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Behavioural sensitization to daily life stress in psychosis
Abstract
BACKGROUND: Recent neurobiological models provide a possible mechanism of daily life stress directly affecting the intensity of psychotic experiences in vulnerable individuals. In order to validate such a mechanism, the impact of daily life stress on psychosis intensity was investigated in two groups at increased risk of onset (relatives) and relapse (patients) of psychosis. METHOD: Patients with psychosis in a clinical state of remission (n = 42), first-degree relatives (n = 47), and control subjects (n = 49) were studied with the Experiencing Sampling Method (ESM is a structured diary technique assessing current context and psychopathology in daily life) to assess (1) appraised subjective stress related to daily activities and events, and (2) intensity of subtle psychotic experiences in daily life. RESULTS: Multilevel regression analyses revealed significant increases in psychosis intensity associated with increases in subjective activity--and event-related stress in patients. First-degree relatives reported increases in psychosis intensity in relation to activity-related stress but not event-related stress. No association was found in control subjects. CONCLUSIONS: Subjects at increased risk for psychosis show continuous variation in the intensity of subtle psychotic experiences associated with minor stresses in the flow of daily life. Behavioural sensitization to environmental stress may therefore be a vulnerability marker for schizophrenia, reflecting dopaminergic hyper-responsivity in response to environmental stimuli.
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“which binds PNNs without causing any inflammatory processes (56)”
From Perineuronal nets protect fast-spiking interneurons against oxidative stress (2013) · cites this paper as [56]
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“This phenomenon may be explained in part by the fact that the level of distress experienced is proportional to the intensity of psychotic symptoms reported (41).”
From Mobile intervention for individuals with psychosis, dual disorders, and their common comorbidities: A literature review (2019) · cites this paper as [41]
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Gene × Environment Interactions in Schizophrenia: Evidence from Genetic Mouse Models
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“It has been suggested that genetic risk to develop a psychotic disorder may be expressed as altered responsivity to everyday stressful situations [197], such that idiopathic responsivity to stressors may be an important determinant of induction of psychosis.”
BackgroundKingdon, D., & Young, A. H. (2007) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.035675 · Cited by 46
“Research into the interaction between specific stressors, for example trauma (Read et al, 2003), hallucinogenic drugs (Hall, 2006) and sensitivity to stress (Myin-Germeys et al, 2005), and personality vulnerability has been more clinically productive.”
BackgroundAppraisals, psychotic symptoms and affect in daily life
PETERS, E. R., Lataster, T., Greenwood, K., Kuipers, E., Scott, J. L., Williams, S., Garety, P. A., & Myin‐Germeys, I. (2011) · Psychological Medicine · doi:10.1017/s0033291711001802 · Cited by 49
“Previous research confirms the validity of such an approach in psychotic patients (Delespaul & deVries, 1987 ; Myin-Germeys et al. 2000, 2001b, 2005, 2009 ; Oorschot et al. 2009) and it is particularly well suited to the study of psychological models, since it allows analysis of symptom dimensions…”
Self-citationAffective reactivity of speech disturbances in schizotypy
Minor, K. S., & Cohen, A. S. (2009) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2009.06.005 · Cited by 45
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“Previous research e.g. (Myin-Germeys et al., 2005) found that the item angry had low loadings on both NA and PA, and was therefore also excluded in this study.”
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Bebbington, P. (2009) · Epidemiology and Psychiatric Sciences · doi:10.1017/s1121189x00000233 · Cited by 43
“Myin-Germeys et al. (2005) were able to show that the clear affective response to small stressors was paralleled by moment-to-moment variation in subtle positive psychotic experiences.”
Limbic response to psychosocial stress in schizotypy: A functional magnetic resonance imaging study
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“, 2001) and genetic risk (Myin-Germeys et al., 2001; Myin-Germeys et al., 2005).”
BackgroundBiomarkers for Psychiatric Disorders
Turck, C. W. (2009) · Springer eBooks · doi:10.1007/978-0-387-79251-4 · Cited by 42
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“A myriad of studies have reported that increased stress sensitivity is a risk factor for the development of psychiatric disorders such as MDD (Drabant et al., 2012; Wichers et al., 2009a) and psychosis (Mueller et al., 2011; Myin-Germeys et al., 2005a).”
