Psychotic-like experiences (PLEs), including persecutory ideation, bizarre experiences, and perceptual abnormalities, are considered risk factors for psychotic disorders and mental distress in the general population. The cognitive-affective mechanisms associated with PLEs remain under-investigated. We aimed to longitudinally assess the reciprocal associations between perseverative cognition (PC), an emerging transdiagnostic factor of psychopathology, and PLEs facets in young adults. Participants (n = 160) from the general population completed measures of PC and PLEs at baseline and at 2-month follow-up. A two-wave, three-variable, cross-lagged panel model was implemented controlling for well-established correlates of PC and PLEs such as depression, anxiety, and symptoms of sleep disturbance. Both PLEs and PC exhibited substantive rank-order stability (β ranged from 0.359 to 0.657, ps < 0.001). Cross-lagged effects revealed that baseline PC was associated with bizarre experiences at 2-month follow-up (β = 0.317; p < 0.01). This effect overcame the well-established cut-off for practical significance. In contrast, no baseline PLEs were associated with PC at follow-up. Findings suggest the presence of a monodirectional, rather than bidirectional, association between PC and bizarre experiences in young adulthood. Results should be interpreted in light of the relatively small, non-clinical, and convenient sample.

1.
Lee
K-W
,
Chan
K-W
,
Chang
W-C
,
Lee
EH-M
,
Hui
CL-M
,
Chen
EY-H
.
A systematic review on definitions and assessments of psychotic-like experiences: PLE definitions and assessments review
.
Early Interv Psychiatry
.
2016
;
10
(
1
):
3
16
.
2.
Bourgin
J
,
Tebeka
S
,
Mallet
J
,
Mazer
N
,
Dubertret
C
,
Le Strat
Y
.
Prevalence and correlates of psychotic-like experiences in the general population
.
Schizophr Res
.
2020
;
215
:
371
7
.
3.
Kusztrits
I
,
Larøi
F
,
Laloyaux
J
,
Marquardt
L
,
Sinkeviciute
I
,
Kjelby
E
,
.
Mapping psychotic-like experiences: results from an online survey
.
Scand J Psychol
.
2021
;
62
(
2
):
237
48
.
4.
Welham
J
,
Scott
J
,
Williams
G
,
Najman
J
,
Bor
W
,
O’Callaghan
M
,
.
Emotional and behavioural antecedents of young adults who screen positive for non-affective psychosis: a 21-year birth cohort study
.
Psychol Med
.
2009
;
39
(
4
):
625
34
.
5.
Poulton
R
,
Caspi
A
,
Moffitt
TE
,
Cannon
M
,
Murray
R
,
Harrington
H
.
Children’s self-reported psychotic symptoms and adult schizophreniform disorder: a 15-year longitudinal study
.
Arch Gen Psychiatry
.
2000
;
57
(
11
):
1053
8
.
6.
Hanssen
M
,
Bak
M
,
Bijl
R
,
Vollebergh
W
,
van Os
J
.
The incidence and outcome of subclinical psychotic experiences in the general population
.
Br J Clin Psychol
.
2005
;
44
(
Pt 2
):
181
91
.
7.
Healy
C
,
Cannon
M
.
Psychotic-like experiences in the general population
. In:
Thompson
AD
,
Broome
MR
, editors.
Risk factors for psychosis
.
London
:
Elsevier Academic Press
;
2020
. p.
119
41
.
8.
Sideli
L
,
Murray
RM
,
Schimmenti
A
,
Corso
M
,
La Barbera
D
,
Trotta
A
,
.
Childhood adversity and psychosis: a systematic review of bio-psycho-social mediators and moderators
.
Psychol Med
.
2020
;
50
(
11
):
1761
82
.
9.
Heriot-Maitland
C
,
Knight
M
,
Peters
E
.
A qualitative comparison of psychotic-like phenomena in clinical and non-clinical populations: comparison of psychotic-like phenomena
.
Br J Clin Psychol
.
2012
;
51
(
1
):
37
53
.
10.
Ballesio
A
,
Musetti
A
,
Zagaria
A
,
Manari
T
,
Filosa
M
,
Franceschini
C
.
Depression and mania symptoms mediate the relationship between insomnia and psychotic-like experiences in the general population
.
Sleep Epidemiol
.
2022
;
2
:
100019
.
11.
Ehring
T
,
Zetsche
U
,
Weidacker
K
,
Wahl
K
,
Schönfeld
S
,
Ehlers
A
.
