Psychotic symptoms in non-clinical populations and the continuum of psychosis
Abstract
A growing body of evidence suggests that delusional or hallucinatory experiences are much more frequent in subjects from the general population than the prevalence of cases of psychotic disorders, thereby suggesting the existence of a symptomatic continuum between subjects from the general population and clinical cases of psychosis. Exploring the risk factors modulating the expression of psychosis-like signs in non-clinical populations may better contribute to elucidate the etiology of psychosis than research restricted to subjects at the endpoint of the distribution of the psychotic dimension. The aim of this paper is to briefly review research investigating the distribution of psychotic symptoms in non-clinical populations, the developmental aspects of psychosis proneness, and the outcome characteristics of psychosis-prone subjects.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Psychotic symptoms, and specifically paranoia, are not confined to clinically defined groups but are distributed across the general population.
“Evidence suggests that psychotic symptoms [54–56], and specifically paranoia [16], are not only confined to clinically defined groups, but are distributed across the general population.”
From A structural equation model of the relationship between insomnia, negative affect, and paranoid thinking (2017) · cites this paper as [55]
Research studying aspects of psychosis among members of the general population can inform understanding of the same experiences in clinical populations.
“Thus, research studying aspects of the experience of psychosis among members of the general population can inform our understanding of the same experiences in clinical populations [55].”
From A structural equation model of the relationship between insomnia, negative affect, and paranoid thinking (2017) · cites this paper as [55]
Cites
Implications of Normal Brain Development for the Pathogenesis of Schizophrenia
Weinberger, D. R. (1987) · Archives of General Psychiatry · doi:10.1001/archpsyc.1987.01800190080012 · Cited by 3,724 · see citing works
Schizotaxia, schizotypy, schizophrenia.
Meehl, P. E. (1962) · American Psychologist · doi:10.1037/h0041029 · Cited by 2,036 · see citing works
The strategy of preventive medicine
(1993) · Choice Reviews Online · doi:10.5860/choice.30-5633 · Cited by 1,878 · see citing works
Children's Self-Reported Psychotic Symptoms and Adult Schizophreniform Disorder
Poulton, R., Caspi, A., Moffitt, T. E., Cannon, M. D., Murray, R. M., & Harrington, H. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.11.1053 · Cited by 1,139 · see citing works
Putatively psychosis-prone subjects 10 years later.
Chapman, L. J., Chapman, J. P., Kwapil, T. R., Eckblad, M., & Zinser, M. C. (1994) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.103.2.171 · Cited by 977 · see citing works
Strauss (1969) revisited: a psychosis continuum in the general population?
van Os, J., Hanssen, M., Bijl, R. V., & Ravelli, A. (2000) · Schizophrenia Research · doi:10.1016/s0920-9964(99)00224-8 · Cited by 893 · see citing works
Self-citationPeters, E. R., Joseph, S. A., & Garety, P. A. (1999) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033401 · Cited by 771 · see citing works
Kendler, K. S. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830110060007 · Cited by 676 · see citing works
Distribution of hallucinations in the population
Tien, A. Y. (1991) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00789221 · Cited by 527 · see citing works
Religion, psychopathology, and substance use and abuse; a multimeasure, genetic-epidemiologic study
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.3.322 · Cited by 516 · see citing works
Search for the Causes of Schizophrenia
(1995) · Springer eBooks · doi:10.1007/978-3-642-79429-2 · Cited by 510 · see citing works
Hallucinations and delusions as points on continua function. Rating scale evidence.
Strauss, J. S. (1969) · Archives of General Psychiatry · doi:10.1001/archpsyc.1969.01740230069010 · Cited by 494 · see citing works
(1997) · Oxford University Press eBooks · doi:10.1093/med:psych/9780198523536.001.0001 · Cited by 472 · see citing works
The factor structure of ‘schizotypal‘ traits: A large replication study
CLARIDGE, G. S., McCreery, C., Mason, O. J., Bentall, R. P., Boyle, G. J., Slade, P. D., & Popplewell, D. A. (1996) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1996.tb01166.x · Cited by 361 · see citing works
The Strategy of Preventive Medicine
Whincup, P. H. (1993) · Journal of Epidemiology & Community Health · doi:10.1136/jech.47.1.77 · Cited by 325 · see citing works
The National Comorbidity Survey
Kessler, R. C., & Walters, E. E. (2002) · Wiley eBooks · doi:10.1002/0471234311.ch14 · Cited by 305 · see citing works
The Epidemiology of Schizophrenia
Abstract, E. F. T. (2002) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544118 · Cited by 275 · see citing works
A scale for the measurement of schizotypy
Venables, P. H., Wilkins, S., Mitchell, D. A., Raine, A., & Bailes, K. (1990) · Personality and Individual Differences · doi:10.1016/0191-8869(90)90061-u · Cited by 270 · see citing works
Magical ideation and social anhedonia as predictors of psychosis proneness: A partial replication.
