{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:48:47Z","timestamp":1792640927736,"version":"4.5.0"},"reference-count":63,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["09150161910016"],"award-info":[{"award-number":["09150161910016"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH129636"],"award-info":[{"award-number":["R01MH129636"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006367","name":"Tommy Fuss Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006367","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Persistent and\/or distressing psychotic\u2010like experiences (PLEs) during adolescence are associated with poorer subsequent psychiatric outcomes. Modifiable lifestyle factors (such as sleep quality or regular exercise) may improve mental health outcomes; however, it is unknown how lifestyle factors are linked to trajectories of PLEs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using data from the Adolescent Brain Cognitive Development Study (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200910,075, age 9\u201310\u2009years at baseline), we characterized trajectories of PLEs using latent growth mixture models assessed using the Prodromal Questionnaire\u2010Brief Child Version. We examined trajectories of Total and Distress scores. We used multinomial logistic regressions to examine associations between baseline lifestyle behaviors (including self\u2010reported screen time, physical activity and caffeine intake, and parent\u2010reported sleep disturbances and recreational activities) and PLE trajectories.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified four trajectories of distress\u2010related PLEs: No Distress (27%), Rapid Decreasing (17%), Gradual Decreasing (36%), and Persistent Elevated Distress (21%). Compared with the No Distress trajectory, individuals in the Persistent Elevated Distress trajectory spent more time using screens (adjusted Odds Ratio [OR] 2.27, 95% confidence interval [CI] 2.03\u20132.53), had higher caffeine intake (OR 1.62, 95% CI 1.28\u20132.04), greater sleep disturbance (OR 1.58, 95% CI 1.45\u20131.73), participated in fewer recreational activities (OR 0.75, 95% CI 0.68\u20130.83) and less frequent physical activity (OR 0.81, 95% CI 0.74\u20130.89). Greater screen time and sleep disturbances further distinguished the most severe group from all other trajectories. Findings were similar when examining total scores. Results remained statistically significant when we included established risk factors of psychosis in each model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lifestyle factors associate with trajectories of PLE\u2010related distress, providing novel tools for intervention and risk prediction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.14179","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T18:05:07Z","timestamp":1753812307000},"page":"5-16","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Trajectories of psychotic\u2010like experiences in youth and associations with lifestyle factors"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7056-5141","authenticated-orcid":false,"given":"Rebecca","family":"Cooper","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Boston Children's Hospital  Boston MA USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Els","family":"van der Ven","sequence":"additional","affiliation":[{"name":"Department of Clinical, Neuro\u2010 and Developmental Psychology Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6574-9432","authenticated-orcid":false,"given":"Maria","family":"Jalbrzikowski","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Boston Children's Hospital  Boston MA USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-019-01187-6"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2014.915181"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2017.10.010"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1995.tb02031.x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567-017-0234-5"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12765"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2869.1996.00251.x"},{"key":"e_1_2_10_9_1","unstructured":"Centers for Disease Control and Prevention. 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