Cited by 52Schizophrenia research and treatmentMental Health and PsychiatryHallucinations in medical conditions

The role of aberrant salience and self-concept clarity in psychotic-like experiences.

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Cicero, David C., Becker, Theresa M., Martin, Elizabeth A., Docherty, Anna R., Kerns, John G.·2013·Personality Disorders: Theory, Research, and Treatment

Abstract

Most theories of psychotic-like experiences posit the involvement of cognitive mechanisms. The current research examined the relations between psychotic-like experiences and two cognitive mechanisms, high aberrant salience and low self-concept clarity. In particular, we examined whether aberrant salience, or the incorrect assignment of importance to neutral stimuli, and low self-concept clarity interacted to predict psychotic-like experiences. The current research included three large samples (n = 667, 724, 744) of participants and oversampled for increased schizotypal personality traits. In all three studies, an interaction between aberrant salience and self-concept clarity was found such that participants with high aberrant salience and low self-concept clarity had the highest levels of psychotic-like experiences. In addition, aberrant salience and self-concept clarity interacted to predict a supplemental measure of delusions in Study 2. In Study 3, in contrast to low self-concept clarity, neuroticism did not interact with aberrant salience to predict psychotic-like experiences, suggesting that the relation between low self-concept clarity and psychosis may not be a result of neuroticism. Additionally, aberrant salience and self-concept clarity did not interact to predict two other SPD criteria, social anhedonia or trait paranoia, which suggests the interaction is specific to psychotic-like experiences. Overall, our results are consistent with several cognitive models of psychosis suggesting that aberrant salience and self-concept clarity might be important mechanisms in the occurrence of psychotic-like symptoms.

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  • Low self-concept clarity has been linked to aberrant salience and basic self-disturbances in nonclinical samples.

    “Confusion about the self, indicated by low self-concept clarity, has also been linked to aberrant salience and basic self-disturbances in nonclinical samples (Cicero et al., 2013, 2015, 2016, 2020, 2021; Gaweda et al., 2019).”

    From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Cicero et al., 2013

    The General Discussion reports that low self-concept clarity interacted with aberrant salience in three samples, with the highest psychotic-like experiences among participants high in aberrant salience and low in clarity. It also treats self-concept clarity as a quantitative measure of self-disturbance. The paper does not separately measure basic self-disturbances or establish a link between them and low self-concept clarity. (LLM, conf=0.83)

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Research works printed but not linked: 2

  1. Fowler D Birchwood D Fowler D Jackson C Psychological formulation of early episodes of psychosis: A cognitive model Early intervention in psychosis: A guide to concepts, evidence, and interventions 2000 Chichester, England Wiley 101 127
  2. Neale JM Oltmanns TF Schizophrenia 1980 New York Wiley

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Authors
Cicero, D. C., Becker, T. M., Martin, E. A., Docherty, A. R., & Kerns, J. G.
Affiliations
University of Missouri (US)
Venue
Personality Disorders: Theory, Research, and Treatment
Published
2013-01
Volume
4
Issue
1
Pages
33-42
ISSN
  • 1949-2715 (ISSN-L)
  • 1949-2723
OpenAlex
W2157587806
Cited by
52
References
75
Citations by year
2025: 2 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 6 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 5 · 2014: 3
FWCI
1.83
Type
journal article
Language
en
Open access
Locations
  • Personality Disorders Theory Research and Treatment (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (MH072706 and MH086190)
  • National Institute on Drug Abuse (DA022405)
  • MU Research Board
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
Keywords
psychotic-like experiences, aberrant salience, self-concept clarity, schizotypy, delusions, neuroticism, social anhedonia, interaction effects
MeSH terms
Neuroticism, Adaptation, Psychological, Adolescent, Adult, Anxiety Disorders, Attention, Delusions, Female, Hallucinations, Humans, Male, Models, Psychological, Personality Assessment, Psychotic Disorders, Regression Analysis, Schizotypal Personality Disorder, Self Concept, Young Adult, Anhedonia

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