Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-Life

Influential models of psychosis indicate that the impact of putative causal factors on positive symptoms might be explained partly through affective disturbances. We aimed to investigate whether pathways from stress and self-esteem to positive symptoms, as well as reversal pathways from symptoms to...

Descripción completa

Detalles Bibliográficos
Autores: Monsonet, Manel|||0000-0003-1898-3212, Rockwood, Nicholas J., Kwapil, Thomas|||0000-0003-1116-5954, Barrantes Vidal, Neus|||0000-0002-8671-1238
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:266421
Acceso en línea:https://ddd.uab.cat/record/266421
https://dx.doi.org/urn:doi:10.1093/schbul/sbac071
Access Level:acceso abierto
Palabra clave:Psychosis
Stress
Self-esteem
Experience sampling
First-episode psychosis
At-risk mental states
id ES_62087bfb3cb2ee127c9bbf03708f73af
oai_identifier_str oai:ddd.uab.cat:266421
network_acronym_str ES
network_name_str España
repository_id_str
spelling Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-LifeThe Mediating Role of Distinct Affective DisturbancesMonsonet, Manel|||0000-0003-1898-3212Rockwood, Nicholas J.Kwapil, Thomas|||0000-0003-1116-5954Barrantes Vidal, Neus|||0000-0002-8671-1238PsychosisStressSelf-esteemExperience samplingFirst-episode psychosisAt-risk mental statesInfluential models of psychosis indicate that the impact of putative causal factors on positive symptoms might be explained partly through affective disturbances. We aimed to investigate whether pathways from stress and self-esteem to positive symptoms, as well as reversal pathways from symptoms to stress and self-esteem, were mediated through specific affective disturbances across the extended psychosis phenotype. Using experience sampling methodology, 178 participants (65 high-schizotypy, 74 at-risk mental state, and 39 first-episode psychosis) were assessed on levels of momentary stress, self-esteem, anxiety, sadness, psychotic-like experiences (PLE), and paranoia. Multilevel mediation models were fit to examine indirect effects of each of these pathways. Considering evidence of mediation, each indirect pathway will be combined in a single model to explore their relative contributions. Anxiety, sadness, and self-esteem mediated the pathways from stress to PLE and paranoia in daily-life. In the pathway to paranoia, sadness, and self-esteem showed larger contributions than anxiety. Pathways from self-esteem to PLE and paranoia were mediated by anxiety and sadness, the later showing a larger contribution. Pathways from symptoms to stress, but not from symptoms to self-esteem, were differently explained by emotional states; sadness lost its mediating effect and anxiety was the most important mediator. Few differences across groups were found. This study lends support to psychological models of psychosis that highlight the relevance of affective disturbances in the risk and expression of psychosis. Furthermore, specific influences of different negative emotional states were identified, which could enhance psychological treatments. 22022-01-0120222022-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/266421https://dx.doi.org/urn:doi:10.1093/schbul/sbac071reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengAgencia Estatal de Investigación https://doi.org/10.13039/501100011033 PSI2017-87512-C2-1-RAgència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2017/SGR-1612open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2664212026-06-06T12:50:31Z
dc.title.none.fl_str_mv Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-Life
The Mediating Role of Distinct Affective Disturbances
title Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-Life
spellingShingle Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-Life
Monsonet, Manel|||0000-0003-1898-3212
Psychosis
Stress
Self-esteem
Experience sampling
First-episode psychosis
At-risk mental states
title_short Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-Life
title_full Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-Life
title_fullStr Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-Life
title_full_unstemmed Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-Life
title_sort Psychological Pathways to Paranoia and Psychotic-Like Experiences in Daily-Life
dc.creator.none.fl_str_mv Monsonet, Manel|||0000-0003-1898-3212
Rockwood, Nicholas J.
Kwapil, Thomas|||0000-0003-1116-5954
Barrantes Vidal, Neus|||0000-0002-8671-1238
author Monsonet, Manel|||0000-0003-1898-3212
author_facet Monsonet, Manel|||0000-0003-1898-3212
Rockwood, Nicholas J.
Kwapil, Thomas|||0000-0003-1116-5954
Barrantes Vidal, Neus|||0000-0002-8671-1238
author_role author
author2 Rockwood, Nicholas J.
Kwapil, Thomas|||0000-0003-1116-5954
Barrantes Vidal, Neus|||0000-0002-8671-1238
author2_role author
author
author
dc.subject.none.fl_str_mv Psychosis
Stress
Self-esteem
Experience sampling
First-episode psychosis
At-risk mental states
topic Psychosis
Stress
Self-esteem
Experience sampling
First-episode psychosis
At-risk mental states
description Influential models of psychosis indicate that the impact of putative causal factors on positive symptoms might be explained partly through affective disturbances. We aimed to investigate whether pathways from stress and self-esteem to positive symptoms, as well as reversal pathways from symptoms to stress and self-esteem, were mediated through specific affective disturbances across the extended psychosis phenotype. Using experience sampling methodology, 178 participants (65 high-schizotypy, 74 at-risk mental state, and 39 first-episode psychosis) were assessed on levels of momentary stress, self-esteem, anxiety, sadness, psychotic-like experiences (PLE), and paranoia. Multilevel mediation models were fit to examine indirect effects of each of these pathways. Considering evidence of mediation, each indirect pathway will be combined in a single model to explore their relative contributions. Anxiety, sadness, and self-esteem mediated the pathways from stress to PLE and paranoia in daily-life. In the pathway to paranoia, sadness, and self-esteem showed larger contributions than anxiety. Pathways from self-esteem to PLE and paranoia were mediated by anxiety and sadness, the later showing a larger contribution. Pathways from symptoms to stress, but not from symptoms to self-esteem, were differently explained by emotional states; sadness lost its mediating effect and anxiety was the most important mediator. Few differences across groups were found. This study lends support to psychological models of psychosis that highlight the relevance of affective disturbances in the risk and expression of psychosis. Furthermore, specific influences of different negative emotional states were identified, which could enhance psychological treatments.
publishDate 2022
dc.date.none.fl_str_mv 2
2022-01-01
2022
2022-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/266421
https://dx.doi.org/urn:doi:10.1093/schbul/sbac071
url https://ddd.uab.cat/record/266421
https://dx.doi.org/urn:doi:10.1093/schbul/sbac071
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PSI2017-87512-C2-1-R
Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2017/SGR-1612
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869409464948359168
score 15.300719

Similares en LA Referencia