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Social world interactions: how company connects to paranoia

Published online by Cambridge University Press:  24 August 2010

D. Collip ,
M. Oorschot ,
V. Thewissen ,
J. Van Os ,
R. Bentall  and
I. Myin-Germeys
D. Collip
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands
M. Oorschot
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands
V. Thewissen
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands Faculty of Psychology, Open University of the Netherlands, Heerlen, The Netherlands
J. Van Os
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands Division of Psychological Medicine, Institute of Psychiatry, London, UK
R. Bentall
Affiliation:
School of Psychology, University of Bangor, Bangor, UK
I. Myin-Germeys*
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands
*
*Address for correspondence: Dr I. Myin-Germeys, Department of Psychiatry and Neuropsychology, Maastricht University, PO Box 616 (VIJV), 6200 MD Maastricht, The Netherlands. (Email: i.germeys@sp.unimaas.nl)
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Abstract

Background

Experimental studies have indicated that social contact, even when it is neutral, triggers paranoid thinking in people who score high on clinical or subclinical paranoia. We investigated whether contextual variables are predictive of momentary increases in the intensity of paranoid thinking in a sample of participants ranging across a psychometric paranoia continuum.

Method

The sample (n=154) consisted of 30 currently paranoid patients, 34 currently non-paranoid patients, 15 remitted psychotic patients, 38 high-schizotypy participants, and 37 control subjects. Based on their total score on Fenigstein's Paranoia Scale (PS), three groups with different degrees of paranoia were defined. The Experience Sampling Method (ESM), a structured diary technique, was used to assess momentary social context, perceived social threat and paranoia in daily life.

Results

There were differences in the effect of social company on momentary levels of paranoia and perceived social threat across the range of trait paranoia. The low and medium paranoia groups reported higher levels of perceived social threat when they were with less-familiar compared to familiar individuals. The medium paranoia group reported more paranoia in less-familiar company. The high paranoia group reported no difference in the perception of social threat or momentary paranoia between familiar and unfamiliar contacts.

Conclusions

Paranoid thinking is context dependent in individuals with medium or at-risk levels of trait paranoia. Perceived social threat seems to be context dependent in the low paranoia group. However, at high levels of trait paranoia, momentary paranoia and momentary perceived social threat become autonomous and independent of social reality.

Keywords

Contextdaily lifeenvironmentexperience samplingmechanismpsychosis
Type
Original Articles
Information
Psychological Medicine , Volume 41 , Issue 5 , May 2011 , pp. 911 - 921
Copyright
Copyright © Cambridge University Press 2010