Self-citationKlippel, A., Schick, A., Myin‐Germeys, I., Rauschenberg, C., Vaessen, T., & Reininghaus, U. (2021) · Psychological Medicine · doi:10.1017/s0033291720004894 · Cited by 47
“…paranoid ’ , ‘ I feel unreal ’ , ‘ I hear things that aren ’ t really there ’ , ‘ I see things that aren ’ t really there ’ , ‘ I can ’ t get these thoughts out of my head ’ and ‘ I feel like I am losing control ’ (Myin-Germeys et al., 2005a, 2005b; Reininghaus et al., 2016a, 2016b; Table 1b, c).”
Self-citationHernaus, D., Collip, D., Lataster, J., Ceccarini, J., Kenis, G., Booij, L., Pruessner, J. C., Laere, K. V., van Winkel, R., van Os, J., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0065662 · Cited by 41
“Observed differences in cognitive performance [17] and differences in tolerance to stress [18,19] between individuals suffering from psychotic symptoms and controls may be underlain by differences in available PFC dopamine.”
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“In accordance with previous research [31, 32], the ESM period lasted for six consecutive days and the watch emitted a signal on ten occasions throughout the day at unpredictable times, between the hours of 8am and 10pm.”
MethodAuditory hallucinations in childhood: associations with adversity and delusional ideation
Bartels‐Velthuis, A. A., van de Willige, G., Jenner, J. A., Wiersma, D., & van Os, J. (2011) · Psychological Medicine · doi:10.1017/s0033291711001590 · Cited by 42
“Similarly, there is evidence that not only childhood trauma, but also other indicators of social adversity, such as stressful life events, elicit psychotic experiences (Bebbington et al. 1996 ; Myin-Germeys et al. 2005 ; Glaser et al. 2010).”
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“…stress has been proposed to underlie schizophrenia (Mednick and Schulsinger, 1968; Gray, 1998; Walker and Diforio, 1997; Moghaddam, 2002; Myin-Germeys et al, 2005), and thus PHS schizophrenic patients may facilitate our understanding of how hippocampal pathology increases stress…”
BackgroundThe neurobiology of relapse in schizophrenia
Remington, G. J., Foussias, G., Agid, O., Fervaha, G., Takeuchi, H., & Hahn, M. (2013) · Schizophrenia Research · doi:10.1016/j.schres.2013.10.009 · Cited by 38
“Investigators suggested these findings support a behavioral sensitization that may reflect a vulnerability marker for schizophrenia and, from a biological perspective, dopaminergic hyperresponsivity (Myin-Germeys et al., 2005).”
Grove, T. B., Tso, I. F., Chun, J., Mueller, S. A., Taylor, S. F., Ellingrod, V. L., McInnis, M. G., & Deldin, P. J. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.06.031 · Cited by 39
“, 2008), are more likely to appraise stimuli with a neutral or positive valence as negative (Cohen and Minor, 2010), and react to even minor stressors with strong negative emotions (Myin-Germeys et al., 2005; Myin-Germeys et al., 2001).”
BackgroundDetecting improvements in acute psychotic symptoms using experience sampling methodology
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“In particular, the concepts of social defeat (Selten and Cantor-Graae, 2005) and stress-vulnerability (Lataster et al. , 2013; Myin-Germeys et al. , 2005) highlight how individual difference variables may influence how people perceive, respond to, and are affected by discrimination.”
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Pennou, A., Lecomte, T., Potvin, S., & Khazaal, Y. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00302 · Cited by 34
“This phenomenon may be explained in part by the fact that the level of distress experienced is proportional to the intensity of psychotic symptoms reported (41).”
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“[70], who noted that psychosis patients show continuous variations in the intensity of psychotic experiences (including hallucinations) associated with minor stressors in the flow of daily life.”
BackgroundFrom vice to virtue: Insights from sensitization in the nonhuman primate
Castner, S. A., & Williams, G. V. (2007) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2007.08.026 · Cited by 35
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“This line of research is essential, as evidence suggests that stress may play an important role in the progression to schizophrenia (Myin-Germeys et al., 2001, 2002, 2005; Norman and Malla, 1993; Ventura et al., 1989).”
