Psychotic experiences co-occur with sleep problems, negative affect and mental disorders in preadolescence / Pia JEPPESEN in Journal of Child Psychology and Psychiatry, 56-5 (May 2015)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 56-5 (May 2015) . - p.558-565 Titre : Psychotic experiences co-occur with sleep problems, negative affect and mental disorders in preadolescence Type de document : Texte imprimé et/ou numérique Auteurs : Pia JEPPESEN, Auteur ; Lars CLEMMENSEN, Auteur ; Anja MUNKHOLM, Auteur ; Martin K. RIMVALL, Auteur ; Charlotte U. RASK, Auteur ; Torben JØRGENSEN, Auteur ; Janne T. LARSEN, Auteur ; Liselotte PETERSEN, Auteur ; Jim VAN OS, Auteur ; Anne M. SKOVGAARD, Auteur Article en page(s) : p.558-565 Langues : Anglais (eng) Mots-clés : Preadolescence  psychosis  emotional disorders  sleep  puberty  developmental psychopathology Index. décimale : PER Périodiques Résumé : Background Knowledge on the significance of childhood psychotic symptoms and experiences (PE) is still limited. This study aimed to investigate the prevalence and clinical significance of PE in preadolescent children from the general population by use of in-depth psychopathological interviews and comprehensive diagnostic assessments. Methods We investigated 1,632 children from the general population-based Copenhagen Child Cohort 2000. PE were measured by semistructured interviews using the K-SADS-PL-items on psychotic and affective symptoms, each symptom scored as not present versus likely or definitely present. The Development and Well-Being Assessment (DAWBA) was used independently to diagnose DSM-IV-mental disorders. Puberty development and sleep disturbance were self-reported. The associations between PE (any lifetime hallucination and/or delusion) and various mental problems and disorders were examined by multivariable binomial regression analyses, adjusting for gender and onset of puberty. Results The weighted life time prevalence of PE at age 11–12 years was 10.9% (CI 9.1–12.7). The majority of children with PE (n = 172) either had a diagnosable DSM-IV-mental disorder (31.4%) or self-reported mental health difficulties in absence of a diagnosis (31.4%). The risk of delusions increased with onset of puberty. The risk of PE increased with emotional and neurodevelopmental disorders, subthreshold depressive symptoms, sleep problems and lack of sleep, regardless of whether PE were expressed as hallucinations and/or delusions. The highest correlations were seen for emotional and multiple disorders. Conclusions Psychotic experiences are particularly prevalent in the context of affective dysregulation and sleep disturbance, increase with onset of puberty and represent a trans-diagnostic marker of psychopathology. En ligne : http://dx.doi.org/10.1111/jcpp.12319 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260 [article] Psychotic experiences co-occur with sleep problems, negative affect and mental disorders in preadolescence [Texte imprimé et/ou numérique] / Pia JEPPESEN, Auteur ; Lars CLEMMENSEN, Auteur ; Anja MUNKHOLM, Auteur ; Martin K. RIMVALL, Auteur ; Charlotte U. RASK, Auteur ; Torben JØRGENSEN, Auteur ; Janne T. LARSEN, Auteur ; Liselotte PETERSEN, Auteur ; Jim VAN OS, Auteur ; Anne M. SKOVGAARD, Auteur . - p.558-565. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 56-5 (May 2015) . - p.558-565 Mots-clés : Preadolescence  psychosis  emotional disorders  sleep  puberty  developmental psychopathology Index. décimale : PER Périodiques Résumé : Background Knowledge on the significance of childhood psychotic symptoms and experiences (PE) is still limited. This study aimed to investigate the prevalence and clinical significance of PE in preadolescent children from the general population by use of in-depth psychopathological interviews and comprehensive diagnostic assessments. Methods We investigated 1,632 children from the general population-based Copenhagen Child Cohort 2000. PE were measured by semistructured interviews using the K-SADS-PL-items on psychotic and affective symptoms, each symptom scored as not present versus likely or definitely present. The Development and Well-Being Assessment (DAWBA) was used independently to diagnose DSM-IV-mental disorders. Puberty development and sleep disturbance were self-reported. The associations between PE (any lifetime hallucination and/or delusion) and various mental problems and disorders were examined by multivariable binomial regression analyses, adjusting for gender and onset of puberty. Results The weighted life time prevalence of PE at age 11–12 years was 10.9% (CI 9.1–12.7). The majority of children with PE (n = 172) either had a diagnosable DSM-IV-mental disorder (31.4%) or self-reported mental health difficulties in absence of a diagnosis (31.4%). The risk of delusions increased with onset of puberty. The risk of PE increased with emotional and neurodevelopmental disorders, subthreshold depressive symptoms, sleep problems and lack of sleep, regardless of whether PE were expressed as hallucinations and/or delusions. The highest correlations were seen for emotional and multiple disorders. Conclusions Psychotic experiences are particularly prevalent in the context of affective dysregulation and sleep disturbance, increase with onset of puberty and represent a trans-diagnostic marker of psychopathology. En ligne : http://dx.doi.org/10.1111/jcpp.12319 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260

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