Auditory Hallucinations and Self-Injurious Behavior in General Population Adolescents : Modeling Within-Person Effects in the Tokyo Teen Cohort
© The Author(s) 2022. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center..
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.
STUDY RESULTS: At the within-person level, AHs were associated with subsequent SIB over the observation period (12y-14y: β = .118, P < .001; 14-16y: β = .086, P = .012). The reverse SIB->AHs relationship was non-significant at 12-14y (β = .047, P = .112) but emerged from 14y to 16y as the primary direction of influence (β = .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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:49 |
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| Enthalten in: |
Schizophrenia bulletin - 49(2023), 2 vom: 15. März, Seite 329-338 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Stanyon, Daniel [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 20.03.2023 Date Revised 18.04.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.1093/schbul/sbac155 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM348477570 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2022. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a STUDY RESULTS: At the within-person level, AHs were associated with subsequent SIB over the observation period (12y-14y: β = .118, P < .001; 14-16y: β = .086, P = .012). The reverse SIB->AHs relationship was non-significant at 12-14y (β = .047, P = .112) but emerged from 14y to 16y as the primary direction of influence (β = .243, P < .001). Incorporating depression as a time-varying covariate did not meaningfully alter model estimates | ||
| 520 | |a 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 | ||
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| 700 | 1 | |a Ando, Shuntaro |e verfasserin |4 aut | |
| 700 | 1 | |a Usami, Satoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Endo, Kaori |e verfasserin |4 aut | |
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| 700 | 1 | |a Kasai, Kiyoto |e verfasserin |4 aut | |
| 700 | 1 | |a Nishida, Atsushi |e verfasserin |4 aut | |
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