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PubMed Central
Article . 2025
Data sources: PubMed Central
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Journal of Child Psychology and Psychiatry
Article . 2025 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
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Trajectories of psychotic‐like experiences in youth and associations with lifestyle factors

Authors: Rebecca Cooper; Els van der Ven; Maria Jalbrzikowski;

Trajectories of psychotic‐like experiences in youth and associations with lifestyle factors

Abstract

Background Persistent and/or distressing psychotic‐like experiences (PLEs) during adolescence are associated with poorer subsequent psychiatric outcomes. Modifiable lifestyle factors (such as sleep quality or regular exercise) may improve mental health outcomes; however, it is unknown how lifestyle factors are linked to trajectories of PLEs. Methods Using data from the Adolescent Brain Cognitive Development Study ( N = 10,075, age 9–10 years at baseline), we characterized trajectories of PLEs using latent growth mixture models assessed using the Prodromal Questionnaire‐Brief Child Version. We examined trajectories of Total and Distress scores. We used multinomial logistic regressions to examine associations between baseline lifestyle behaviors (including self‐reported screen time, physical activity and caffeine intake, and parent‐reported sleep disturbances and recreational activities) and PLE trajectories. Results We identified four trajectories of distress‐related PLEs: No Distress (27%), Rapid Decreasing (17%), Gradual Decreasing (36%), and Persistent Elevated Distress (21%). Compared with the No Distress trajectory, individuals in the Persistent Elevated Distress trajectory spent more time using screens (adjusted Odds Ratio [OR] 2.27, 95% confidence interval [CI] 2.03–2.53), had higher caffeine intake (OR 1.62, 95% CI 1.28–2.04), greater sleep disturbance (OR 1.58, 95% CI 1.45–1.73), participated in fewer recreational activities (OR 0.75, 95% CI 0.68–0.83) and less frequent physical activity (OR 0.81, 95% CI 0.74–0.89). Greater screen time and sleep disturbances further distinguished the most severe group from all other trajectories. Findings were similar when examining total scores. Results remained statistically significant when we included established risk factors of psychosis in each model. Conclusions Lifestyle factors associate with trajectories of PLE‐related distress, providing novel tools for intervention and risk prediction.

Country
Netherlands
Keywords

Male, Screen Time, Sleep Wake Disorders, Psychotic Disorders, Caffeine, Humans, Female, Child, Psychological Distress, Life Style, Exercise, Article

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    influence
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    impulse
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green
hybrid