BackgroundSchizophrenia and Psychosocial Stresses
Bebbington, P., & Kuipers, E. (2003) · Wiley eBooks · doi:10.1002/9780470987353.ch31 · Cited by 33
Downey, G. (2016) · Current Anthropology · doi:10.1086/685710 · Cited by 35
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“talking about parental mental illness, (2) improving parenting skills, (3) long-term tailored”
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Amygdalar modulation of frontotemporal connectivity during the inkblot test
Asari, T., Konishi, S., Jimura, K., Chikazoe, J., Nakamura, N., & Miyashita, Y. (2010) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2010.01.002 · Cited by 32
“For instance, emotional stress has been related to exacerbation of hallucinatory symptoms in schizophrenia patients (Myin-Germeys et al., 2005), and transient hallucinatory or delusional symptoms have also been reported in emotionally vulnerable patients with personality disorders (Chopra and Beatson, 1986).”
BackgroundOher, F. J., Demjaha, A., Jackson, D., Morgan, C., Dazzan, P., Morgan, K. D., Boydell, J. E., Doody, G. A., Murray, R. M., Bentall, R. P., et al. (2014) · Psychological Medicine · doi:10.1017/s0033291713003188 · Cited by 32
“…behavioural level, daily life stresses result in more psychotic-like experiences in people diagnosed with psychotic disorder and their first-degree relatives than controls (Myin-Germeys et al. 2005); this may be exaggerated in people previously exposed to major life events (Lardinois et al. 2011).”
BackgroundDaily life evidence of environment-incongruent emotion in schizophrenia
Sanchez, A. H., Lavaysse, L. M., Starr, J., & Gard, D. E. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.07.041 · Cited by 29
“…(EMA) studies have found that people with schizophrenia report more negative emotion compared to people without schizophrenia and that higher negative emotion is related to symptom onset, poor functioning, and lower quality of life (Myin-Germeys et al., 2000, 2003, 2005; see Horan et al., 2008).”
Chan, Y., So, S. H., Mak, A. D. P., Siah, K. T. H., Chan, W., & Wu, J. C. Y. (2018) · Neurogastroenterology & Motility · doi:10.1111/nmo.13514 · Cited by 30
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“In line with previous literature, data were included if ⩾ 20 valid responses were provided over the assessment period (Myin-Germeys et al ., 2001, 2005; Delespaul et al ., 2002; Corcoran et al ., 2006; Bentall et al ., 2008, 2009; Freeman et al ., 2013; Reininghaus et al ., 2016 b ).”
Self-citationCullen, A. E., Fisher, H. L., Gullet, N., Fraser, E. R., Roberts, R. E., Zahid, U., To, M., Yap, N. H., Zunszain, P. A., Pariante, C. M., et al. (2022) · Biological Psychiatry · doi:10.1016/j.biopsych.2021.08.009 · Cited by 27
“daily stressors, and childhood trauma) in the development and exacerbation of psychotic disorders (1-7).”
Acceptable terminology and subgroups in schizophrenia
Kingdon, D., Gibson, A., Kinoshita, Y., Turkington, D., Rathod, S., & Morrison, A. P. (2008) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-007-0284-y · Cited by 26
“Psychosocial research has provided some support for these groupings: it has demonstrated the impact of stimulant and hallucinogenic drugs [11], and the role of trauma [28] and of stress sensitivity [23] in schizophrenia.”
BackgroundGerritsen, C. J., Bagby, R. M., Sanches, M., Kiang, M., Maheandiran, M., Prce, I., & Mizrahi, R. (2019) · Schizophrenia Research · doi:10.1016/j.schres.2019.06.015 · Cited by 28
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“Previous ESM studies observed an increased psychotic reactivity in patients at increased risk for psychosis compared with controls (30, 31).”
BackgroundDestigmatising schizophrenia: does changing terminology reduce negative attitudes?
Kingdon, D., Vincent, S., Vincent, S., Kinoshita, Y., & Turkington, D. (2008) · Psychiatric Bulletin · doi:10.1192/pb.bp.107.018515 · Cited by 25
“An alternative approach is to associate schizophrenia with evidence from psychosocial research which has found that trauma (Read et al, 2003), hallucinogenic drug use (Hall, 2006) and stress-sensitivity (Myin-Germeys et al, 2005) are significant risk factors.”
