Evidence map›Paper›PMID 41212288›Full record

SynthesisEuropean child & adolescent psychiatry2026

The prevalence and influencing factors of psychotic-like experiences in children and adolescents: a meta-analysis and systematic review.

Shihan Tang, Ying Xie, Xiaohan Wang, Shiyu You, Yue Fu, Dongmei Wu

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shihan TangSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Ying XieSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Xiaohan WangSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Shiyu YouSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yue FuSchool of Nursing, Chengdu Medical College, Chengdu, China.
Dongmei WuDepartment of Nursing, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, 32# W. Sec 2, 1 Ring Rd., Chengdu, China. wudongmei_2001@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psychotic-like experiences (PLEs) are common among children and adolescents and are associated with adverse outcomes. The aim of this meta-analysis was to synthesize evidence on their prevalence and associated risk factors. From inception to June 21, 2025, we searched the following four databases for relevant articles: EMBASE, PubMed, Web of Science and PsycINFO. Pooled prevalence and odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using a random-effects model. Risk factors were categorized into demographic, lifestyle, psychological, and behavioural domains. Heterogeneity was explored by subgroup analysis (including age, region, etc.) and sensitivity analysis. Publication bias was assessed by funnel plots, Egger's test, and the trim and fill method. This research pooled 45 studies with a total of 353,350 participants. The overall prevalence of PLEs among children and adolescents was 20.9% (95% CI: 18.9-23.0). The prevalence was higher among children (9-12 years: 27.4%) than among adolescents (13-18 years: 19.5%) and varied by region (Europe: 29.2%; Africa: 10.0%). Twelve significant risk factors were identified. The strongest associations were for traumatic events (OR = 1.95, 95% CI: 1.53-2.49), marijuana use (OR = 1.83, 95% CI: 1.16-2.89), and alcohol consumption (OR = 1.74, 95% CI: 1.19-2.55). Other factors included female sex, urban residence, family history of mental disorders, smoking, single-child family, left-behind children, sleep disorders, depression, and anxiety. PLEs are prevalent among young people. Screening and early intervention targeting modifiable risk factors, such as substance use and sleep disorders, may help reduce the long-term burden of PLEs.

Indexed as

Psychotic DisordersAdolescentChildHumansPrevalenceRisk FactorsAdolescentChildrenFactorsMeta-analysisPsychotic-like experiencesSystematic review

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.