Sleep disturbance and psychotic-like experiences among urban adolescents with and without parental migration

Aim Sleep disturbance was closely associated with an increased risk of psychotic-like experiences (PLEs). This study aims to explore the association between sleep disturbance and PLEs among urban adolescents with and without parental migration. Methods A total of 67, 532 urban Chinese adolescents were recruited in a large web-based survey during April 21st to May 12th, 2021. In our study, sleep disturbance, PLEs, family function, school climate, and a series of socio-demographic were assessed. And hierarchical logistic regression analyses were performed to examine influential factors associated with PLEs. Results Urban left-behind children (LBC) had a higher prevalence of sleep disturbance and PLEs than non-LBC. After controlling for confounders, parental migration was associated to PLEs with weak significance (OR = 1.19). Meanwhile, sleep disturbance was found to be a robust risk factor for PLEs (OR = 3.84 and 4.09), with or without the effect of parental migration. In addition, better family function and school climate has significant association with decreased risk of PLEs. Conclusion Adolescents with sleep disturbance are more likely to report PLEs. Adolescents' PLEs preventive strategies could focus on reducing sleep disturbance related symptoms as well as improving family function and school climate.

[1]  F. Fan,et al.  Sleep disturbance is predictive of psychotic-like experiences among adolescents: A two-wave longitudinal survey. , 2022, Sleep medicine.

[2]  Zhening Liu,et al.  Sex difference in the prevalence of psychotic-like experiences in adolescents: results from a pooled study of 21,248 Chinese participants , 2022, Psychiatry Research.

[3]  F. Fan,et al.  Current psychotic-like experiences among adolescents in China: Identifying risk and protective factors , 2022, Schizophrenia Research.

[4]  F. Fan,et al.  Resilience buffers the association between sleep disturbance and psychotic-like experiences in adolescents , 2022, Schizophrenia Research.

[5]  Mengni Wang,et al.  Association between internet addiction and suicidal ideation, suicide plans, and suicide attempts among Chinese adolescents with and without parental migration , 2021, Comput. Hum. Behav..

[6]  F. Fan,et al.  Sleep disturbance predicts suicidal ideation during COVID-19 pandemic: A two-wave longitudinal survey , 2021, Journal of Psychiatric Research.

[7]  Yijie Wang,et al.  Daily bidirectional associations between adolescent negative peer interactions and sleep in rural China: The moderating effect of parental migration. , 2021, Applied psychology. Health and well-being.

[8]  F. Fan,et al.  Shift work disorder and related influential factors among shift workers in China. , 2021, Sleep medicine.

[9]  G. Qu,et al.  Suicide ideation, suicide plan, and suicide attempt among left-behind children and adolescents: A systematic review and meta-analysis. , 2021, Suicide & life-threatening behavior.

[10]  A. Adewuya,et al.  Psychotic like experiences among Nigerian school adolescents: Findings from the Lagos Schools Emotional and Behavioral Health Survey , 2020, Early intervention in psychiatry.

[11]  Leesa Lin,et al.  Mental health and substance use in urban left-behind children in China: A growing problem , 2020 .

[12]  Wanjie Tang,et al.  Impact of parental absence on insomnia and nightmares in Chinese left-behind adolescents: A structural equation modeling analysis , 2020 .

[13]  P. Stratta,et al.  Personal and contextual components of resilience mediate risky family environment's effect on psychotic‐like experiences , 2020, medRxiv.

[14]  J. van os,et al.  Mental Health Service Use and Psychopharmacological Treatment Following Psychotic Experiences in Preadolescence. , 2020, The American journal of psychiatry.

[15]  C. Dubertret,et al.  Prevalence and correlates of psychotic-like experiences in the general population , 2020, Schizophrenia Research.

[16]  F. Fan,et al.  Predictors of the initiation of shift work disorder among Chinese intern nurses: a prospective study. , 2019, Sleep medicine.

[17]  Y. Yao,et al.  The mediating role of resilience and self-esteem between negative life events and positive social adjustment among left-behind adolescents in China: a cross-sectional study , 2019, BMC Psychiatry.

[18]  M. Cannon,et al.  Childhood and adolescent psychotic experiences and risk of mental disorder: a systematic review and meta-analysis , 2019, Psychological Medicine.

[19]  M. Noohu,et al.  Physical activity and sleep quality in relation to mental health among college students , 2019, Sleep and Breathing.

[20]  D. Devakumar,et al.  Health impacts of parental migration on left-behind children and adolescents: a systematic review and meta-analysis , 2018, The Lancet.

[21]  L. Arseneault,et al.  Girls get by with a little help from their friends: gender differences in protective effects of social support for psychotic phenomena amongst poly-victimised adolescents , 2018, Social Psychiatry and Psychiatric Epidemiology.

[22]  W. Sellwood,et al.  Birth experiences, trauma responses and self-concept in postpartum psychotic-like experiences , 2018, Schizophrenia Research.

[23]  Steven H. Jones,et al.  Are sleep disturbances causally linked to the presence and severity of psychotic-like, dissociative and hypomanic experiences in non-clinical populations? A systematic review , 2018, Neuroscience & Biobehavioral Reviews.

