Negative schemata about the self and others and paranoid ideation in at-risk states and those with persisting positive symptoms

Hendrik Müller; Walter de Millas; Wolfgang Gaebel; Jutta Herrlich; Alkomiet Hasan; Birgit Janssen; Georg Juckel; Anne Karow; Tilo Kircher; Stefanie Kiszkenow-Bäker; Stefan Klingberg; Joachim Klosterkötter; Seza Krüger-Özgürdal; Martin Lambert; Marion Lautenschlager; Wolfgang Maier; Tanja Maria Michel; Stefanie Mehl; Bernhard W Müller; Verena Pützfeld; Franziska Rausch; Michael Riedel; Gudrun Sartory; Frank Schneider; Michael Wagner; Georg Wiedemann; Andreas Wittorf; Thomas Wobrock; Wolfgang Wölwer; Mathias Zink; Andreas Bechdolf

doi:10.1111/eip.12433

Negative schemata about the self and others and paranoid ideation in at-risk states and those with persisting positive symptoms

Hendrik Müller, Walter de Millas, Wolfgang Gaebel, Jutta Herrlich, Alkomiet Hasan, Birgit Janssen, Georg Juckel, Anne Karow, Tilo Kircher, Stefanie Kiszkenow-Bäker, Stefan Klingberg, Joachim Klosterkötter, Seza Krüger-Özgürdal, Martin Lambert, Marion Lautenschlager, Wolfgang Maier, Tanja Maria Michel, Stefanie Mehl, Bernhard W Müller, Verena PützfeldFranziska Rausch, Michael Riedel, Gudrun Sartory, Frank Schneider, Michael Wagner, Georg Wiedemann, Andreas Wittorf, Thomas Wobrock, Wolfgang Wölwer, Mathias Zink, Andreas Bechdolf

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Abstract

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.

Originalsprog	Engelsk
Tidsskrift	Early Intervention in Psychiatry
Vol/bind	12
Udgave nummer	6
Sider (fra-til)	1157-1165
ISSN	1751-7885
DOI	https://doi.org/10.1111/eip.12433
Status	Udgivet - 1. dec. 2018
Udgivet eksternt	Ja

Dokumenter og links

10.1111/eip.12433

Citationsformater

Müller, H., de Millas, W., Gaebel, W., Herrlich, J., Hasan, A., Janssen, B., Juckel, G., Karow, A., Kircher, T., Kiszkenow-Bäker, S., Klingberg, S., Klosterkötter, J., Krüger-Özgürdal, S., Lambert, M., Lautenschlager, M., Maier, W., Michel, T. M., Mehl, S., Müller, B. W., ... Bechdolf, A. (2018). Negative schemata about the self and others and paranoid ideation in at-risk states and those with persisting positive symptoms. Early Intervention in Psychiatry, 12(6), 1157-1165. https://doi.org/10.1111/eip.12433

@article{70e2ede6584e44fabcdf3f5001f79727,

title = "Negative schemata about the self and others and paranoid ideation in at-risk states and those with persisting positive symptoms",

abstract = "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.",

keywords = "paranoia, prodrome, psychosis, schemata, suspiciousness",

author = "Hendrik M{\"u}ller and {de Millas}, Walter and Wolfgang Gaebel and Jutta Herrlich and Alkomiet Hasan and Birgit Janssen and Georg Juckel and Anne Karow and Tilo Kircher and Stefanie Kiszkenow-B{\"a}ker and Stefan Klingberg and Joachim Klosterk{\"o}tter and Seza Kr{\"u}ger-{\"O}zg{\"u}rdal and Martin Lambert and Marion Lautenschlager and Wolfgang Maier and Michel, {Tanja Maria} and Stefanie Mehl and M{\"u}ller, {Bernhard W} and Verena P{\"u}tzfeld and Franziska Rausch and Michael Riedel and Gudrun Sartory and Frank Schneider and Michael Wagner and Georg Wiedemann and Andreas Wittorf and Thomas Wobrock and Wolfgang W{\"o}lwer and Mathias Zink and Andreas Bechdolf",

note = "{\textcopyright} 2017 John Wiley & Sons Australia, Ltd.",

year = "2018",

month = dec,

day = "1",

doi = "10.1111/eip.12433",

language = "English",

volume = "12",

pages = "1157--1165",

journal = "Early Intervention in Psychiatry",

issn = "1751-7885",

publisher = "Wiley",

number = "6",

}

Müller, H, de Millas, W, Gaebel, W, Herrlich, J, Hasan, A, Janssen, B, Juckel, G, Karow, A, Kircher, T, Kiszkenow-Bäker, S, Klingberg, S, Klosterkötter, J, Krüger-Özgürdal, S, Lambert, M, Lautenschlager, M, Maier, W, Michel, TM, Mehl, S, Müller, BW, Pützfeld, V, Rausch, F, Riedel, M, Sartory, G, Schneider, F, Wagner, M, Wiedemann, G, Wittorf, A, Wobrock, T, Wölwer, W, Zink, M & Bechdolf, A 2018, 'Negative schemata about the self and others and paranoid ideation in at-risk states and those with persisting positive symptoms', Early Intervention in Psychiatry, bind 12, nr. 6, s. 1157-1165. https://doi.org/10.1111/eip.12433

TY - JOUR

T1 - Negative schemata about the self and others and paranoid ideation in at-risk states and those with persisting positive symptoms

AU - Müller, Hendrik

AU - de Millas, Walter

AU - Gaebel, Wolfgang

AU - Herrlich, Jutta

AU - Hasan, Alkomiet

AU - Janssen, Birgit

AU - Juckel, Georg

AU - Karow, Anne

AU - Kircher, Tilo

AU - Kiszkenow-Bäker, Stefanie

AU - Klingberg, Stefan

AU - Klosterkötter, Joachim

AU - Krüger-Özgürdal, Seza

AU - Lambert, Martin

AU - Lautenschlager, Marion

AU - Maier, Wolfgang

AU - Michel, Tanja Maria

AU - Mehl, Stefanie

AU - Müller, Bernhard W

AU - Pützfeld, Verena

AU - Rausch, Franziska

AU - Riedel, Michael

AU - Sartory, Gudrun

AU - Schneider, Frank

AU - Wagner, Michael

AU - Wiedemann, Georg

AU - Wittorf, Andreas

AU - Wobrock, Thomas

AU - Wölwer, Wolfgang

AU - Zink, Mathias

AU - Bechdolf, Andreas

PY - 2018/12/1

Y1 - 2018/12/1

N2 - 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.

AB - 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.

KW - paranoia

KW - prodrome

KW - psychosis

KW - schemata

KW - suspiciousness

U2 - 10.1111/eip.12433

DO - 10.1111/eip.12433

M3 - Journal article

C2 - 28524542

SN - 1751-7885

VL - 12

SP - 1157

EP - 1165

JO - Early Intervention in Psychiatry

JF - Early Intervention in Psychiatry

IS - 6

ER -

Negative schemata about the self and others and paranoid ideation in at-risk states and those with persisting positive symptoms

Abstract

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