Negative schemata about the self and others and paranoid ideation in at-risk states and those with persisting positive symptoms
| Autor: | Wolfgang Wölwer, Verena Pützfeld, Jutta Herrlich, Thomas Wobrock, Martin Lambert, Gudrun Sartory, Walter de Millas, Stefanie Mehl, Stefanie Kiszkenow-Bäker, Birgit Janssen, Tanja Maria Michel, Hendrik Müller, Michael Wagner, Mathias Zink, Georg Juckel, Franziska Rausch, Marion Lautenschlager, Andreas Bechdolf, Andreas Wittorf, Wolfgang Gaebel, Bernhard W. Müller, Seza Krüger-Özgürdal, Frank Schneider, Anne Karow, Joachim Klosterkötter, Georg Wiedemann, Stefan Klingberg, Wolfgang Maier, Michael Riedel, Alkomiet Hasan, Tilo Kircher |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Paranoid Disorders 050103 clinical psychology medicine.medical_specialty Psychosis Future studies Culture Medizin Prodromal Symptoms Lower risk Prodrome Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans 0501 psychology and cognitive sciences Paranoia Psychiatry Association (psychology) Biological Psychiatry Self 05 social sciences Prognosis medicine.disease 030227 psychiatry Psychiatry and Mental health Psychotic Disorders Paranoid ideation Female Pshychiatric Mental Health medicine.symptom Psychology Clinical psychology |
| Zdroj: | Early Intervention in Psychiatry. 12:1157-1165 |
| ISSN: | 1751-7885 |
| DOI: | 10.1111/eip.12433 |
| Popis: | Background The objective of this study is to test the conflicting theories concerning the association of negative self and other schemata and paranoid ideation. Methods A risk-based approach, including risk stratification, is used to gain insight into the association of the negative self and other schemata that may be shared by individuals or differentiate between individuals at clinical high risk (CHR) for a first-episode psychosis and those with full-blown psychosis. The dataset includes a sample of individuals at CHR (n = 137) and a sample of individuals with persisting positive symptoms (PPS, n = 211). The CHR sample was subdivided according to a prognostic index yielding 4 CHR sub-classes with increasing risk for transition to psychosis. Results Negative beliefs about the self were associated with paranoid ideation in CHR and a lower risk state. In the highest risk state and full-blown psychosis, there is an association with negative beliefs about others. Conclusion These findings are in line with theories suggesting a switch from a predominantly activated negative self-schema to a malevolent others-schema in association with paranoid ideation along the risk-continuum. However, due to methodological limitations these results should be replicated by future studies. |
| Databáze: | OpenAIRE |
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