Psychotic experiences (PEs) are common in early adolescence and are associated with nonpsychotic psychopathology. However, not all adolescents with PEs have subsequent psychopathology, and vice versa. To date, factors mediating the relationship between PEs and psychopathology have been understudied. The aims of this study were to investigate the bidirectional relationship between PEs and psychopathology in adolescence and to investigate potentially malleable mediators of these relationships. Data from 2 waves (age 13 and 17 years) of Cohort '98 of the Growing Up in Ireland study were examined (n = 6,206). Using KHB pathway decomposition, we investigated the following as potential mediators of the relationship between psychopathology and PEs: parent-child relationship (conflict and positive), self-concept, and child-peer relationship (alienation and trust). Supplementary counterfactual mediation and sensitivity analyses were conducted. Early adolescents with psychopathology had twofold increased odds of late adolescent PEs (internalizing problems: odds ratio [OR] = 2.03, 95% confidence interval [CI; 1.56, 2.62]; externalizing problems: OR = 1.99, CI [1.51, 2.60]). Parent-child conflict explained between 23% and 34% of the associations between internalizing and externalizing problems and subsequent PEs. Early adolescents with PEs had increased odds of late adolescent psychopathology (internalizing problems: OR = 2.01, CI [1.61, 2.50]; externalizing problems: OR = 1.70, CI [1.25, 2.31]). Self-concept alone accounted for 52% of the relationship between PEs and subsequent internalizing problems. There is a bidirectional heterotypic relationship between psychopathology and PEs. Parent-child conflict and self-concept are important characteristics that mediate a proportion of the relationship between PEs and psychopathology. Interventions targeting parent-child conflict in the context of psychopathology and self-concept in the context of PEs may assist in reducing the incidence of poorer outcomes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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是什么介导了精神病经验与精神病理学之间的纵向关系？

精神病经验（PEs）在青春期早期很普遍，并且与非精神病性精神病理学有关。但是，并非所有患有PE的青少年都具有随后的精神病理学，反之亦然。迄今为止，对介导体育与心理病理学之间关系的因素还没有进行研究。这项研究的目的是调查青春期体育和心理病理学之间的双向关系，并调查这些关系的潜在延展性调解人。研究了来自爱尔兰“成长中”研究的98个队列的两次波（年龄分别为13岁和17岁）的数据（n = 6,206）。使用KHB途径分解，我们调查了以下因素作为心理病理学与PE之间关系的潜在媒介：亲子关系（冲突和积极），自我概念，以及同伴关系（疏远和信任）。进行了补充反事实调解和敏感性分析。患有精神病理学的早期青少年青春期晚期PE的几率增加了两倍（内在化问题：优势比[OR] = 2.03，95％置信区间[CI; 1.56，2.62]；外在化问题：OR = 1.99，CI [1.51，2.60]） 。亲子冲突解释了内在和外在问题与随后的PE之间的关联中的23％至34％。早期患有PE的青少年的青春期晚期精神病理学几率增加（内在化问题：OR = 2.01，CI [1.61，2.50]；外在化问题：OR = 1.70，CI [1.25，2.31]）。仅自我概念就占PE与随后的内在化问题之间关系的52％。心理病理学与PE之间存在双向异型关系。亲子冲突和自我概念是重要的特征，可调节PE与心理病理学之间的关系。在心理病理学背景下针对亲子冲突的干预措施以及在体育运动方面针对自我概念的干预措施可能有助于减少不良结局的发生率。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。