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A High-Fidelity Virtual Environment for the Study of Paranoia
Broome, M. R., Zányi, E., Hamborg, T., Selmanović, E., Czanner, S., Birchwood, M. J., Chalmers, A. G., & Singh, S. P. (2013) · Schizophrenia Research and Treatment · doi:10.1155/2013/538185 · Cited by 25
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Psychiatry beyond labels: introducingcontextual precision diagnosisacross stages of psychopathology
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“There is a suggestion that these ESM phenotypes of behavioural sensitization (Myin-Germeys et al. 2005a) can be linked to biological models of sensitization (Myin-Germeys et al. 2005b; Collip et al. 2008), thus suggesting that the momentary environmental reactivity may represent a key variable in…”
BackgroundSelf-citationIncreased stress responsivity in schizotypy leads to diminished spatial working memory performance.
Smith, N. T., & Lenzenweger, M. F. (2012) · Personality Disorders Theory Research and Treatment · doi:10.1037/per0000014 · Cited by 23
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No evidence for attenuated stress-induced extrastriatal dopamine signaling in psychotic disorder
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Self-citationDiminished Glucocorticoid Negative Feedback in Polydipsic Hyponatremic Schizophrenic Patients
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“It has been proposed that schizophrenic symptoms constitute an end-stage of a cyclic and neurodegenerative process, in which a hereditary predisposition (“vulnerability” [42]) reduces the individual psychological threshold towards stimuli [60], to the point where even minor daily stresses will directly trigger psychot…”
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“Furthermore, this increased sensitivity to stressors may be regulated by underlying abnormal dopaminergic reactivity [81].”
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“Furthermore, it has been suggested that dopamine mediates the expression of psychotic experiences from moment-to-moment in patients with schizophrenia (Myin-Germeys et al., 2005).”
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The relationship between cognitive dysfunction and stress sensitivity in schizophrenia
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Self-citationTrust and the city: Linking urban upbringing to neural mechanisms of trust in psychosis
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“Stress can be one of many risk factors for schizophrenia (Lim et al., 2009) acting, perhaps, through a mechanism of progressive sensitization to stressful environmental events (Myin-Germeys et al., 2005; Collip et al., 2008).”
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“Moreover, increases in activity-related stress were associated with greater intensity of psychotic symptoms (referred to as psychotic stress reactivity) in patients and relatives but not controls [103].”
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“Patients with psychotic disorders exhibit increased symptoms following minor daily life stress, and this tendency extends to the stress-induced transient psychotic symptoms seen in BPD (Myin-Germeys et al. 2005).”
Gevonden, M. J., Myin‐Germeys, I., van den Brink, W., van Os, J., Selten, J., & Booij, J. (2014) · Psychological Medicine · doi:10.1017/s0033291714002797 · Cited by 17
“As in earlier work (Myin-Germeys et al. 2005b), a scale representing MPE was constructed from the mean score of eight ESM items: ‘I feel suspicious’, ‘My thoughts are difficult to express’, ‘I can’t let go of my thoughts’, ‘My thoughts are influenced by other people’, ‘I feel unreal’, ‘I see things…”
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Internal versus external auditory hallucinations in schizophrenia: symptom and course correlates
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“A second approach to ecologically valid measurement uses the Experience Sampling Method (ESM) in trying to understand cognitive impairments (Myin-Germeys et al., 2005).”
BackgroundElevated striatal dopamine function in immigrants and their children: a risk mechanism for psychosis
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“Following previous ESM studies guidelines (Myin-Germeys et al., 2005; Myin-Germeys et al., 2001a), the wristwatch emitted 10 pseudo-random synchronised beeps per day between 9-12AM over 6 consecutive days (including a weekend).”
Reactivity to social stress in ethnic minority men
Gevonden, M. J., Myin‐Germeys, I., Wichers, M., Booij, J., van den Brink, W., van Winkel, R., & Selten, J. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.10.076 · Cited by 14
“Increased reactivity to daily life stress has been consistently replicated in patients with psychotic disorder and their first-degree relatives (Lataster et al., 2013; Myin-Germeys et al., 2005a, 2005b).”
Self-citationDokuz, G., Kani, A. S., Uysal, Ö., & Kuşçu, M. K. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114872 · Cited by 14
Changing name: changing prospects for psychosis
Kingdon, D., Taylor, L. E., Ma, K., & Kinoshita, Y. (2013) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796013000486 · Cited by 14
“The early onset group equate to ‘traditional’ schizophrenia developing in adolescence and early adulthood – the term ‘sensitivity’ has been used to denote the sensitivity to stress and the interpersonal characteristics that this group tend to show (Myin-Germeys et al. 2005).”