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References

Bach, P, Hayes, SC (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: a randomized controlled trial. Journal of Consulting and Clinical Psychology 70, 1129–1139.CrossRefGoogle ScholarPubMed
Bentall, RP, Corcoran, R, Howard, R, Blackwood, N, Kinderman, P (2001). Persecutory delusions: a review and theoretical integration. Clinical Psychology Review 21, 1143–1192.CrossRefGoogle ScholarPubMed
Bentall, RP, Rowse, G, Kinderman, P, Blackwood, N, Howard, R, Moore, R, Cummins, S, Corcoran, R (2008). Paranoid delusions in schizophrenia spectrum disorders and depression: the transdiagnostic role of expectations of negative events and negative self-esteem. Journal of Nervous and Mental Disease 196, 375–383.CrossRefGoogle ScholarPubMed
Chadwick, PD, Trower, P, Juusti-Butler, TM, Maguire, N (2005). Phenomenological evidence for two types of paranoia. Psychopathology 38, 327–333.CrossRefGoogle ScholarPubMed
Combs, DR, Penn, DL (2004). The role of subclinical paranoia on social perception and behavior. Schizophrenia Research 69, 93–104.CrossRefGoogle ScholarPubMed
Csikszentmihalyi, M, Larson, R (1987). Validity and reliability of the Experience-Sampling Method. Journal of Nervous and Mental Disease 175, 526–536.CrossRefGoogle ScholarPubMed
Delespaul, P, deVries, M, van Os, J (2002). Determinants of occurrence and recovery from hallucinations in daily life. Social Psychiatry and Psychiatric Epidemiology 37, 97–104.CrossRefGoogle ScholarPubMed
Ellett, L, Freeman, D, Garety, PA (2008). The psychological effect of an urban environment on individuals with persecutory delusions: the Camberwell walk study. Schizophrenia Research 99, 77–84.CrossRefGoogle ScholarPubMed
Fenigstein, A, Vanable, PA (1992). Paranoia and self-consciousness. Journal of Personality and Social Psychology 62, 129–138.CrossRefGoogle ScholarPubMed
Fornells-Ambrojo, M, Garety, PA (2005). Bad me paranoia in early psychosis: a relatively rare phenomenon. British Journal of Clinical Psychology 44, 521–528.CrossRefGoogle ScholarPubMed
Freeman, D (2007). Suspicious minds: the psychology of persecutory delusions. Clinical Psychology Review 27, 425–357.CrossRefGoogle ScholarPubMed
Freeman, D (2008). Studying and treating schizophrenia using virtual reality: a new paradigm. Schizophrenia Bulletin 34, 605–610.CrossRefGoogle ScholarPubMed
Freeman, D, Garety, PA (2000). Comments on the content of persecutory delusions: does the definition need clarification? British Journal of Clinical Psychology 39, 407–414.CrossRefGoogle ScholarPubMed
Freeman, D, Garety, PA, Bebbington, P, Slater, M, Kuipers, E, Fowler, D, Green, C, Jordan, J, Ray, K, Dunn, G (2005). The psychology of persecutory ideation II: a virtual reality experimental study. Journal of Nervous and Mental Disease 193, 309–315.CrossRefGoogle Scholar
Freeman, D, Garety, PA, Kuipers, E (2001). Persecutory delusions: developing the understanding of belief maintenance and emotional distress. Psychological Medicine 31, 1293–1306.CrossRefGoogle ScholarPubMed
Freeman, D, Garety, PA, Kuipers, E, Fowler, D, Bebbington, PE, Dunn, G (2007). Acting on persecutory delusions: the importance of safety seeking. Behaviour Research and Therapy 45, 89–99.CrossRefGoogle ScholarPubMed
Freeman, D, Slater, M, Bebbington, PE, Garety, PA, Kuipers, E, Fowler, D, Met, A, Read, CM, Jordan, J, Vinayagamoorthy, V (2003). Can virtual reality be used to investigate persecutory ideation? Journal of Nervous and Mental Disease 191, 509–514.CrossRefGoogle ScholarPubMed
Garety, PA, Hemsley, DR (1987). Characteristics of delusional experience. European Archives of Psychiatry and Neurological Sciences 236, 294–298.CrossRefGoogle ScholarPubMed
Green, AS, Rafaeli, E, Bolger, N, Shrout, PE, Reis, HT (2006). Paper or plastic? Data equivalence in paper and electronic diaries. Psychological Methods 11, 87–105.CrossRefGoogle ScholarPubMed
Hanssen, M, Peeters, F, Krabbendam, L, Radstake, S, Verdoux, H, van Os, J (2003). How psychotic are individuals with non-psychotic disorders? Social Psychiatry and Psychiatric Epidemiology 38, 149–154.CrossRefGoogle ScholarPubMed
Hoffman, RE (2007). A social deafferentation hypothesis for induction of active schizophrenia. Schizophrenia Bulletin 33, 1066–1070.CrossRefGoogle ScholarPubMed
Husky, MM, Grondin, OS, Swendsen, JD (2004). The relation between social behavior and negative affect in psychosis-prone individuals: an experience sampling investigation. European Psychiatry 19, 1–7.CrossRefGoogle ScholarPubMed
Jacobs, N, Nicolson, NA, Derom, C, Delespaul, P, van Os, J, Myin-Germeys, I (2005). Electronic monitoring of salivary cortisol sampling compliance in daily life. Life Sciences 76, 2431–2443.CrossRefGoogle ScholarPubMed
Janssen, I, Versmissen, D, Campo, JA, Myin-Germeys, I, van Os, J, Krabbendam, L (2006). Attribution style and psychosis: evidence for an externalizing bias in patients but not in individuals at high risk. Psychological Medicine 36, 771–778.CrossRefGoogle ScholarPubMed
Jensen, J, Kapur, S (2009). Salience and psychosis: moving from theory to practice. Psychological Medicine 39, 197–198.CrossRefGoogle Scholar
Jorgensen, P (1994). Course and outcome in delusional disorders. Psychopathology 27, 79–88.Google ScholarPubMed
Kaney, S, Bentall, RP (1989). Persecutory delusions and attributional style. British Journal of Medical Psychology 62, 191–198.CrossRefGoogle ScholarPubMed