[24]  Ying Liang,et al.  Depression among left-behind children in China , 2017, Journal of health psychology.

[25]  Zhening Liu,et al.  Psychotic-like experiences and correlation with childhood trauma and other socio-demographic factors: A cross-sectional survey in adolescence and early adulthood in China , 2017, Psychiatry Research.

[26]  F. Fan,et al.  Sleep Disturbance Predicts Posttraumatic Stress Disorder and Depressive Symptoms: A Cohort Study of Chinese Adolescents. , 2017, The Journal of clinical psychiatry.

[27]  R. Rosenheck,et al.  Psychotic-like experiences, trauma and related risk factors among “left-behind” children in China , 2017, Schizophrenia Research.

[28]  R. Girgis,et al.  Sleep disturbances in individuals at clinical high risk for psychosis , 2017, Psychiatry Research.

[29]  D. Freeman,et al.  The role of sleep dysfunction in the occurrence of delusions and hallucinations: A systematic review , 2015, Clinical psychology review.

[30]  Li Chen,et al.  Perceived positive teacher-student relationship as a protective factor for Chinese left-behind children's emotional and behavioural adjustment. , 2015, International journal of psychology : Journal international de psychologie.

[31]  Zhening Liu,et al.  Psychotic-like experiences and associated socio-demographic factors among adolescents in China , 2015, Schizophrenia Research.

[32]  J. Cheng,et al.  Depression and anxiety among left-behind children in China: a systematic review. , 2015, Child: care, health and development.

[33]  G. Lewis,et al.  Childhood sleep disturbance and risk of psychotic experiences at 18: UK birth cohort , 2015, British Journal of Psychiatry.

[34]  L. Jin,et al.  Self-concept of left-behind children in China: a systematic review of the literature. , 2015, Child: care, health and development.

[35]  Ying Ge,et al.  Research on Relationship Among Internet-Addiction, Personality Traits and Mental Health of Urban Left-Behind Children , 2014, Global journal of health science.

[36]  R. Murray,et al.  Meta-analysis of cognitive deficits in ultra-high risk to psychosis and first-episode psychosis: do the cognitive deficits progress over, or after, the onset of psychosis? , 2014, Schizophrenia bulletin.

[37]  M. El-Sheikh,et al.  Reciprocal relations between children's sleep and their adjustment over time. , 2014, Developmental psychology.

[38]  V. Bergink,et al.  Autoimmunity, Inflammation, and Psychosis: A Search for Peripheral Markers , 2014, Biological Psychiatry.

[39]  M. Givaudan,et al.  Children left behind: how to mitigate the effects and facilitate emotional and psychosocial development: supportive community networks can diminish the negative effects of parental migration. , 2013, Child abuse & neglect.

[40]  Joseph M. Orr,et al.  Sleep dysfunction and thalamic abnormalities in adolescents at ultra high-risk for psychosis , 2013, Schizophrenia Research.

[41]  R. Roberts,et al.  Depression and insomnia among adolescents: a prospective perspective. , 2013, Journal of affective disorders.

[42]  J. Jang,et al.  The relationship between psychotic-like experiences and sleep disturbances in adolescents. , 2012, Sleep medicine.

[43]  J. Os,et al.  An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders , 2012, Psychological Medicine.

[44]  M. Cannon,et al.  Prevalence of psychotic symptoms in childhood and adolescence: a systematic review and meta-analysis of population-based studies , 2012, Psychological Medicine.

[45]  James G. Scott,et al.  The association between delusional-like experiences, and tobacco, alcohol or cannabis use: a nationwide population-based survey , 2011, BMC psychiatry.

[46]  E. Graham,et al.  Migrant Parents and the Psychological Well-Being of Left-Behind Children in Southeast Asia , 2011, Journal of marriage and the family.

[47]  A. Caspi,et al.  Childhood trauma and children's emerging psychotic symptoms: A genetically sensitive longitudinal cohort study. , 2011, The American journal of psychiatry.

[48]  J. Os,et al.  Evidence that onset of clinical psychosis is an outcome of progressively more persistent subclinical psychotic experiences: an 8-year cohort study. , 2011, Schizophrenia bulletin.

[49]  J. Os,et al.  A systematic review and meta-analysis of the psychosis continuum: evidence for a psychosis proneness–persistence–impairment model of psychotic disorder , 2008, Psychological Medicine.

[50]  A. Caspi,et al.  Children's self-reported psychotic symptoms and adult schizophreniform disorder: a 15-year longitudinal study. , 2000, Archives of general psychiatry.

[51]  Harvey A. Skinner,et al.  Family Assessment Measure (FAM) and Process Model of Family Functioning , 2000 .

[52]  W. Hoy,et al.  Middle School Climate: An Empirical Assessment of Organizational Health and Student Achievement , 1997 .

[53]  J. Bowlby.  Attachment and loss: retrospect and prospect. , 1982, The American journal of orthopsychiatry.

[54]  G. Smilkstein,et al.  The family APGAR: a proposal for a family function test and its use by physicians. , 1978, The Journal of family practice.

[55]  K. Shadan,et al.  Available online: , 2012 .