Variation in psychosocial influences according to the dimensions and content of children’s unusual experiences: potential routes for the development of targeted interventions

摘要: The psychosocial processes implicated in the development and maintenance of psychosis differ according to both dimensional attributes (conviction, frequency, associated distress, adverse life impact) content or type (e.g. grandiosity, hallucinations, paranoia) psychotic symptoms experienced. This has informed ‘targeted’ cognitive behavioural therapy for (CBTp): interventions focusing on specific psychological context particular symptom presentations. In adults, larger effect sizes change primary outcomes are typically reported trials targeted interventions, compared those generic CBTp approaches with multiple therapeutic foci. We set out test theoretical basis developing young people distressing psychotic-like, unusual, experiences (UEs). investigated variations previously self-reported UE severity (reasoning, negative events, emotional problems) content/type (using an established five-factor model) a clinically referred sample 72 aged 8–14 years. Regression analyses revealed associations conviction grandiosity reasoning; hallucinations paranoia, events; distress/adverse impact, paranoia problems. conclude that targets intervention characteristics childhood UEs much same way as adults. is therefore indicated, tailoring presentation should further improve clinical these people.