Cited by 84Schizophrenia research and treatmentChild and Adolescent Psychosocial and Emotional DevelopmentPsychology and Mental Health

Psychotic experiences co‐occur with sleep problems, negative affect and mental disorders in preadolescence

Jeppesen, Pia, Clemmensen, Lars, Munkholm, Anja, Rimvall, Martin K., Rask, Charlotte U., Jørgensen, Torben, Larsen, Janne T., Petersen, Liselotte +2 more·2015·Journal of Child Psychology and Psychiatry

Abstract

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.

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Authors
Jeppesen, P., Clemmensen, L., Munkholm, A., Rimvall, M. K., Rask, C. U., Jørgensen, T., Larsen, J. T., Petersen, L., van Os, J., & Skovgaard, A. M.
Affiliations
  • University of Copenhagen (DK)
  • Aarhus University Hospital (DK)
  • Aarhus University (DK)
  • King's College London King's Health Partners Department of Psychosis Studies Institute of Psychiatry London UK
Corresponding author
Jeppesen, Pia
Venue
Journal of Child Psychology and Psychiatry
Publisher
Wiley
Published
2014-08-25
Volume
56
Issue
5
Pages
558-565
ISSN
  • 0021-9630 (ISSN-L)
  • 1469-7610
OpenAlex
W2134137670
Cited by
84
References
35
Citations by year
2026: 1 · 2025: 4 · 2024: 6 · 2023: 7 · 2022: 9 · 2021: 6 · 2020: 9 · 2019: 9 · 2018: 8 · 2017: 4 · 2016: 11 · 2015: 8 · 2014: 1 · 2013: 1
FWCI
6.11
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Child Psychology and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
  • Research Publications (Maastricht University) (submittedVersion)
Funders
  • Danish Foundation TrygFonden
  • The Lundbeck Foundation
  • Mental Health Services, Capital Region of Denmark
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords
psychotic experiences, preadolescents, hallucinations, delusions, sleep disorders, negative affect, puberty onset, emotional disorders, neurodevelopmental disorders, subthreshold depression, prevalence, mental illness
MeSH terms
Affective Symptoms, Mental Disorders, Child, Delusions, Denmark, Female, Follow-Up Studies, Hallucinations, Humans, Male, Psychotic Disorders, Sleep Wake Disorders, Comorbidity

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