The Perseverative Thinking Questionnaire (PTQ): validation of a content-independent measure of repetitive negative thinking
.
J Behav Ther Exp Psychiatry
.
2011
;
42
(
2
):
225
32
.
12.
Ballesio
A
,
Ghezzi
V
,
Vacca
M
,
Ottaviani
C
,
Lombardo
C
.
Effects of presleep cognitive intrusions on subjective sleep and next-day cognitive performance in insomnia
.
Behav Ther
.
2020
;
51
(
5
):
688
99
.
13.
Wahl
K
,
Ehring
T
,
Kley
H
,
Lieb
R
,
Meyer
A
,
Kordon
A
,
.
Is repetitive negative thinking a transdiagnostic process? A comparison of key processes of RNT in depression, generalized anxiety disorder, obsessive-compulsive disorder, and community controls
.
J Behav Ther Exp Psychiatry
.
2019
;
64
:
45
53
.
14.
Černis
E
,
Dunn
G
,
Startup
H
,
Kingdon
D
,
Wingham
G
,
Evans
N
,
.
The perseverative thinking questionnaire in patients with persecutory delusions
.
Behav Cogn Psychother
.
2016
;
44
(
4
):
472
81
.
15.
Maurage
P
,
Philippot
P
,
Grynberg
D
,
Leleux
D
,
Delatte
B
,
Mangelinckx
C
,
.
Imbalance between abstract and concrete repetitive thinking modes in schizophrenia
.
Compr Psychiatry
.
2017
;
78
:
61
6
.
16.
Sellers
R
,
Wells
A
,
Morrison
AP
.
Are experiences of psychosis associated with unhelpful metacognitive coping strategies? A systematic review of the evidence
.
Clin Psychol Psychother
.
2018
;
25
(
1
):
31
49
.
17.
Spinhoven
P
,
Drost
J
,
van Hemert
B
,
Penninx
BW
.
Common rather than unique aspects of repetitive negative thinking are related to depressive and anxiety disorders and symptoms
.
J Anxiety Disord
.
2015
;
33
:
45
52
.
18.
Capra
C
,
Kavanagh
DJ
,
Hides
L
,
Scott
J
.
Brief screening for psychosis-like experiences
.
Schizophr Res
.
2013
;
149
(
1–3
):
104
7
.
19.
Ottaviani
C
,
Thayer
JF
,
Verkuil
B
,
Lonigro
A
,
Medea
B
,
Couyoumdjian
A
,
.
Physiological concomitants of perseverative cognition: a systematic review and meta-analysis
.
Psychol Bull
.
2016
;
142
(
3
):
231
59
.
20.
Segerstrom
SC
,
Tsao
JCI
,
Alden
LE
,
Craske
MG
.
Worry and rumination: repetitive thought as a concomitant and predictor of negative mood
.
Cogn Ther Res
.
2000
;
24
(
6
):
671
88
.
21.
Wu
Z
,
Liu
Z
,
Zou
Z
,
Wang
F
,
Zhu
M
,
Zhang
W
,
.
Changes of psychotic-like experiences and their association with anxiety/depression among young adolescents before COVID-19 and after the lockdown in China
.
Schizophr Res
.
2021
;
237
:
40
6
.
22.
Kroenke
K
,
Spitzer
RL
,
Williams
JBW
.
The patient health questionnaire-2: validity of a two-item depression screener
.
Med Care
.
2003
;
41
(
11
):
1284
92
.
23.
Kroenke
K
,
Spitzer
RL
,
Williams
JBW
,
Monahan
PO
,
Löwe
B
.
Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection
.
Ann Intern Med
.
2007
;
146
(
5
):
317
25
.
24.
Bastien
CH
,
Vallieres
A
,
Morin
CM
.
Validation of the Insomnia Severity Index as an outcome measure for insomnia research
.
Sleep Med
.
2001
;
2
(
4
):
297
307
.
25.
Tan
M
,
Barkus
E
,
Favelle
S
.
The cross-lagged relationship between loneliness, social support, and psychotic-like experiences in young adults. psychotic-like experiences in young adults
.
Cogn Neuropsychiatry
.
2021
;
26
(
6
):
379
93
.
26.
Zawadzki
MJ
,
Graham
JE
,
Gerin
W
.
Rumination and anxiety mediate the effect of loneliness on depressed mood and sleep quality in college students. depressed mood and sleep quality in college students
.
Health Psychol
.
2013
;
32
(
2
):
212
22
.
