A longitudinal mediation analysis of the effect of negative-self-schemas on positive symptoms via negative affect

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A longitudinal mediation analysis of the effect of negative-self-schemas on positive symptoms via negative affect. / Jaya, E S; Ascone, L; Lincoln, T M.

In: PSYCHOL MED, Vol. 48, No. 8, 06.2018, p. 1299-1307.

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@article{264c3f5a1e85479986e1428763892d65,
title = "A longitudinal mediation analysis of the effect of negative-self-schemas on positive symptoms via negative affect",
abstract = "BACKGROUND: Cognitive models postulate that negative-self-schemas (NSS) cause and maintain positive symptoms and that negative affect mediates this link. However, only few studies have tested the temporal mediation claim systematically using an appropriate design.METHODS: A longitudinal cohort design in an online community sample (N = 962) from Germany, Indonesia, and the USA was used. NSS, negative affect and positive symptoms were measured at four time-points (T0-T3) over a 1-year period. Cross-lagged panel and longitudinal mediation analyses with structural equation modeling were used to test the temporal mediation.RESULTS: Independent cross-lagged panel models showed a significant unidirectional longitudinal path from NSS to positive symptoms (T2-T3, β = 0.18, p < 0.01) and bidirectional longitudinal associations from NSS to negative affect (T0-T1, γ = 0.14, p < 0.01) and vice versa (T0-T1, γ = 0.19, p < 0.01). There was also a significant indirect pathway from NSS at baseline via negative affect at T1 and T2 to positive symptoms at T3 (unstandardized indirect effect coefficient = 0.020, p < 0.05, BCa CI 0.004-0.035), indicating mediation.CONCLUSIONS: Our findings support the postulated affective pathway from NSS to positive symptoms via negative affect. Specifically, our data indicate that NSS and negative affect influence each other and build up over the course of several months before leading on to positive symptoms. We conclude that interrupting this process by targeting NSS and negative affect early in the process could be a promising strategy to prevent the exacerbation of positive symptoms.",
keywords = "Adolescent, Adult, Affect, Aged, Anxiety/psychology, Depression/psychology, Female, Germany, Humans, Indonesia, Longitudinal Studies, Male, Middle Aged, Models, Psychological, Psychiatric Status Rating Scales, Psychotic Disorders/psychology, Regression Analysis, Self Concept, Surveys and Questionnaires, United States, Young Adult",
author = "Jaya, {E S} and L Ascone and Lincoln, {T M}",
year = "2018",
month = jun,
doi = "10.1017/S003329171700277X",
language = "English",
volume = "48",
pages = "1299--1307",
journal = "PSYCHOL MED",
issn = "0033-2917",
publisher = "Cambridge University Press",
number = "8",

}

RIS

TY - JOUR

T1 - A longitudinal mediation analysis of the effect of negative-self-schemas on positive symptoms via negative affect

AU - Jaya, E S

AU - Ascone, L

AU - Lincoln, T M

PY - 2018/6

Y1 - 2018/6

N2 - BACKGROUND: Cognitive models postulate that negative-self-schemas (NSS) cause and maintain positive symptoms and that negative affect mediates this link. However, only few studies have tested the temporal mediation claim systematically using an appropriate design.METHODS: A longitudinal cohort design in an online community sample (N = 962) from Germany, Indonesia, and the USA was used. NSS, negative affect and positive symptoms were measured at four time-points (T0-T3) over a 1-year period. Cross-lagged panel and longitudinal mediation analyses with structural equation modeling were used to test the temporal mediation.RESULTS: Independent cross-lagged panel models showed a significant unidirectional longitudinal path from NSS to positive symptoms (T2-T3, β = 0.18, p < 0.01) and bidirectional longitudinal associations from NSS to negative affect (T0-T1, γ = 0.14, p < 0.01) and vice versa (T0-T1, γ = 0.19, p < 0.01). There was also a significant indirect pathway from NSS at baseline via negative affect at T1 and T2 to positive symptoms at T3 (unstandardized indirect effect coefficient = 0.020, p < 0.05, BCa CI 0.004-0.035), indicating mediation.CONCLUSIONS: Our findings support the postulated affective pathway from NSS to positive symptoms via negative affect. Specifically, our data indicate that NSS and negative affect influence each other and build up over the course of several months before leading on to positive symptoms. We conclude that interrupting this process by targeting NSS and negative affect early in the process could be a promising strategy to prevent the exacerbation of positive symptoms.

AB - BACKGROUND: Cognitive models postulate that negative-self-schemas (NSS) cause and maintain positive symptoms and that negative affect mediates this link. However, only few studies have tested the temporal mediation claim systematically using an appropriate design.METHODS: A longitudinal cohort design in an online community sample (N = 962) from Germany, Indonesia, and the USA was used. NSS, negative affect and positive symptoms were measured at four time-points (T0-T3) over a 1-year period. Cross-lagged panel and longitudinal mediation analyses with structural equation modeling were used to test the temporal mediation.RESULTS: Independent cross-lagged panel models showed a significant unidirectional longitudinal path from NSS to positive symptoms (T2-T3, β = 0.18, p < 0.01) and bidirectional longitudinal associations from NSS to negative affect (T0-T1, γ = 0.14, p < 0.01) and vice versa (T0-T1, γ = 0.19, p < 0.01). There was also a significant indirect pathway from NSS at baseline via negative affect at T1 and T2 to positive symptoms at T3 (unstandardized indirect effect coefficient = 0.020, p < 0.05, BCa CI 0.004-0.035), indicating mediation.CONCLUSIONS: Our findings support the postulated affective pathway from NSS to positive symptoms via negative affect. Specifically, our data indicate that NSS and negative affect influence each other and build up over the course of several months before leading on to positive symptoms. We conclude that interrupting this process by targeting NSS and negative affect early in the process could be a promising strategy to prevent the exacerbation of positive symptoms.

KW - Adolescent

KW - Adult

KW - Affect

KW - Aged

KW - Anxiety/psychology

KW - Depression/psychology

KW - Female

KW - Germany

KW - Humans

KW - Indonesia

KW - Longitudinal Studies

KW - Male

KW - Middle Aged

KW - Models, Psychological

KW - Psychiatric Status Rating Scales

KW - Psychotic Disorders/psychology

KW - Regression Analysis

KW - Self Concept

KW - Surveys and Questionnaires

KW - United States

KW - Young Adult

U2 - 10.1017/S003329171700277X

DO - 10.1017/S003329171700277X

M3 - SCORING: Journal article

C2 - 28956520

VL - 48

SP - 1299

EP - 1307

JO - PSYCHOL MED

JF - PSYCHOL MED

SN - 0033-2917

IS - 8

ER -