Kwapil, T. R., Miller, M. B., Zinser, M. C., Chapman, J. P., & Chapman, L. J. (1997) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.106.3.491 · Cited by 240 · see citing works
Screening for Psychosis in the General Population with a Self-Report Interview
Eaton, W. W., Romanoski, A. J., Anthony, J. C., & Nestadt, G. (1991) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199111000-00007 · Cited by 238 · see citing works
(1995) · Cambridge University Press eBooks · doi:10.1017/cbo9780511759031 · Cited by 236 · see citing works
A survey of delusional ideation in primary-care patients
Verdoux, H., Maurice-Tison, S., GAY, B., van Os, J., Salamon, R., & Bourgeois, M.-L. (1998) · Psychological Medicine · doi:10.1017/s0033291797005667 · Cited by 213 · see citing works
Self-citationSchizotypy: Implications for Illness and Health
Siever, L. J. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.4.683-a · Cited by 203 · see citing works
Verdoux, H., van Os, J., Maurice-Tison, S., Gay, B., Salamon, R., & Bourgeois, M.-L. (1998) · Schizophrenia Research · doi:10.1016/s0920-9964(97)00095-9 · Cited by 196 · see citing works
Self-citationFully and quasi-dimensional constructions of schizotypy
Claridge, G., & Beech, T. (1995) · Schizotypal Personality · doi:10.1017/cbo9780511759031.010 · Cited by 194 · see citing works
Self-reported psychosis-like symptoms and the continuum of psychosis
van Os, J., Verdoux, H., Maurice-Tison, S., Gay, B., Liraud, F., Salamon, R., & Bourgeois, M.-L. (1999) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050220 · Cited by 190 · see citing works
Self-citationHäfner, H., Hambrecht, M., Löffler, W., Munk‐Jørgensen, P., & Riecher‐Rössler, A. (1998) · Psychological Medicine · doi:10.1017/s0033291797006399 · Cited by 159 · see citing works
Is schizophrenia a lifetime disorder of brain plasticity, growth and aging?
DeLisi, L. E. (1997) · Schizophrenia Research · doi:10.1016/s0920-9964(96)00079-5 · Cited by 150 · see citing works
Sex differences in schizotypal personality in a nonclinical population.
Raine, A. (1992) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.101.2.361 · Cited by 146 · see citing works
Sex differences in schizotypal personality in a nonclinical population
Raine, A. (1992) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.101.2.361 · Cited by 146 · see citing works
The life course of schizophrenia: age and symptom dimensions
Schultz, S. K., Miller, D. D., Oliver, S. E., Arndt, S. V., Flaum, M. A., & Andreasen, N. C. (1997) · Schizophrenia Research · doi:10.1016/s0920-9964(96)00087-4 · Cited by 123 · see citing works
The structure of schizotypy, its relation to subdiagnoses of schizophrenia and to sex and age
Venables, P. H., & Bailes, K. (1994) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1994.tb01124.x · Cited by 117 · see citing works
Schizophrenia: Recent Epidemiologic Issues
Jablensky, A. V. (1995) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a036164 · Cited by 112 · see citing works
Verdoux, H., van Os, J., Maurice-Tison, S., Gay, B., Salamon, R., & Bourgeois, M. L. (1999) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(99)90091-3 · Cited by 111 · see citing works
Self-citationThe Content and Structure of Schizotypy: A Study Using Confirmatory Factor Analysis
Venables, P. H., & Rector, N. A. (2000) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033480 · Cited by 89 · see citing works
van Os, J., & Verdoux, H. (2002) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544118.025 · Cited by 73 · see citing works
Self-citationThe profiles of clinical deterioration in schizophrenia
McGlashan, T. H. (1998) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(97)00015-0 · Cited by 61 · see citing works
Religious affiliation in twins and their parents: Testing a model of cultural inheritance
Eaves, L. J., Martin, N. G., & Heath, A. C. (1990) · Behavior Genetics · doi:10.1007/bf01070736 · Cited by 46 · see citing works
Gender, psychopathology, and development: from puberty to early adulthood
Galdos, P. (1995) · Schizophrenia Research · doi:10.1016/0920-9964(94)00020-9 · Cited by 46 · see citing works
Psychosis as an Extreme of Continuous Variation in Dimensions of Psychopathology
van Os, J., Verdoux, H., Bijl, R. C., & Ravelli, A. (1999) · Steinkopff eBooks · doi:10.1007/978-3-642-47076-9_4 · Cited by 31 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Cuthbert, B. N. (2014) · World Psychiatry · doi:10.1002/wps.20087 · Cited by 1,377 · see citing works
Schizophrenia Is a Cognitive Illness: Time for a Change in Focus
Kahn, R. S., & Keefe, R. S. E. (2013) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.155 · Cited by 825 · see citing works
Pavlovian conditioning-induced hallucinations result from overweighting of perceptual priors
Powers, A. R., Mathys, C., & Corlett, P. R. (2017) · Science · doi:10.1126/science.aan3458 · Cited by 684 · see citing works
Loneliness over time: The crucial role of social anxiety.
