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The association between neighborhood-level social fragmentation and distressing psychotic-like experiences in early adolescence: the moderating role of close friends

Published online by Cambridge University Press:  16 February 2024

Benson S. Ku Open the ORCID record for Benson S. Ku [Opens in a new window] ,
Jiyuan Ren ,
Michael T. Compton ,
Benjamin G. Druss ,
Shuyi Guo  and
Elaine F. Walker
Benson S. Ku*
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
Jiyuan Ren
Affiliation:
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA
Michael T. Compton
Affiliation:
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and New York State Psychiatric Institute, New York, NY, USA
Benjamin G. Druss
Affiliation:
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA, USA
Shuyi Guo
Affiliation:
Department of Biostatistics, Rollins School of Public Health, Emory University, Atlanta, GA, USA
Elaine F. Walker
Affiliation:
Department of Psychology, Emory University, Atlanta, GA, USA
*
Corresponding author: Benson S. Ku; Email: bsku@emory.edu
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Abstract

Background

Early exposure to neighborhood social fragmentation has been shown to be associated with schizophrenia. The impact of social fragmentation and friendships on distressing psychotic-like experiences (PLE) remains unknown. We investigate the relationships between neighborhood social fragmentation, number of friends, and distressing PLE among early adolescents.

Methods

Data were collected from the Adolescent Brain Cognitive Development Study. Generalized linear mixed models tested associations between social fragmentation and distressing PLE, as well as the moderating role of the number of total and close friends.

Results

Participants included 11 133 adolescents aged 9 to 10, with 52.3% being males. Greater neighborhood social fragmentation was associated with higher levels of distressing PLE (adjusted β = 0.05; 95% CI: 0.01–0.09). The number of close but not total friends significantly interacted with social fragmentation to predict distressing PLE (adjusted β = −0.02; 95% CI: −0.04 to <−0.01). Among those with fewer close friends, the association between neighborhood social fragmentation and distressing PLE was significant (adjusted β = 0.07; 95% CI: 0.03–0.11). However, among those with more close friends, the association was non-significant (adjusted β = 0.03; 95% CI: −0.01 to 0.07).

Conclusions

Greater neighborhood social fragmentation is associated with higher levels of distressing PLE, particularly among those with fewer close friends. Further research is needed to disentangle aspects of the interaction between neighborhood characteristics and the quality of social interactions that may contribute to psychosis, which would have implications for developing effective interventions at the individual and community levels.

Keywords

adolescenceadolescent psychiatryfriendsneighborhood social fragmentationpsychosis riskpsychotic-like experiences

Information

Type
Original Article
Information
Psychological Medicine , Volume 54 , Issue 9 , July 2024 , pp. 2172 - 2180
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Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press

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