{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T11:38:52Z","timestamp":1782819532000,"version":"3.54.5"},"reference-count":42,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T00:00:00Z","timestamp":1754179200000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005156","name":"Alexander von Humboldt-Stiftung","doi-asserted-by":"publisher","award":["3.2\u20101210962\u2010GBR\u2010SKP"],"award-info":[{"award-number":["3.2\u20101210962\u2010GBR\u2010SKP"]}],"id":[{"id":"10.13039\/100005156","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Psychotic\u2010like experiences (PLEs) occur transdiagnostically in young people and are linked to an increased risk of severe psychopathology in adulthood. However, the psychosocial factors influencing PLEs severity and their distribution across diagnoses remain under\u2010researched. Updated knowledge of these aspects is crucial for clinical understanding and treatment. This study aims to expand existing research by investigating the prevalence and psychosocial factors associated with PLEs in help\u2010seeking adolescents, examining differences in their severity across diagnoses and multimorbidity, and exploring preliminary changes following routine cognitive behavioural therapy (CBT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This observational, non\u2010controlled study included 275 adolescents attending a routine mental health service for young people in Germany. Of the full sample, 161 participants completed a full course of CBT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At baseline, 87% reported at least one PLE, and 54.91% reported three or more. The most distressing experiences included thought broadcasting, paranoia, mind reading, and auditory hallucinations. The number of diagnoses did not affect PLEs severity, but the presence of self\u2010reported childhood physical neglect and jumping to conclusions did. Among those who completed CBT, results showed reductions in PLEs severity over time across diagnostic groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study highlights the high prevalence of transdiagnostic PLEs in help\u2010seeking adolescents. Among psychosocial predictors, trauma and cognitive biases were particularly relevant and should be addressed in psychotherapy. The observed improvements in PLEs severity following CBT, irrespective of the primary presenting problem, suggest promising avenues for transdiagnostic therapeutic strategies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.70084","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T04:23:33Z","timestamp":1754281413000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Severity of Psychotic\u2010Like Experiences in Help\u2010Seeking German Adolescents: An Exploration of Psychosocial Predictors and Psychological Treatment Outcomes"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4632-1181","authenticated-orcid":false,"given":"Phuong Mi","family":"Nguyen","sequence":"first","affiliation":[{"name":"Mental Health Research and Treatment Centre Faculty of Psychology, Ruhr\u2010Universit\u00e4t Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Abrantes\u2010Diaz","sequence":"additional","affiliation":[{"name":"Mental Health Research and Treatment Centre Faculty of Psychology, Ruhr\u2010Universit\u00e4t Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f6ren","family":"Friedrich","sequence":"additional","affiliation":[{"name":"Mental Health Research and Treatment Centre Faculty of Psychology, Ruhr\u2010Universit\u00e4t Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Krause","sequence":"additional","affiliation":[{"name":"Mental Health Research and Treatment Centre Faculty of Psychology, Ruhr\u2010Universit\u00e4t Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Schneider","sequence":"additional","affiliation":[{"name":"Mental Health Research and Treatment Centre Faculty of Psychology, Ruhr\u2010Universit\u00e4t Bochum  Bochum Germany"},{"name":"German Centre of Mental Health (DZPG), Partner Site Bochum\/Marburg, Ruhr\u2010Universit\u00e4t Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2293-3875","authenticated-orcid":false,"given":"Mar","family":"Rus\u2010Calafell","sequence":"additional","affiliation":[{"name":"Mental Health Research and Treatment Centre Faculty of Psychology, Ruhr\u2010Universit\u00e4t Bochum  Bochum Germany"},{"name":"German Centre of Mental Health (DZPG), Partner Site Bochum\/Marburg, Ruhr\u2010Universit\u00e4t Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2010013\u20100500\u20100"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13522"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764017733765"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2016.06.009"},{"key":"e_1_2_11_6_1","volume-title":"Diagnostic Interview Schedule for Children: Child Version","author":"Costello A.","year":"1982"},{"key":"e_1_2_11_7_1","volume-title":"S3\u2010Leitlinie Schizophrenie","author":"Deutsche Gesellschaft f\u00fcr Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN)","year":"2019"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbv150"},{"key":"e_1_2_11_9_1","volume-title":"Diagnostisches Und Statistisches Manual Psychischer St\u00f6rungen DSM\u20105","author":"Falkai P.","year":"2015"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S003329170700013X"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291701003312"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2021.0326"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-815012-2.00025-0"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.05.042"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2021.08.018"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100031\u20101298984"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2010014\u20100644\u20106"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719000485"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2642"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12176"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291710001005"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713002122"},{"key":"e_1_2_11_23_1","doi-asserted-by":"crossref","unstructured":"Klasen H. 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