A longitudinal mediation analysis of the effect of negative-self-schemas on positive symptoms via negative affect

Jaya, Edo Sebastian; Ascone, Leonie; Lincoln, Tania M.

doi:10.1017/s003329171700277x

Cited by 36 publications

(34 citation statements)

References 58 publications

(81 reference statements)

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“…However, to date, the mechanisms whereby these experiences then convert to interpersonal sensitivity are not well understood. Although there are emerging longitudinal studies to suggest a unidirectional pathway from negative self-schemas more broadly to paranoia (Fowler et al 2012; Oliver et al 2012; Jaya et al 2017), the role of interpersonal sensitivity in these pathways has not been investigated. A recent study has shown that interpersonal sensitivity mediated the association between childhood bullying victimisation and paranoia (McDonnell et al 2018), but because the design was cross-sectional, causality could not be established.…”

Section: Discussionmentioning

confidence: 99%

Interpersonal processes in paranoia: a systematic review

Meisel¹,

Ståhl

Valmaggia³

2018

Psychol. Med.

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Paranoid ideation is a core feature of psychosis, and models of paranoia have long proposed that it arises in the context of disturbances in the perception of the self. However, to develop targeted interventions, there is a benefit in clarifying further, which aspects of self-perception are implicated. Interpersonal sensitivity is a personality trait which has been associated with the risk of paranoid thinking in the general population. However, not all studies have found this link. We aimed to review the empirical literature assessing the association between interpersonal sensitivity and paranoia in both general population and clinical samples; and to explore if associations found differed depending on whether state or trait paranoia was assessed. The review followed PRISMA guidelines. Articles were identified through a literature search in OVID (PsychINFO, MEDLINE) and Web of Science up to December 2016. Fourteen studies with a total of 12 138 participants were included. All studies were of 'fair' or 'good' quality. A robust association was found between interpersonal sensitivity and paranoia in clinical and general population samples alike, regardless of the method of assessment of both paranoia and interpersonal sensitivity. Although this finding was more pronounced in studies of trait paranoia, it is likely that differences in study purpose, measurement, and power explain these differences. Findings from this review support the hypothesis that feelings of personal vulnerability and exaggerated socially evaluative concerns are central for both onset and maintenance of paranoid symptoms, suggesting avenues for future research in targeted interventions.

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Section: Discussionmentioning

confidence: 99%

Interpersonal processes in paranoia: a systematic review

Meisel¹,

Ståhl

Valmaggia³

2018

Psychol. Med.

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“…More recent social‐cognitive models suggest that loneliness plays a causal role in paranoia because feeling lonely is characterized by several negative schemas about the self and others, resulting in a heightened sensitivity to threat and decreased trust in interpersonal relationships (Jaya, Ascone, & Lincoln, 2018; Lamster, Lincoln, Lincoln, Nittel, Rief, & Mehl, 2017; Lamster, Nittel, Nittel, Rief, Mehl, & Lincoln, 2017). Much less is known about the relationship between loneliness and other psychotic symptoms.…”

Section: Evidence‐based Practice (Knowledge)mentioning

confidence: 99%

Loneliness in psychosis: A practical review and critique for clinicians.

Badcock

Adery

Park

2020

Clinical Psychology: Science and Practice

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Accumulating evidence shows that loneliness in psychosis is a major concern for patients, is associated with poorer mental and physical health, and is a significant barrier to recovery. Although psychologists play a major role in treating the cognitive, emotional, and social difficulties of people with psychosis, loneliness is rarely addressed. This article presents a structured review and critique of the evidence base on loneliness in youth and adults with psychosis, framed around the knowledge, attitudes, and skills comprising clinical competencies as a foundation for clinical practice.

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“…Psychological models of psychosis have long recognized the role of emotion in the development, maintenance, and treatment of psychosis (Freeman, Garety, Kuipers, Fowler, & Bebbington, ; Garety, Kuipers, Fowler, Freeman, & Bebbington, ; Morrison, ). High levels of negative emotion (primarily anxiety and depression) are common in individuals with psychosis and are associated with, and can be predictive of, psychotic symptoms and recovery from psychosis (Freeman & Garety, ; Freeman et al, ; Hartley, Barrowclough, & Haddock, ; Jaya, Ascone, & Lincoln, ; So et al, ). There is also emerging evidence that psychological interventions specifically targeting negative emotions are efficacious (Opoka, Ludwig, & Lincoln, ).…”

Section: Introductionmentioning

confidence: 99%

Self‐reported emotion regulation difficulties in people with psychosis compared with non‐clinical controls: A systematic literature review

Lawlor

Hepworth

Smallwood

et al. 2020

Clin Psychology and Psychoth

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Emotions play a key role in the development and experience of psychosis, yet there are important gaps in our understanding of how individuals with psychosis understand and respond to their emotions. This systematic review investigated self‐reported emotion regulation difficulties in individuals with psychosis compared with non‐clinical controls. An electronic database search was conducted in Medline, PsychINFO, and Embase and supplemented by searches of reference lists and citations. Seventeen studies were included. A narrative synthesis was conducted because contextual diversity was present across the studies and outcomes. Individuals with psychosis reported greater difficulties in (i) emotional clarity (specifically with identifying, describing, and understanding their emotions), (ii) emotional acceptance, (iii) engaging in goal‐directed behaviours when experiencing negative emotions, and (iv) willingness to experience emotional distress in the pursuit of meaningful activities in life. Evidence pertaining to other self‐reported emotion regulation difficulties was less clear. Effect sizes were generally large in magnitude but there were few studies on some self‐reported emotion regulation difficulties, and all studies were at moderate to high risk of bias. Further research is needed to clarify the nature of emotion regulation difficulties in individuals with psychosis to inform the provision of targeted clinical interventions.

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A longitudinal mediation analysis of the effect of negative-self-schemas on positive symptoms via negative affect

Cited by 36 publications

References 58 publications

Interpersonal processes in paranoia: a systematic review

Interpersonal processes in paranoia: a systematic review

Loneliness in psychosis: A practical review and critique for clinicians.

Self‐reported emotion regulation difficulties in people with psychosis compared with non‐clinical controls: A systematic literature review

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