Psychotic-like experiences among college students and psychosocial influ-encing factors
Objective This study was aimed at gaining insight into the current status of psychotic-like experiences among college students and investigating the effects of psychological and sociodemographic characteristics of these experienc-es.Methods A randomized online questionnaire survey was conducted among 1 336 college students with the Self-Rating Anxiety Scale,Self-Rating Depression Scale,and Community Assessment of Psychological Experience Scale(CAPE-P8).The effects of college students'psychological and general characteristics on psychotic-like experience were assessed.Re-sults The detection rates of psychotic-like experiences were 55.0%for boys and 52.2%for girls;and 50.0%,51.8%,54.0%,59.0%,and 51.3%for first-year to fifth-year students,respectively.Male sex,parental divorce,and anxiety and depression were risk factors for psychotic-like experiences and delusional experiences(P<0.01).These influencing factors contributed to 50.0%of psychotic-like experiences and 46.3%of delusional experiences.Male sex,parental conflict,and anxiety and depres-sion contributed to 41.7%of hallucination experiences.In addition,boys were more likely to have delusional experiences,hal-lucinations and psychotic-like experiences than girls(B=0.389,0.202,0.606,P<0.01).Conclusions Approximately half the participants reported having at least one psychotic-like experience.Factors such as male sex,parental conflict or divorce,and anxiety and depression were identified as the main influences.Therefore,interventions aimed at preventing psychotic-like ex-periences among college students should focus on family dynamics,early detection and management of anxiety and depression,and providing appropriate support for male students experi-encing psychological changes.