BackgroundKrijnen, L. J. G., Lemmers-Jansen, I. L. J., Fett, A.-K. J., & Krabbendam, L. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.769091 · Cited by 13
The experience sampling methodology in psychosis risk states: A systematic review
Bogudzińska, B., Jaworski, A., Zajdel, A., Skrzypek, K., & Misiak, B. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.04.050 · Cited by 19
Severity of Cortical Thinning Correlates With Schizophrenia Spectrum Symptoms
Watsky, R. E., Ludovici, K., GREENSTEIN, D. K., Shora, L., Broadnax, D. D., Gochman, P., CLASEN, L. S., Berman, R. A., Rapoport, J. L., Gogtay, N., et al. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2015.11.008 · Cited by 13
“As a result, the age range for the current study (10-30) is slightly higher than that of the cohort previously studied by our group (5-26), 11 and there was a much lower density of younger scans in the current sample (sibling average age at scan 1 for this study was 18.”
Feroz, F. S., Leicht, G., Rauh, J., & Mulert, C. (2018) · Brain Topography · doi:10.1007/s10548-018-0677-0 · Cited by 14
“While being consumed with unmet daily necessities, patients suffering from Schizophrenia (SZ) are usually left with little to no capacity to handle highly charged emotional-cognitive situations (Myin-Germeys et al. 2005; Watson 2015).”
BackgroundCOMTVal158Met andMTHFRC677T moderate risk of schizophrenia in response to childhood adversity
Debost, J.-C., Debost, M., Grove, J., Mors, O. N., HOUGAARD, D. M., Børglum, A. D., Mortensen, P. B., & Petersen, L. V. (2017) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12761 · Cited by 13
“Although some of the variation in psychotic symptom severity in response to daily-life stress may represent the behavioral expression of genetic risk for severe psychotic disorders (42), none of the aforementioned studies investigated interactive effects as risk factors for schizophrenia development, which limits comp…”
ResultSchizophrenia--a parameters' game?
Rǎdulescu, A. R. (2007) · Journal of Theoretical Biology · doi:10.1016/j.jtbi.2008.05.009 · Cited by 13
“ders to a hereditary predisposition that reduces the individual psychological threshold towards stimuli [113], to the point where even minor daily stresses will directly trigger psychotic experiences [89]. It has been observed that this “vulnerability” (or lack of inhibition in the threat detection mechanism [87]) man…”
BackgroundThe Role of Emotion in Psychosis Onset and Symptom Persistence: A Systematic Review
Gurnani, R., & Georgiades, A. (2025) · Early Intervention in Psychiatry · doi:10.1111/eip.70096 · Cited by 13
Decoding the impact of adverse childhood experiences on the progression of schizophrenia
Hirt, V., Schalinski, I., & Rockstroh, B. S. (2019) · Mental Health & Prevention · doi:10.1016/j.mhp.2019.01.002 · Cited by 11
The impact of family environment on self-esteem and symptoms in early psychosis
Hinojosa‐Marqués, L., Monsonet, M., Kwapil, T. R., & Barrantes‐Vidal, N. (2021) · PLoS ONE · doi:10.1371/journal.pone.0249721 · Cited by 10
“, behavioral sensitization), implying an increased psychotic reactivity to stress [48,49].”
Backgroundder Teen, A. W., Lemmers-Jansen, I. L. J., Oorschot, M., & Krabbendam, L. (2021) · British Journal of Clinical Psychology · doi:10.1111/bjc.12327 · Cited by 11
Daemen, M., van Amelsvoort, T., GROUP investigators, & Reininghaus, U. (2023) · JMIR Mental Health · doi:10.2196/34147 · Cited by 11
“However, the ESM has been found to be a feasible, reliable, and valid assessment method in various populations [45,51,66], including patients with psychosis [51,52,58].”
MethodGassó, P., Rodríguez, N., Martínez-Pinteño, A., Mezquida, G., Ribeiro, M., González‐Peñas, J., Zorrilla, E. P., Martínez-Sadurní, L., Rodríguez–Jiménez, R., Corripio, I., et al. (2021) · Translational Psychiatry · doi:10.1038/s41398-021-01645-8 · Cited by 11
“Several moderators that influence neurodevelopment, such as stress [17], may impact this process, and several potentially state-dependent biomarkers have been proposed such as inflammatory markers [18, 19] or neurotrophins [20–22].”
