Cited by 234Schizophrenia research and treatmentMental Health and PsychiatryBipolar Disorder and Treatment

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Anxiety and depression in psychosis: a systematic review of associations with positive psychotic symptoms

Hartley, S., Barrowclough, C., Haddock, G.·2013·Acta Psychiatrica Scandinavica

DOI 10.1111/acps.12080

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Abstract

OBJECTIVE: This review explores the influence of anxiety and depression on the experience of positive psychotic symptoms, and investigates the possibility of a causal role for anxiety and depression in the emergence and persistence of psychosis. METHOD: A systematic literature search was undertaken, producing a number of papers which comment on the links between anxiety and depression, and the experience of delusions and hallucinations. In addition, evidence which could contribute to our understanding of the causal role of anxiety and depression was highlighted. RESULTS: The findings show that both anxiety and depression are associated in meaningful ways with the severity of delusions and hallucinations, the distress they elicit and their content. However, the cross-sectional nature of the majority of studies and the focus on certain symptom subtypes tempers the validity of the findings. Data from non-clinical samples, studies which track the longitudinal course of psychosis and those which examine the impact of anxiety and depression on the prognosis for people experiencing psychosis, offer some support for the possibility of an influential role for anxiety and depression. CONCLUSION: We conclude that anxiety and depression are related to psychotic symptom severity, distress and content and are also linked with sub-clinical experiences, symptom development, prognosis and relapse. These links may imply that anxiety and depression could be targets for therapeutic intervention. The article concludes with suggestions for further research, highlighting avenues which may circumvent the limitations of the body of work as it stands.

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Authors: Hartley, S., Barrowclough, C., & Haddock, G.
Affiliations: Greater Manchester Mental Health NHS Foundation Trust (GB)
University of Manchester (GB)
Corresponding author: Hartley, S.
ORCID: Hartley, S.
Barrowclough, C.
Haddock, G.
Venue: Acta Psychiatrica Scandinavica
Publisher: Wiley
Published: 2013-02-04
Volume: 128
Issue: 5
Pages: 327-346
ISSN: 0001-690X (ISSN-L)
DOI: 10.1111/acps.12080
OpenAlex: W2132883301
Cited by: 234
References: 144
Citations by year: 2026: 13 · 2025: 27 · 2024: 25 · 2023: 17 · 2022: 27 · 2021: 21 · 2020: 22 · 2019: 21 · 2018: 19 · 2017: 14 · 2016: 10 · 2015: 11 · 2014: 4 · 2013: 3
FWCI: 1.27
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 939 d)
Locations: Acta Psychiatrica Scandinavica (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (submittedVersion)
Funders: University of Manchester
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords: anxiety, depression, psychosis, positive psychotic symptoms, delusions, hallucinations, symptom severity, symptom distress, subclinical psychotic experiences, transition to psychosis, relapse, prognosis
MeSH terms: Anxiety, Delusions, Depression, Hallucinations, Humans, Psychotic Disorders, Comorbidity

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Anxiety and depression in psychosis: a systematic review of associations with positive psychotic symptoms

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