Lim, M. H., Rodebaugh, T. L., Zyphur, M. J., & Gleeson, J. F. M. (2016) · Journal of Abnormal Psychology · doi:10.1037/abn0000162 · Cited by 443 · see citing works
Yung, A. R., Nelson, B., Baker, K., Buckby, J. A., Baksheev, G., & Cosgrave, E. M. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670802607188 · Cited by 371 · see citing works
Kuepper, R., van Os, J., Lieb, R., Wittchen, H.-U., Hofler, M., & Henquet, C. (2011) · BMJ · doi:10.1136/bmj.d738 · Cited by 304 · see citing works
“psychotic experiences represent an important phenotype for the investigation of mechanisms and pathways by which environmental risk factors such as cannabis impact on psychosis risk. A further limitation concerns the use of the G section of the DIA-X/M-CIDI. This section was administered at T2 to assess lifetime occur…”
BackgroundPsychotic experiences in the general population: a twenty-year prospective community study
Rössler, W., Riecher-Rössler, A., Angst, J., Murray, R., Gamma, A., Eich, D., van Os, J., & Gross, V. A. (2007) · Schizophrenia Research · doi:10.1016/j.schres.2007.01.002 · Cited by 299 · see citing works
Bell, V., Halligan, P. W., & Ellis, H. D. (2006) · Schizophrenia Bulletin · doi:10.1093/schbul/sbj014 · Cited by 288 · see citing works
Daalman, K., Boks, M. P. M., Diederen, K. M. J., de Weijer, A. D., Blom, J. D., Kahn, R. S., & Sommer, I. E. C. (2011) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.09m05797yel · Cited by 293 · see citing works
Yung, A. R., Buckby, J. A., Cotton, S. M., Cosgrave, E. M., Killackey, E. J., Stanford, C., Godfrey, K., & McGorry, P. D. (2006) · Schizophrenia Bulletin · doi:10.1093/schbul/sbj018 · Cited by 264 · see citing works
What causes the onset of psychosis?
Broome, M. R., Woolley, J. B., Tabraham, P., Johns, L. C., Bramon, E., Murray, G. K., Pariante, C., McGuire, P. K., & Murray, R. M. (2005) · Schizophrenia Research · doi:10.1016/j.schres.2005.02.007 · Cited by 207 · see citing works
Simon, A. E., Borgwardt, S., Riecher-Rössler, A., Velthorst, E., de Haan, L., & Fusar-Poli, P. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.03.004 · Cited by 133 · see citing works
Varieties of Voice-Hearing: Psychics and the Psychosis Continuum
Powers, A. R., Kelley, M. S., & Corlett, P. R. (2017) · Schizophrenia Bulletin · doi:10.1093/schbul/sbw133 · Cited by 124 · see citing works
Gaudiano, B. A., Dalrymple, K. L., & Zimmerman, M. (2009) · Depression and Anxiety · doi:10.1002/da.20470 · Cited by 108 · see citing works
Brett, C., Heriot‐Maitland, C., McGuire, P., & Peters, E. (2014) · British Journal of Clinical Psychology · doi:10.1111/bjc.12036 · Cited by 99 · see citing works
Cognitive mechanisms of auditory verbal hallucinations in psychotic and non-psychotic groups
Badcock, J. C., & Hugdahl, K. (2012) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2011.07.010 · Cited by 92 · see citing works
Association of cannabis use with prodromal symptoms of psychosis in adolescence
Miettunen, J., Törmänen, S., Murray, G. K., Jones, P. B., Mäki, P., Ebeling, H., Moilanen, I., Taanila, A., Heinimaa, M., Joukamaa, M., et al. (2008) · British Journal of Psychiatry · doi:10.1192/bjp.bp.107.045740 · Cited by 85 · see citing works
Auditory verbal hallucinations and cognitive functioning in healthy individuals
Daalman, K., van Zandvoort, M., Bootsman, F., Boks, M., Kahn, R., & Sommer, I. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.07.013 · Cited by 77 · see citing works
A qualitative comparison of psychotic‐like phenomena in clinical and non‐clinical populations
Heriot‐Maitland, C., Knight, M., & Peters, E. (2012) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.2011.02011.x · Cited by 73 · see citing works
The influence of semantic top-down processing in auditory verbal hallucinations
Daalman, K., Verkooijen, S., Derks, E. M., Aleman, A., & Sommer, I. E. C. (2012) · Schizophrenia Research · doi:10.1016/j.schres.2012.06.005 · Cited by 52 · see citing works
Is our concept of schizophrenia influenced by Berkson's bias?
