The relationship between psychotic symptoms and social functioning in a non-clinical population of 12 year olds

Laura L Asher*, Stanley Zammit, Sarah A Sullivan, Sarah Dorrington, Jon E Heron, Glyn H Lewis

*Corresponding author for this work

Research output: Contribution to journalSpecial issue (Academic Journal)peer-review

16 Citations (Scopus)

Abstract

BACKGROUND: Psychotic symptoms are common in adolescents in the general population but it is unknown whether they are associated with poor social functioning.

AIMS: To investigate whether adolescent psychotic symptoms are associated with poor social functioning measured by peer relationships.

METHOD: Data from the Avon Longitudinal Study of Parents and Children cohort was used. Logistic regression was used to explore the relationship between psychotic symptoms at 12.9years detected using a semi-structured interview and poor social functioning at 13.2years using parent-reported peer problems from the Strengths and Difficulties Questionnaire.

RESULTS: There was strong evidence (p<0.001) of an unadjusted association between psychotic symptoms and poor social functioning (OR 1.41, 95% CI 1.24-1.61). The association was attenuated after adjusting for earlier social functioning, socio-demographic variables, bullying status and IQ (OR 1.28, 95% CI 1.09-1.50). The majority of the crude association was explained by additional adjustment for emotional problems including depression at age 12, emotional symptoms, hyperactivity and conduct problems at age 11 (OR 1.07, 95% CI 0.89-1.29).

CONCLUSION: Adolescents with psychotic symptoms may be no more likely to have poor social functioning than other adolescents, once other emotional problems have been taken into account. The discussion addressed two explanations. First, emotional problems may be on the causal pathway from psychotic symptoms to poor social functioning. Alternatively, emotional symptoms may act as a confounder, suggesting that medical intervention may be inappropriate. It is the impact of psychotic symptoms on the individual that should dictate whether any intervention is required.

Original languageEnglish
Pages (from-to)404-409
Number of pages6
JournalSchizophrenia Research
Volume150
Issue number2-3
Early online date7 Sep 2013
DOIs
Publication statusPublished - 1 Nov 2013

Keywords

  • Adolescence
  • ALSPAC
  • Peer relationships
  • Psychosis
  • Social functioning

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