BackgroundRuzibiza, C., Grattan, R. E., Eder, R., & Linscott, R. J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.11.039 · Cited by 10
Stress Assessment in Daily Life Using the Experience Sampling Method
Vaessen, T., Reininghaus, U., & Myin‐Germeys, I. (2023) · Springer eBooks · doi:10.1007/978-3-031-27349-0_7 · Cited by 9
Self-citationGong, J., Liu, J., Shangguan, L., Zhang, Q., Peng, Z., Li, Z., Chen, C., & Shi, L. (2019) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2019.107215 · Cited by 12
Psychological and social interventions for schizophrenia
Kingdon, D. (2006) · BMJ · doi:10.1136/bmj.333.7561.212 · Cited by 9
Veling, W. (2008) · RePub (Erasmus University Rotterdam) · Cited by 10
Kemp, K. C., Sperry, S. H., Hernández, L., Neus Barrantes-vidal, A., & Kwapil, T. R. (2024) · Schizophrenia Bulletin · doi:10.1093/schbul/sbae112 · Cited by 11
Postma, M. R., van Amelsvoort, T., Myin‐Germeys, I., Gayer-Anderson, C. E., Kempton, M. J., Valmaggia, L., McGuire, P. K., Murray, R. M., Garety, P. A., Wykes, T., et al. (2021) · Schizophrenia Research · doi:10.1016/j.schres.2021.09.010 · Cited by 9
Self-citationIlen, L., Feller, C. M., Eliez, S., & Schneider, M. (2023) · Psychological Medicine · doi:10.1017/s0033291722004019 · Cited by 9
Obuchowicz, E., Marcinowska, A., Drzyzga, Ł. R., Wójcikowski, J., Daniel, W. A., & Herman, Z. S. (2006) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/s00210-006-0058-1 · Cited by 8
“The hypothalamus, frontal cortex, striatum and hippocampus were dissected out after localization according to the atlas by Paxinos and Watson (1986). The brain structures were immediately frozen on dry ice, weighed and stored at −70°C until assayed for IL-1β.”
Splitting of Associative Threads: The Expression of Schizotypal Ambivalence in Daily Life
Burgin, C. J., Chun, C. A., Horton, L. E., Neus Barrantes-vidal, A., & Kwapil, T. R. (2014) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-014-9457-7 · Cited by 9
“Greater variance in emotion and greater social reactivity are indicative of overall instability and neuroticism, traits shown to be associated with positive schizotypy (e.g. Barrantes-Vidal et al. 2009; Myin-Germeys et al. 2005).”
BackgroundUnderstanding the Ecological Validity of Neuropsychological Testing Using an Ethnographic Approach
Gioia, D. (2009) · Qualitative Health Research · doi:10.1177/1049732309348500 · Cited by 8
Emotional and personality dysfunctions in early psychosis
Birchwood, M. J., Gleeson, J., Chanen, A. M., McCutcheon, L., Francey, S. M., & Michail, M. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511576287.017 · Cited by 7
Kinoshita, Y., Kingdon, D., Kinoshita, K., Sarafudheen, S., Umadi, D., Dayson, D., Hansen, L. K., Rathod, S., Ibbotson, R. B., Turkington, D., et al. (2011) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-011-0357-9 · Cited by 8
“Psychosocial research has provided some support for these groupings: it has demonstrated the impact of stimulant and hallucinogenic drugs [39], and the role of trauma [19, 35] and of stress sensitivity [ 32 ] in schizophrenia.”
Background
Metadata
- Authors
- MYIN-GERMEYS, I., DELESPAUL, P., & VAN OS, J.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2005-01-05
- Volume
- 35
- Issue
- 5
- Pages
- 733-741
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2142678392
- Cited by
- 292
- References
- 0
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 9 · 2023: 11 · 2022: 7 · 2021: 16 · 2020: 9 · 2019: 9 · 2018: 11 · 2017: 10 · 2016: 15 · 2015: 14 · 2014: 18 · 2013: 22 · 2012: 14
- FWCI
- 10.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Lirias (KU Leuven) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- psychosis, daily stress, behavioral sensitization, first-degree relatives, schizophrenia, vulnerability indicators, relapse risk
- MeSH terms
- Adult, Female, Humans, Life Change Events, Male, Middle Aged, Periodicity, Psychotic Disorders, Regression Analysis, Social Environment, Stress, Psychological
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