Background: Psychotic-like experiences index an increased risk for subsequent psychotic disorders. A risky family environment is a well-established risk factor for psychotic-like experiences, however different contextual and personal factors may differentially mediate their effect on psychotic-like experiences, including different aspects of resilience. Objective: In this study we propose a two-dimension model of resilience. Our aim is to address separately the mediational role of personal and contextual resilience factors between a risky family environment and PLE in a community sample. Methods and Materials: Five hundred University students completed an on-line questionnaire including the Resilience Scale for Adults, the 16-item version of the Prodromal Questionnaire and the Risky Family Questionnaire. Mediation was assessed using Structural Equation Modelling with bootstrapping estimation of indirect effect. Results: Direct effect of Personal and Contextual resilience on Psychotic-like experiences were respectively -0.69 [- 0.97, -0.41] (p<0.001) and -0.19 [-0.58, 0.20] (ns); indirect effects through personal resilience was 0.03[ 0.01, 0.04] (p<0.001). Personal resilience mediated 27.4% of the total effect of risky family environment on psychotic-like experiences. Discussion: Personal resilience, but not contextual resilience, mediated the effect of a risky family environment on Psychotic-like experiences. Poor personal resilience may represent an individual risk factor that transmits the effect of risky family environment on psychotic-like experiences, and could represent a central aspect of individualised prevention and treatment strategies.

中文翻译：

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复原力的个人和上下文组成部分可调节危险家庭环境对类似精神病的经历的影响。

背景：类似精神病的经历表明随后发生精神病的风险增加。危险的家庭环境是公认的精神病样经历的危险因素，但是不同的背景和个人因素可能会不同地介导其对精神病样经历的影响，包括韧性的不同方面。目的：在这项研究中，我们提出了二维弹性模型。我们的目标是分别解决社区样本中有风险的家庭环境和PLE之间的个人和上下文弹性因素的中介作用。方法和材料：500名大学生完成了在线问卷，包括成人适应力量表，前驱问卷的16项版本和有风险的家庭问卷。使用结构方程模型对中介进行评估，并通过间接估计自举。结果：个人和情境适应力对类似精神病经历的直接影响分别为-0.69 [-0.97，-0.41]（p <0.001）和-0.19 [-0.58，0.20]（ns）；通过个人韧性产生的间接影响为0.03 [0.01，0.04]（p <0.001）。个人适应能力介导了危险家庭环境对精神病样经历的总影响的27.4％。讨论：个人的适应能力而非背景的适应能力介导了危险的家庭环境对类似精神病患者体验的影响。个人的适应能力差可能代表了一种个人风险因素，会传递危险的家庭环境对类似精神病的经历的影响，