The Relevance of Emotion Regulation in Explaining Why Social Exclusion Triggers Paranoia in Individuals at Clinical High Risk of Psychosis

Lincoln, Tania M.; Sundag, Johanna; Schlier, Björn; Karow, Anne

doi:10.1093/schbul/sbx135

Cited by 57 publications

(48 citation statements)

References 81 publications

(83 reference statements)

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“…However, we find this unlikely given that we 547 detected expected relationships between variables, interactions between paranoid 548 ideation and the speed of harmful intent attributions, and found typical population 549 distributions of anxiety, worry and paranoia. Similarly, 'screen-based' studies have 550 previously reported reliable effects when testing paranoid ideation (29)(30)(31)(32)(33)(50)(51)(52). 551…”

Section: Discussion 492mentioning

confidence: 97%

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Paranoia, sensitisation and social inference: findings from two large-scale, multi-round behavioural experiments.

Barnby¹,

Deeley²,

Robinson³

et al. 2019

Preprint

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1The sensitisation model suggests paranoia is explained by over-sensitivity to 2 perceived threat in social environments. However, this has been difficult to test 3 experimentally. We report two pre-registered studies that tested i) the sensitisation 4 model as an explanation of paranoia, and; ii) the role of purported maintaining 5 factors in supporting social sensitisation. In study one, we recruited a large general 6 population sample (N=987) who serially interacted with other participants in multi-7round Dictator games, matched to fair, partially fair, or unfair partners. Participants 8 rated attributions of harmful intent and self-interest after each interaction. In study 9 two (N=1011), a new sample of participants completed the same procedure and 10 additionally completed measures of anxiety, worry and interpersonal sensitivity. As 11 predicted, paranoid ideation predicted higher and faster overall harmful intent 12 attributions, whereas attributions of self-interest were unaffected, supporting the 13 sensitisation model. Contrary to predictions, neither worry nor anxiety predicted 14 harmful intent attributions while interpersonal sensitivity predicted decreased harmful 15 intent attributions. In a third exploratory study we combined data sets to examine the 16 effect of paranoia on trial by trial attributional changes when playing fair and unfair 17dictators. Paranoia predicted a greater reduction in harmful intent attributions when 18 playing a fair but not unfair dictator, suggesting paranoia may also exaggerate the 19 volatility of beliefs about the harmful intent of others. 20 21

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Section: Discussion 492mentioning

confidence: 97%

“…This is in line with previous findings from studies using a 517 range of alternative paradigms. Simulated social exclusion with the 'cyberball' game 518 increased state paranoia in non-clinical individuals with high trait paranoia (50), in 519 individuals at high risk of psychosis (51), and patients with paranoid delusions (52). 520…”

Section: Discussion 492mentioning

confidence: 99%

Paranoia, sensitisation and social inference: findings from two large-scale, multi-round behavioural experiments.

Barnby¹,

Deeley²,

Robinson³

et al. 2019

Preprint

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show abstract

“…All participants were paid for participating in the study. Data related to the social exclusion paradigm (Lincoln et al 2018;Sundag et al 2018) and questionnaire data (Ascone et al, 2020) have been published elsewhere. Here, we analyze the data from the questionnaires and from the experimental paradigm on emotion-regulation.…”

Section: Methodsmentioning

confidence: 99%

Emotion-Regulation in Psychosis: Patients with Psychotic Disorders Apply Reappraisal Successfully

et al. 2020

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Background Emotion-regulation is assumed to be impaired in psychosis: patients with psychotic disorders (PD) self-report to use reappraisal less frequently than healthy controls (HC), but it is uncertain whether they are also less successful in applying reappraisal. Moreover, it has not been investigated whether the habitual use of reappraisal is associated with the ability to use reappraisal successfully. Methods To address these questions, PD (n = 60), a clinical control group of patients with anxiety disorders (AD; n = 40) and HC (n = 40) completed questionnaires on habitual emotion-regulation and alexithymia, performed tests on neurocognitive functioning and jumping-to-conclusion bias, and were subjected to an emotion-regulation paradigm, in which they were asked to down-regulate induced anxiety and sadness. Results No differences were found between PD and HC regarding the habitual use of reappraisal, but PD reported to use reappraisal more frequently than AD. All groups were able to down-regulate anxiety and sadness via reappraisal following instructions. The habitual use of reappraisal and the reduction of anxiety and sadness after instruction were uncorrelated. Conclusion These findings question the common assumption that PD use reappraisal less often or less successfully. At least under laboratory condition, PD do not appear to be impaired in reducing negative affect via reappraisal successfully.

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“…Experimental stress induction has been shown to lead to changes in positive symptoms across psychosis continuum (Valmaggia et al, 2015;Veling et al, 2016). The pathway from stressors to symptoms involves a stronger negative emotional response (Lincoln et al, 2018) and negative self-esteem (Jongeneel et al, 2018). Experience sampling studies have shown that on a day-to-day basis, sensitivity to stress is related to increased severity of delusions and hallucinations, with a mediating role of negative affect (Lataster et al, 2013;Reininghaus et al, 2016).…”

Section: Letter To the Editormentioning

confidence: 99%

Psychotic experiences in student population during the COVID-19 pandemic

Hajdúk

Dančík

Januška

et al. 2020

Schizophrenia Research

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The Relevance of Emotion Regulation in Explaining Why Social Exclusion Triggers Paranoia in Individuals at Clinical High Risk of Psychosis

Cited by 57 publications

References 81 publications

Paranoia, sensitisation and social inference: findings from two large-scale, multi-round behavioural experiments.

Paranoia, sensitisation and social inference: findings from two large-scale, multi-round behavioural experiments.

Emotion-Regulation in Psychosis: Patients with Psychotic Disorders Apply Reappraisal Successfully

Psychotic experiences in student population during the COVID-19 pandemic

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