Auditory Hallucinations and Self-Injurious Behavior in General Population Adolescents: Modeling Within-Person Effects in the Tokyo Teen Cohort.
Schizophr Bull
; 49(2): 329-338, 2023 03 15.
Article
em En
| MEDLINE
| ID: mdl-36333883
ABSTRACT
BACKGROUND AND HYPOTHESES A wealth of evidence suggests that adolescent psychotic experiences (PEs), and especially auditory hallucinations (AHs), are associated with an increased risk for self-injurious behavior (SIB). However, the directionality and specificity of this association are not well understood, and there are no published studies investigating within-person effects over time. The present study aimed to test whether AHs and SIB prospectively increase reciprocal risk at the individual level during early-to-middle adolescence. STUDY DESIGN:
Three waves (12y, 14y, and 16y) of self-reported AHs and SIB data from a large Tokyo-based adolescent birth cohort (N = 2825) were used. Random Intercept Cross-Lagged Panel Model (RI-CLPM) analysis was conducted to test the within-person prospective associations between AHs and SIB. STUDYRESULTS:
At the within-person level, AHs were associated with subsequent SIB over the observation period (12y-14y ß = .118, P < .001; 14-16y ß = .086, P = .012). The reverse SIB->AHs relationship was non-significant at 12-14y (ß = .047, P = .112) but emerged from 14y to 16y as the primary direction of influence (ß = .243, P < .001). Incorporating depression as a time-varying covariate did not meaningfully alter model estimates.CONCLUSIONS:
A complex bi-directional pattern of relationships was observed between AHs and SIB over the measurement period, and these relationships were independent of depressive symptoms. Adolescent AHs may be both a predictor of later SIB and also a manifestation of SIB-induced psychological distress.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Comportamento Autodestrutivo
/
Transtornos Mentais
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Humans
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article