Cited by 21Schizophrenia research and treatmentMental Health and PsychiatryHallucinations in medical conditions

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The moderating effects of perceived intentionality: exploring the relationships between ideas of reference, paranoia and social anxiety in schizotypy

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Morrison, Sean C., Cohen, Alex S.·2014·Cognitive Neuropsychiatry

Abstract

INTRODUCTION: Ideas of reference (IOR), paranoia and social anxiety are features of schizophrenia-spectrum disorders, which appear to be conceptually related; however, the precise nature of these relationships is unclear. These relationships may be partially explained by perceived intentionality (PI), a social-cognitive bias for perceiving other people's actions during unpleasant situations as being directed at oneself in an intentionally malicious manner. Our primary aim was to examine the moderating role of PI on the relationships between IOR and paranoia, and between IOR and social anxiety amongst individuals with psychometrically defined schizotypy. METHODS: We assessed IOR, paranoia and social anxiety amongst individuals with psychometrically defined schizotypy (n = 44) and controls (n = 36) and examined the moderating effects of PI within each group. RESULTS: As hypothesised, PI moderated the relationship between IOR and paranoia such that higher PI predicted higher levels of paranoia as IOR increased. Additionally, we found that PI moderated the relationship between IOR and social anxiety such that higher PI predicted lower levels of social anxiety as IOR increased. CONCLUSION: Theoretical and practical implications are discussed including the potential for assessing PI as a proxy for paranoia when clinicians suspect a client is underreporting paranoia due to positive impression management.

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Metadata

Authors
Morrison, S. C., & Cohen, A. S.
Affiliations
Louisiana State University (US)
Corresponding author
Morrison, Sean C.
Venue
Cognitive Neuropsychiatry
Published
2014-07-02
Volume
19
Issue
6
Pages
527-539
ISSN
  • 1354-6805 (ISSN-L)
  • 1464-0619
OpenAlex
W2032521416
Cited by
21
References
3
Citations by year
2026: 2 · 2025: 3 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 3 · 2017: 2
FWCI
0.51
Type
journal article
Language
en
Open access
Locations
  • Cognitive Neuropsychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Civil War Book Review (submittedVersion)
Funders
National Institute of Mental Health (R03MH092622)
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
perceived intentionality, ideas of reference, paranoia, social anxiety, schizotypy, schizophrenia spectrum disorders, impression management, moderating effect
MeSH terms
Adolescent, Adult, Anxiety, Female, Humans, Male, Paranoid Behavior, Psychiatric Status Rating Scales, Psychometrics, Schizotypal Personality Disorder, Social Behavior, Thinking, Linear Models, Case-Control Studies, Intention, Young Adult, Self Report

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