Cited by 151Schizophrenia research and treatmentMental Health Research TopicsMental Health and Psychiatry

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Time-Lagged Moment-to-Moment Interplay Between Negative Affect and Paranoia: New Insights in the Affective Pathway to Psychosis

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Kramer, I., Simons, C. J. P., Wigman, J. T. W., Collip, D., Jacobs, N., Derom, C., Thiery, E., van Os, J., Myin-Germeys, I., Wichers, M.·2014·Schizophrenia Bulletin

DOI 10.1093/schbul/sbs194PMC PMC3932075

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Abstract

Evidence suggests that affect plays a role in the development of psychosis but the underlying mechanism requires further investigation. This study examines the moment-to-moment dynamics between negative affect (NA) and paranoia prospectively in daily life. A female general population sample (n = 515) participated in an experience sampling study. Time-lagged analyses between increases in momentary NA and subsequent momentary paranoia were examined. The impact of childhood adversity, stress sensitivity (impact of momentary stress on momentary NA), and depressive symptoms on these time-lagged associations, as well as associations with follow-up self-reported psychotic symptoms (Community Assessment of Psychic Experiences and the Symptom Checklist-90-Revised) were investigated. Moments of NA increase resulted in a significant increase in paranoia over 180 subsequent minutes. Both stress sensitivity and depressive symptoms impacted on the transfer of NA to paranoia. Stress sensitivity moderated the level of increase in paranoia during the initial NA increase, while depressive symptoms increased persistence of paranoid feelings from moment to moment. Momentary paranoia responses to NA increases were associated with follow-up psychotic symptoms. Examination of microlevel momentary experience may thus yield new insights into the mechanism underlying co-occurrence of altered mood states and psychosis. Knowledge of the underlying mechanism is required in order to determine source and place where remediation should occur.

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Authors: Kramer, I., Simons, C. J. P., Wigman, J. T. W., Collip, D., Jacobs, N., Derom, C., Thiery, E., van Os, J., Myin-Germeys, I., & Wichers, M.
Affiliations: Maastricht University Medical Centre (NL)
KU Leuven (BE)
Ghent University Hospital (BE)
Corresponding author: Kramer, I.
ORCID: Simons, C. J. P.
Wigman, J. T. W.
Collip, D.
Jacobs, N.
Derom, C.
Wichers, M.
Venue: Schizophrenia Bulletin
Publisher: Oxford University Press (OUP)
Published: 2013-02-13
Volume: 40
Issue: 2
Pages: 278-286
ISSN: 0586-7614 (ISSN-L)
1745-1701
DOI: 10.1093/schbul/sbs194
PMC: PMC3932075
OpenAlex: W2157823930
Cited by: 151
References: 38
Citations by year: 2026: 3 · 2025: 11 · 2024: 8 · 2023: 13 · 2022: 16 · 2021: 17 · 2020: 15 · 2019: 14 · 2018: 12 · 2017: 16 · 2016: 10 · 2015: 8 · 2014: 5 · 2013: 3
FWCI: 6.16
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: other-oa
Locations: Schizophrenia Bulletin (publishedVersion, other-oa)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Research Publications (Maastricht University) (publishedVersion, other-oa)
University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
DSpace (Open University in the Netherlands) (submittedVersion, other-oa)
University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
Research Publications (Maastricht University) (submittedVersion, other-oa)
Funders: Vlaamse regering
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: negative affect, paranoia
MeSH terms: Adolescent, Adult, Affect, Child Abuse, Depression, Female, Humans, Middle Aged, Paranoid Disorders, Prospective Studies, Stress, Psychological, Time Factors, Disease Progression, Monitoring, Ambulatory, Young Adult

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Time-Lagged Moment-to-Moment Interplay Between Negative Affect and Paranoia: New Insights in the Affective Pathway to Psychosis

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