27.
Turley
D
,
Drake
R
,
Killackey
E
,
Yung
AR
.
Perceived stress and psychosis: the effect of perceived stress on psychotic-like experiences in a community sample of adolescents
.
Early Interv Psychiatry
.
2019
;
13
(
6
):
1465
9
.
28.
Birk
JL
,
Cornelius
T
,
Edmondson
D
,
Schwartz
JE
.
Duration of perseverative thinking as related to perceived stress and blood pressure: an ambulatory monitoring study
.
Psychosom Med
.
2019
;
81
(
7
):
603
11
.
29.
Rafnsson
SB
,
Orrell
M
,
d’Orsi
E
,
Hogervorst
E
,
Steptoe
A
.
Loneliness, social integration, and incident dementia over 6 years: prospective findings from the English longitudinal study of ageing
.
J Gerontol B Psychol Sci Soc Sci
.
2020
;
75
(
1
):
114
24
.
30.
Cohen
S
, editor.
Measuring stress: a guide for health and social scientists
.
New York
:
Oxford University Press
;
1997
.
31.
Muthén
LK
,
Muthén
BO
.
Mplus user’s guide
. 8th ed.
Los Angeles, CA
:
Muthén & Muthén
;
2017
.
32.
Selig
JP
,
Little
TD
.
Autoregressive and cross-lagged panel analysis for longitudinal data
. In:
Laursen
BP
,
Little
TD
,
Card
NA
, editors.
Handbook of developmental research methods
.
New York
:
Guilford Press
;
2012
. p.
265
78
.
33.
Little
TD
.
Longitudinal structural equation modeling
.
New York
:
Guildford
;
2013
.
34.
Hertzog
C
,
Nesselroade
JR
.
Assessing psychological change in adulthood: an overview of methodological issues
.
Psychol Aging
.
2003
;
18
(
4
):
639
57
.
35.
Little
RJA
.
A test of missing completely at random for multivariate data with missing values
.
J Am Stat Assoc
.
1988
;
83
(
404
):
1198
202
.
36.
Arbuckle
JL
.
Full information estimation in the presence of incomplete data
. In:
Marcoulides
GA
,
Schumacker
RE
, editors.
Advanced structural equation modelling
.
Mahwah, NJ
:
Lawrence Erlbaum
;
1996
. p.
243
77
.
37.
Enders
C
,
Bandalos
D
.
The relative performance of full information maximum likelihood estimation for missing data in structural equation models
.
Struct Equation Model A Multidisciplinary J
.
2001
;
8
(
3
):
430
57
.
38.
Marcoulides
GA
,
Hershberger
SL
.
Multivariate statistical methods: a first course
.
Mahwah, NJ
:
Lawrence Erlbaum Associates
;
1997
.
39.
Ferguson
CJ
.
An effect size primer: a guide for clinicians and researchers
.
Prof Psychol Res Pract
.
2009
;
40
(
5
):
532
8
.
40.
Michael
T
,
Halligan
SL
,
Clark
DM
,
Ehlers
A
.
Rumination in posttraumatic stress disorder
.
Depress Anxiety
.
2007
;
24
(
5
):
307
17
.
41.
Isham
L
,
Griffith
L
,
Boylan
AM
,
Hicks
A
,
Wilson
N
,
Byrne
R
,
.
Understanding, treating, and renaming grandiose delusions: a qualitative study
.
Psychol Psychother
.
2021
;
94
(
1
):
119
40
.
42.
Kim
HS
,
Shin
NY
,
Jang
JH
,
Kim
E
,
Shim
G
,
Park
HY
,
.
Social cognition and neurocognition as predictors of conversion to psychosis in individuals at ultra-high risk
.
Schizophr Res
.
2011
;
130
(
1–3
):
170
5
.
43.
Heins
M
,
Achterhof
R
,
Collip
D
,
Viechtbauer
W
,
Kirtley
OJ
,
Gunther
N
,
.
Social functioning and subclinical psychosis in adolescence: a longitudinal general adolescent population study
.
Acta Psychiatr Scand
.
2019
;
140
(
3
):
275
82
.
44.
Collip
D
,
Wigman
JTW
,
Lin
A
,
Nelson
B
,
Oorschot
M
,
Vollebergh
WAM
,
.
Dynamic association between interpersonal functioning and positive symptom dimensions of psychosis over time: a longitudinal study of healthy adolescents
.
Schizophr Bull
.
2013
;
39
(
1
):
179
85
.
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