Paranoia and risk of personality disorder in the general population

Muñoz-Negro, J.E.; Prudent, Cécile; Gutiérrez, Blanca; Cervilla, Jorge A.

doi:10.1002/pmh.1443

Cited by 12 publications

(6 citation statements)

References 49 publications

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“…Regarding the relationship between DD and personality, our findings would indicate that the prevalence of PDs is probably higher in DD patients than in the general population. This is in line with the hypothesis that specific PDs are associated with DD [24]. Notably, 81.25% of DD patients in our sample presented a co-diagnosis of PD.…”

Section: Discussionsupporting

confidence: 92%

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The Affective Core of Delusional Disorder

et al. 2022

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The aim of the present study is to investigate the relationship between personality, trait affectivity, and severity of delusions in patients with delusional disorder (DD). Thirty-two outpatients affected by DD were administered the Structured Interview for DSM-IV-TR Personality Disorders (SIDP-IV), the Pathological Narcissism Inventory (PNI), the Positive and Negative Affect Schedule (PANAS), and the Psychotic Symptom Rating Scale (PSYRATS). We analyzed the prevalence of personality disorder in our sample of patients with DD and studied the correlations between the severity of delusions and the different affective variables. Finally, we obtained a multivariate explanatory model of the severity of the delusions. The severity of delusions was directly associated with “grandiose fantasy” item of narcissistic personality and inversely related with the feelings of shame, fear, and guilt. In the multivariate model, the feeling of shame was the only independent variable capable of accounting for the severity of delusions that, in DD patients, would lie on an affective core of shame.

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Section: Discussionsupporting

confidence: 92%

“…Moreover, having at least one PD is associated with higher psychopathological scores on affective dimensions, including floating anxiety, guilt, depression, and somatic obsessions [23]. Another study hypothesized that DD is associated with PD in the general population [24].…”

Section: Introductionmentioning

confidence: 99%

The Affective Core of Delusional Disorder

et al. 2022

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“…In contrast to psychotic disorders in which paranoia was based upon victimization, suspicion, and threat of harm, in autism-spectrum disorders, paranoia was based less upon these but more so upon social cynicism[ 68 ]. Yet, certain (developing) personality accentuations or disorders that involve paranoia and suspiciousness, in particular paranoid, schizotypal and borderline personality[ 69 , 70 ], might have contributed our findings. However, for the ongoing personality development in this age group, we had not assessed these in our study on children and adolescents.…”

Section: Discussionmentioning

confidence: 85%

Clinical high-risk criteria of psychosis in 8–17-year-old community subjects and inpatients not suspected of developing psychosis

Schultze‐Lutter¹,

Walger²,

Franscini³

et al. 2022

WJP

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BACKGROUND In children and adolescents compared to adults, clinical high-risk of psychosis (CHR) criteria and symptoms are more prevalent but less psychosis-predictive and less clinically relevant. Based on high rates of non-converters to psychosis, especially in children and adolescents, it was suggested that CHR criteria were: (1) Pluripotential; (2) A transdiagnostic risk factor; and (3) Simply a severity marker of mental disorders rather than specifically psychosis-predictive. If any of these three alternative explanatory models were true, their prevalence should differ between persons with and without mental disorders, and their severity should be associated with functional impairment as a measure of severity. AIM To compare the prevalence and severity of CHR criteria/symptoms in children and adolescents of the community and inpatients. METHODS In the mainly cross-sectional examinations, 8–17-year-old community subjects ( n = 233) randomly chosen from the population register of the Swiss Canton Bern, and inpatients ( n = 306) with primary diagnosis of attention-deficit/hyperactivity disorder ( n = 86), eating disorder ( n = 97), anxiety including obsessive–compulsive disorder ( n = 94), or autism spectrum disorder ( n = 29), not clinically suspected to develop psychosis, were examined for CHR symptoms/criteria. Positive items of the Structured Interview for Psychosis-Risk Syndromes (SIPS) were used to assess the symptomatic ultra-high-risk criteria, and the Schizophrenia Proneness Instrument, Child and Youth version (SPI-CY) was used to assess the 14 basic symptoms relevant to basic symptom criteria. We examined group differences in frequency and severity of CHR symptoms/criteria using χ 2 tests and nonparametric tests with Cramer’s V and Rosenthal’s r as effect sizes, and their association with functioning using correlation analyses. RESULTS The 7.3% prevalence rate of CHR criteria in community subjects did not differ significantly from the 9.5% rate in inpatients. Frequency and severity of CHR criteria never differed between the community and the four inpatient groups, while the frequency and severity of CHR symptoms differed only minimally. Group differences were found in only four CHR symptoms: suspiciousness/persecutory ideas of the SIPS [ χ 2 (4) = 9.425; P = 0.051, Cramer’s V = 0.132; and Z = -4.281, P < 0.001; Rosenthal’s r = 0.184], and thought pressure [ χ 2 (4) = 11.019; P = 0.026, Cramer’s V = 0.143...

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“…Although NDP decreased significantly for both groups over follow-up assessments, the BPD group endorsed NDP at more than twice the rate (43.3%) of those with other PDs (20.7%) 16 years later. More recent work has found that although paranoia is not uncommon in other personality disorders, it is particularly associated with risk for BPD [22]. Moreover, paranoia is more prevalent and severe in BPD compared to dysthymia [23] and even schizophrenia [19].…”

Section: Paranoia and Mistrust Beliefsmentioning

confidence: 99%