A longitudinal investigation of childhood communication ability and adolescent psychotic experiences in a community sample

SCHIZOPHRENIA RESEARCH

卷:173

Article

Sullivan, Sarah A.^1,2  Hollen, Linda³  Wren, Yvonne⁴  Thompson, Andrew D.⁵  Lewis, Glyn⁶  Zammit, Stan^1,7 

[1] Univ Bristol, Ctr Acad Mental Hlth, Oakfield House, Bristol, Avon, England

[2] CLAHRC West, 9th Floor, Bristol BS1 2NT, Avon, England

[3] Univ Bristol, Ctr Child & Adolescent Hlth, Oakfield House, Bristol, Avon, England

[4] North Bristol NHS Trust, Bristol Speech & Language Therapy Res Unit, Frenchay Hosp, Bristol, Avon, England

[5] Univ Warwick, Div Mental Hlth & Wellbeing, Coventry CV4 7AL, W Midlands, England

[6] UCL, Div Psychiat, Charles Bell House,Gower St, London, England

[7] Cardiff Univ, Inst Psychol Med & Clin Neurosci, Haydn Ellis Bldg,Maindy Rd, Cardiff CF10 3AX, S Glam, Wales

关键词: Pragmatic language;    Expressive speech and language;    Adolescent psychotic experiences;    Adolescent depression;    ALSPAC;   

DOI  :  10.1016/j.schres.2016.03.005

来源: Elsevier

【 摘 要 】

Background: Some childhood speech and language impairments precede psychosis but it is not clear whether they also precede adolescent psychotic experiences and whether this association is specific to psychotic experiences. Methods: Pragmatic language and expressive speech and language (parent-assessed using the Children's Communication Checklist) at age 9 and psychotic experiences and depression at ages 12 and 18 were investigated in 7659 participants from the Avon Longitudinal Study of Parents and Children. Associations were investigated using multivariate modelling. Results: Poorer pragmatic language at 9 years was associated with psychotic experiences at both ages (12 years OR 1.22, 95% CI 1.11, 1.34; 18 years OR 1.25, 95% CI 1.10, 1.41) but only with depression at 18 years (OR 1.10, 95% CI 1.00, 1.22). Poorer expressive speech and language ability was not associated with psychotic experiences or depression at either age. There was evidence that pragmatic language was specifically associated with psychotic experiences at age 12 but no evidence that the strength of any of the associations changed over time. Conclusions: Deficits in pragmatic language precede early and late adolescent psychotic experiences and early adolescent depression. Interventions aimed at helping children improve pragmatic language skills may reduce the incidence of adolescent psychopathology and associated psychological disorder and dysfunction later in life. (C) 2016 The Authors. Published by Elsevier B.V.

【 授权许可】

Free