期刊
ACTA PSYCHIATRICA SCANDINAVICA
卷 124, 期 3, 页码 193-197出版社
WILEY-BLACKWELL
DOI: 10.1111/j.1600-0447.2011.01699.x
关键词
theory of mind; child and adolescent psychiatry; psychoses
类别
资金
- Stichting tot Steun VCVGZ (Christian Union for Care of Mentally Ill)
- Stichting Open Ankh
- Bensdorp Fund
- Maastricht University Medical Centre
- Rob Giel Research centre of the University of Groningen
- Eli Lilly
- BMS
- Lundbeck
- Organon
- Janssen-Cilag
- GSK
- AstraZeneca
- Pfizer
- Servier
Objective: To examine the social cognitive vulnerabilities mediating delusion formation in children presenting with hallucinatory experiences. Method: A sample of 259 12- and 13-year-old children, from a baseline case-control sample of children with and without auditory hallucinations (AH), were re-assessed after 5 years for presence of AH. Presence of delusions and theory of mind (ToM) were also assessed, to examine the hypothesized moderating role of ToM in delusion formation in children hearing voices. Results: In children with AH at age 7-8 and/or 12-13 years, the risk of delusion formation was significantly higher (P interaction = 0.027) in those with lower ToM skills (OR = 4.3, 95% CI 1.9-9.9, P = 0.000), compared to those with higher ToM skills (OR 1.6, 95% CI 0.7-3.7, P = 0.26), independently from secondary school level. Conclusion: The results suggest that better mentalizing abilities confer protection against delusion formation in children experiencing perceptual anomalies, not reducible to general cognitive ability.
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