Maric, N., Myin-Germeys, I., Delespaul, P., de Graaf, R., Vollebergh, W., & Van Os, J. (2004) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-004-0803-z · Cited by 45 · see citing works
Cognitive biases and auditory verbal hallucinations in healthy and clinical individuals
Daalman, K., Sommer, I. E. C., Derks, E. M., & Peters, E. R. (2013) · Psychological Medicine · doi:10.1017/s0033291713000275 · Cited by 38 · see citing works
BACH, P. A., GAUDIANO, B., PANKEY, J., HERBERT, J. D., & HAYES, S. C. (2006) · Mindfulness-Based Treatment Approaches · doi:10.1016/b978-012088519-0/50006-x · Cited by 37 · see citing works
Exploring the experience of hearing voices: A qualitative study
Fenekou, V., & Georgaca, E. (2010) · Psychosis · doi:10.1080/17522430903191783 · Cited by 31 · see citing works
Scott, A. J., Rowse, G., & Webb, T. L. (2017) · PLOS ONE · doi:10.1371/journal.pone.0186233 · Cited by 30 · see citing works
Do depressive symptoms predict paranoia or vice versa?
Moritz, S., Göritz, A. S., McLean, B., Westermann, S., & Brodbeck, J. (2017) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2016.10.002 · Cited by 30 · see citing works
Dzafic, I., Larsen, K. M., Darke, H., Pertile, H., Carter, O., Sundram, S., & Garrido, M. I. (2021) · Schizophrenia Bulletin · doi:10.1093/schbul/sbaa188 · Cited by 24 · see citing works
Weintraub, M. J., & Weisman de Mamani, A. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2014.12.039 · Cited by 24 · see citing works
Emotion regulation in patients with psychosis: A link between insomnia and paranoid ideation?
Grezellschak, S., Jansen, A., & Westermann, S. (2017) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2016.08.001 · Cited by 20 · see citing works
Damiani, S., Fusar-Poli, L., Brondino, N., Provenzani, U., Baldwin, H., Fusar-Poli, P., & Politi, P. (2020) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2020.111068 · Cited by 18 · see citing works
Hospital comorbidity bias and the concept of schizophrenia
Bak, M., Drukker, M., van Os, J., & Delespaul, P. (2005) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-005-0971-0 · Cited by 14 · see citing works
Antonova, E., Amaratunga, K., Wright, B., Ettinger, U., & Kumari, V. (2016) · Schizophrenia Research: Cognition · doi:10.1016/j.scog.2016.05.001 · Cited by 14 · see citing works
“Withaclinicalprevalenceofabout7per1000intheadultpopulation, psychosis is more common among the general population than previously assumed (Johns et al., 2004) and is expressed along a continuum (Verdoux and Van Os, 2002).”
BackgroundEpidemiological fallacies of modern psychiatric research
Newson, R. S., Karlsson, H., & Tiemeier, H. (2011) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2010.539268 · Cited by 12 · see citing works
Berna, F., Evrard, R., Coutelle, R., Kobayashi, H., Laprévote, V., & Danion, J.-M. (2017) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2016.07.001 · Cited by 11 · see citing works
- Authors
- Verdoux, H., & van Os, J.
- Affiliations
- Centre Hospitalier Charles Perrens (FR)
- Corresponding author
- Verdoux, Hélène
- ORCID
- Verdoux, Hélène
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2002-03
- Volume
- 54
- Issue
- 1-2
- Pages
- 59-65
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2080591784
- Cited by
- 557
- References
- 40
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 18 · 2023: 16 · 2022: 25 · 2021: 25 · 2020: 20 · 2019: 27 · 2018: 35 · 2017: 26 · 2016: 26 · 2015: 23 · 2014: 26 · 2013: 23 · 2012: 43
- FWCI
- 11.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- psychotic symptoms, non-clinical population
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Psychotic Disorders, Risk Factors, Prevalence, Age Distribution
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review