Kapur, S, Mizrahi, R, Li, M (2005). From dopamine to salience to psychosis – linking biology, pharmacology and phenomenology of psychosis. Schizophrenia Research 79, 59–68.CrossRefGoogle ScholarPubMed
Kay, SR, Fiszbein, A, Opler, LA (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin 13, 261–276.CrossRefGoogle ScholarPubMed
Kinderman, P, Bentall, RP (1996). Self-discrepancies and persecutory delusions: evidence for a model of paranoid ideation. Journal of Abnormal Psychology 105, 106–113.CrossRefGoogle Scholar
Konings, M, Bak, M, Hanssen, M, van Os, J, Krabbendam, L (2006). Validity and reliability of the CAPE: a self-report instrument for the measurement of psychotic experiences in the general population. Acta Psychiatrica Scandinavica 114, 55–61.CrossRefGoogle Scholar
Laruelle, M, Abi-Dargham, A (1999). Dopamine as the wind of the psychotic fire: new evidence from brain imaging studies. Journal of Psychopharmacology 13, 358–371.CrossRefGoogle ScholarPubMed
Macdonald, EM, Hayes, RL, Baglioni, Jr. AJ (2000). The quantity and quality of the social networks of young people with early psychosis compared with closely matched controls. Schizophrenia Research 46, 25–30.CrossRefGoogle ScholarPubMed
Martin, JA, Penn, DL (2001). Social cognition and subclinical paranoid ideation. British Journal of Clinical Psychology 40, 261–265.CrossRefGoogle ScholarPubMed
McGuffin, P, Farmer, A, Harvey, I (1991). A polydiagnostic application of operational criteria in studies of psychotic illness. Development and reliability of the OPCRIT system. Archives of General Psychiatry 48, 764–770.CrossRefGoogle ScholarPubMed
Melo, S, Corcoran, R, Shryane, N, Bentall, RP (2009). The persecution and deservedness scale. Psychology and Psychotherapy 82, 247–260.CrossRefGoogle ScholarPubMed
Morrison, AP, Renton, J, Dunn, H, Williams, S, Bentall, R (2003). Cognitive Therapy for Psychosis: A Formulation-based Approach. Brunner-Routledge: Hove.Google Scholar
Moutoussis, M, Bentall, RP, Williams, J, Dayan, P (2008). A temporal difference account of avoidance learning. Network 19, 137–160.CrossRefGoogle ScholarPubMed
Moutoussis, M, Williams, J, Dayan, P, Bentall, RP (2007). Persecutory delusions and the conditioned avoidance paradigm: towards an integration of the psychology and biology of paranoia. Cognitive Neuropsychiatry 12, 495–510.CrossRefGoogle ScholarPubMed
Myin-Germeys, I, Nicolson, NA, Delespaul, PA (2001). The context of delusional experiences in the daily life of patients with schizophrenia. Psychological Medicine 31, 489–498.CrossRefGoogle ScholarPubMed
Myin-Germeys, I, Oorschot, M, Collip, D, Lataster, J, Delespaul, P, van Os, J (2009). Experience sampling research in psychopathology: opening the black box of daily life. Psychological Medicine 39, 1533–1547.CrossRefGoogle ScholarPubMed
Myin-Germeys, I, van Os, J (2007). Stress-reactivity in psychosis: evidence for an affective pathway to psychosis. Clinical Psychology Review 27, 409–424.CrossRefGoogle ScholarPubMed
Oorschot, M, Kwapil, T, Delespaul, P, Myin-Germeys, I (2009). Momentary assessment research in psychosis. Psychological Assessment 21, 498–505.CrossRefGoogle ScholarPubMed
Pinkham, AE, Hopfinger, JB, Pelphrey, KA, Piven, J, Penn, DL (2008). Neural bases for impaired social cognition in schizophrenia and autism spectrum disorders. Schizophrenia Research 99, 164–175.CrossRefGoogle ScholarPubMed
Roiser, JP, Stephan, KE, den Ouden, HE, Barnes, TR, Friston, KJ, Joyce, EM (2009). Do patients with schizophrenia exhibit aberrant salience? Psychological Medicine 39, 199–209.CrossRefGoogle ScholarPubMed
Schwartz, JE, Stone, AA (1998). Strategies for analyzing ecological momentary assessment data. Health Psychology 17, 6–16.CrossRefGoogle ScholarPubMed
Smári, J, Stefánsson, S, Thorgilsson, H (1994). Paranoia, self-consciousness, and social cognition in schizophrenics. Cognitive Therapy and Research 18, 387–399.CrossRefGoogle Scholar
StataCorp (2007). Stata Statistical Software, Release 10.0. Stata Corporation: College Station, TX.Google Scholar
Stone, AA, Shiffman, S, Schwartz, JE, Broderick, JE, Hufford, MR (2003). Patient compliance with paper and electronic diaries. Controlled Clinical Trials 24, 182–199.CrossRefGoogle ScholarPubMed
Strauss, JS (1994). The person with schizophrenia as a person. II: Approaches to the subjective and complex. British Journal of Psychiatry. Supplement 23, 103–107.CrossRefGoogle Scholar
Susser, E, Finnerty, M, Mojtabai, R, Yale, S, Conover, S, Goetz, R, Amador, X (2000). Reliability of the life chart schedule for assessment of the long-term course of schizophrenia. Schizophrenia Research 42, 67–77.CrossRefGoogle ScholarPubMed
Thewissen, V, Bentall, RP, Lecomte, T, van Os, J, Myin-Germeys, I (2008). Fluctuations in self-esteem and paranoia in the context of daily life. Journal of Abnormal Psychology 117, 143–153.CrossRefGoogle ScholarPubMed
Trower, P, Chadwick, P (1995). Pathways to defence of the self: a theory of two types of paranoia. Clinical Psychology: Science and Practice 2, 263–277.Google Scholar
van Os, J, Linscott, R, Myin-Germeys, I, Delespaul, P, Krabbendam, L (2009). A systematic review and meta-analysis of the psychosis continuum: evidence for a psychosis proneness-persistence-impairment model of psychotic disorder. Psychological Mesdicine 39, 179–195.Google ScholarPubMed
Verdoux, H, Husky, M, Tournier, M, Sorbara, F, Swendsen, JD (2003). Social environments and daily life occurrence of psychotic symptoms. An experience sampling test in a non-clinical population. Social Psychiatry and Psychiatric Epidemiology 38, 654–661.CrossRefGoogle Scholar