Objective To explore the impact of parental marital status and post-traumatic stress symptoms on psychotic-like experiences of college students, so as to provide a reference for the prevention of mental health problems in children from families with unstable marital status. Methods This study was a cross-sectional study. Using cluster sampling, all students in 16 schools of a university in northern China were selected from March to April 2023 for the study. The survey was conducted using the Post-Traumatic Stress Disorder Checklist-Civilian Version and the 15-Item Positive Subscale of the Community Assessment of Psychic Experiences. Logistic regression analysis was used to explore the factors influencing psychotic-like experiences. Process 3.3 plug-in in SPSS 22.0 was used for the mediating effect test. A total of 21 573 valid questionnaires were included in the analysis. Results The positive rates of psychotic-like experiences and subthreshold posttraumatic stress disorder( PTSD) in university students were 8.26%( 1 782/21 573) and 14.92%( 3 219/21 573), respectively. Differences in rates of subthreshold PTSD across gender, educational level, family history of mental illness, and parental marital status were statistically significant( χ2=54.00, 224.15, 87.63, 299.77; all P < 0.05). Differences in rates of high psychotic-like experiences were statistically significant across gender, educational level, home location, family history of mental illness, and parental marital status( χ2=7.36, 215.56, 13.08, 61.76, 183.72; all P< 0.05). Univariate and multivariate Logistic regression analyses revealed that unstable parental marital status[ OR=2.20, 95%CI( 1.96, 2.47); OR=1.53, 95%CI( 1.35, 1.74)] and subthreshold PTSD[ OR=10.10, 95%CI( 9.11,11.20); OR=8.99, 95%CI( 8.09, 9.99)] were risk factors for high psychotic-like experiences, and the differences were statistically significant( all P < 0.05). Controlling for the confounding variables of gender, age, education level, home location, only child, and family history of mental illness, unstable parental marital status positively predicted post-traumatic stress symptoms( β=4.41, P<0.001), post-traumatic stress symptoms positively predicted psychotic-like experiences,( β=0.19,P<0.001), and unstable parental marital status positively predicted psychotic-like experience( β=1.24,P < 0.001), with all statistical differences. The mediating effect test showed that post-traumatic stress symptoms and each dimension( trauma re-experience symptoms, avoidance and numbness symptoms, and increased alertness symptoms) partially mediated the parental marital status of university students and psychotic-like experiences, with mediating effects accounting for 66.94%, 52.42%, 58.87%, and 56.45% of the total effect, respectively. Conclusions Parental marital status, post-traumatic stress symptoms, and psychotic-like experiences in university students are closely related. Post-traumatic stress symptoms can partially mediate the effect of parental marital status on psychotic-like experiences among university students.
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侯威威,岳凌宇,李艳,鲁小华,彭兴,周福春,王传跃.高校学生父母婚姻状态与精神病性体验的关系及中介因素研究[J].神经疾病与精神卫生,2025,25(10):703-710 DOI :10.3969/j. issn.1009-6574.2025.10.003.