analysis with Structural Equation Modelling (Exploratory Factor Analysis followed by Confirmatory Factor Analysis [CFA]) in sample 1 suggested that psychotic experiences were best represented by 5 underlying dimensions; CFA in sample 2 provided a replication of this model. Dimensions were labeled Hallucinations, Delusions, Paranoia, Grandiosity, and Paranormal beliefs. Prevalences differed strongly, Hallucinations having the lowest and Paranoia having the highest rates. Girls reported more experiences on all dimensions, except Grandiosity, and from age 12 to 16 years rates increased. Hallucinations, Delusions, and Paranoia, but not Grandiosity and Paranormal beliefs, were associated with distress and general measures of psychopathology. 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subjects Adolescent
Adult and adolescent clinical studies
Age Factors
Biological and medical sciences
Child
Cohort Studies
Cross-Sectional Studies
Female
Health Behavior
Health Surveys
Humans
Male
Mass Screening
Medical sciences
Models, Psychological
Netherlands
Phenotype
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Psychotic Disorders - diagnosis
Psychotic Disorders - epidemiology
Psychotic Disorders - genetics
Psychotic Disorders - psychology
Regular
Risk Factors
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - epidemiology
Schizophrenia - genetics
Schizophrenic Psychology
Schizotypal Personality Disorder - diagnosis
Schizotypal Personality Disorder - epidemiology
Schizotypal Personality Disorder - genetics
Schizotypal Personality Disorder - psychology
Sex Factors
title The Structure of The Extended Psychosis Phenotype in Early Adolescence-A Cross-sample Replication
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