TY - JOUR
T1 - The association between transient childhood psychotic experiences and psychosocial outcomes in young adulthood
T2 - Examining the role of mental disorders and adult attachment
AU - Staines, Lorna
AU - Healy, Colm
AU - Kelleher, Ian
AU - Cotter, David
AU - Burns, Annette
AU - Cannon, Mary
N1 - © 2023 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.
PY - 2023/1/16
Y1 - 2023/1/16
N2 - Aim: Evidence suggest individuals with mental disorders and psychotic experiences (PE), even transient PE, show poorer psychosocial outcomes relative to those with mental disorders. The concept of “attachment” is hypothesized as the mechanism by which people seek support in times of need. This can be measured as discrete styles or as positive (low avoidance/anxiety)/negative (high avoidance/anxiety) dimensions. Adult attachment has previously been examined on PE risk factors, but not outcomes. This study aimed to examine the relationship between transient childhood PE and adult psychosocial outcomes, comparing those with and without mental disorders. Second, to examine the role of adult attachment. Method: Participants (n = 103) attended baseline (age 11–13) and 10-year follow-up. PE and mental disorders were measured using the Schedule for Affective Disorders and Schizophrenia for School-aged Children. Attachment and outcomes were measured using self-report measures. Analysis compared those with PE (with/without mental disorders), and mental disorders without PE, to controls, using linear and Poisson regression. Results: PE was associated with lower self-esteem (β = −2.28, p =.03), perceived social support from friends (β = −2.80, p =.01), and higher stress in platonic relationships (IRR = 1.64). PE and mental disorders were associated with lower self-esteem (β = −5.74, p =.002), higher stress in romantic (IRR = 1.40) and platonic (IRR = 1.59) relationships, general stress (β = 5.60, p =.006), and mental distress (β = 5.67, p =.001). Mental disorders alone was not associated with any measure. Adult attachment dimensions attenuated some results. Conclusions: This paper illustrates the association between transient PE and adult psychosocial outcomes, with & without co-occurring mental disorders, and demonstrates the role of adult attachment.
AB - Aim: Evidence suggest individuals with mental disorders and psychotic experiences (PE), even transient PE, show poorer psychosocial outcomes relative to those with mental disorders. The concept of “attachment” is hypothesized as the mechanism by which people seek support in times of need. This can be measured as discrete styles or as positive (low avoidance/anxiety)/negative (high avoidance/anxiety) dimensions. Adult attachment has previously been examined on PE risk factors, but not outcomes. This study aimed to examine the relationship between transient childhood PE and adult psychosocial outcomes, comparing those with and without mental disorders. Second, to examine the role of adult attachment. Method: Participants (n = 103) attended baseline (age 11–13) and 10-year follow-up. PE and mental disorders were measured using the Schedule for Affective Disorders and Schizophrenia for School-aged Children. Attachment and outcomes were measured using self-report measures. Analysis compared those with PE (with/without mental disorders), and mental disorders without PE, to controls, using linear and Poisson regression. Results: PE was associated with lower self-esteem (β = −2.28, p =.03), perceived social support from friends (β = −2.80, p =.01), and higher stress in platonic relationships (IRR = 1.64). PE and mental disorders were associated with lower self-esteem (β = −5.74, p =.002), higher stress in romantic (IRR = 1.40) and platonic (IRR = 1.59) relationships, general stress (β = 5.60, p =.006), and mental distress (β = 5.67, p =.001). Mental disorders alone was not associated with any measure. Adult attachment dimensions attenuated some results. Conclusions: This paper illustrates the association between transient PE and adult psychosocial outcomes, with & without co-occurring mental disorders, and demonstrates the role of adult attachment.
KW - adult
KW - attachment
KW - childhood and adolescent
KW - mental disorders
KW - psychosocial outcomes
KW - psychotic experiences
UR - http://www.scopus.com/inward/record.url?scp=85146349228&partnerID=8YFLogxK
U2 - 10.1111/eip.13382
DO - 10.1111/eip.13382
M3 - Article
C2 - 36646439
AN - SCOPUS:85146349228
SN - 1751-7885
JO - Early Intervention in Psychiatry
JF - Early Intervention in Psychiatry
ER -