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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.
- Pragmatic language
- Expressive speech and language
- Adolescent psychotic experiences
- Adolescent depression
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- 1 Finished
Lewis, G. H.
1/10/08 → 1/04/13
- Bristol Medical School (PHS) - Deputy Chief Operating Officer ALSPAC, Research Fellow (Quantitative in Primary Care)
- Bristol Population Health Science Institute
- Centre for Academic Mental Health
- Centre for Academic Primary Care
Person: Academic , Member, Professional and Administrative