Research ExplorerPublicationsDo depressive symptoms predict paranoia or vice versa?

Do depressive symptoms predict paranoia or vice versa?

Standard

Do depressive symptoms predict paranoia or vice versa? / Moritz, Steffen; Göritz, Anja S; McLean, Benjamin; Westermann, Stefan; Brodbeck, Jeannette.

In: J BEHAV THER EXP PSY, Vol. 56, 09.2017, p. 113-121.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Moritz, S, Göritz, AS, McLean, B, Westermann, S & Brodbeck, J 2017, 'Do depressive symptoms predict paranoia or vice versa?', J BEHAV THER EXP PSY, vol. 56, pp. 113-121. https://doi.org/10.1016/j.jbtep.2016.10.002

APA

Moritz, S., Göritz, A. S., McLean, B., Westermann, S., & Brodbeck, J. (2017). Do depressive symptoms predict paranoia or vice versa? J BEHAV THER EXP PSY, 56, 113-121. https://doi.org/10.1016/j.jbtep.2016.10.002

Vancouver

Moritz S, Göritz AS, McLean B, Westermann S, Brodbeck J. Do depressive symptoms predict paranoia or vice versa? J BEHAV THER EXP PSY. 2017 Sep;56:113-121. https://doi.org/10.1016/j.jbtep.2016.10.002

Bibtex

@article{23bb3b80a68a48e99c8fba24808f1475,
title = "Do depressive symptoms predict paranoia or vice versa?",
abstract = "BACKGROUND AND OBJECTIVES: Affective versus nonaffective psychoses are today no longer regarded as mutually exclusive disorders. Theorists have recently highlighted the role of affective symptoms in the formation of paranoid beliefs, particularly negative beliefs about the self, interpersonal sensitivity, sleep disturbances, and worrying, which exist along a continuum in the general population. For the present study, we tested the bidirectional causal relationships between paranoia and affect.METHOD: A large population sample (N = 2,357) was examined at three time-points (baseline, six months, two years) as to the severity of subclinical paranoid beliefs (Paranoia Checklist, PCL) and depressive symptoms (Patient Health Questionnaire-9, PHQ-9). Worrying and avoidance were measured with items from the Maladaptive and Adaptive Coping Style Questionnaire (MAX).RESULTS: Depression and paranoid symptoms were strongly cross-sectionally related (r = 0.69) and showed high stability (r > 0.72). Depressive symptoms at T2 predicted paranoid symptoms at T3 (beta = 0.16; no significant relationship from T1 to T2), whereas paranoid symptoms predicted depressive symptoms from T1 to T2 (beta = 0.09; no significant relationship from T2 to T3).LIMITATIONS: Results should be replicated in a sample of paranoid patients, as risk factors for subclinical versus manifest paranoia may differ. Some constructs were measured with single items derived from a new scale.CONCLUSIONS: The predictive association of depression to subsequent paranoia was small and confined to the long interval from T2 to T3. Treatments should target both paranoia and depression - irrespective of their causal relationship - particularly as patients with psychosis consider treatment of their emotional problems a priority.",
keywords = "Journal Article",
author = "Steffen Moritz and G{\"o}ritz, {Anja S} and Benjamin McLean and Stefan Westermann and Jeannette Brodbeck",
note = "Copyright {\textcopyright} 2016. Published by Elsevier Ltd.",
year = "2017",
month = sep,
doi = "10.1016/j.jbtep.2016.10.002",
language = "English",
volume = "56",
pages = "113--121",
journal = "J BEHAV THER EXP PSY",
issn = "0005-7916",
publisher = "Elsevier Limited",

}

RIS

TY - JOUR

T1 - Do depressive symptoms predict paranoia or vice versa?

AU - Moritz, Steffen

AU - Göritz, Anja S

AU - McLean, Benjamin

AU - Westermann, Stefan

AU - Brodbeck, Jeannette

N1 - Copyright © 2016. Published by Elsevier Ltd.

PY - 2017/9

Y1 - 2017/9

N2 - BACKGROUND AND OBJECTIVES: Affective versus nonaffective psychoses are today no longer regarded as mutually exclusive disorders. Theorists have recently highlighted the role of affective symptoms in the formation of paranoid beliefs, particularly negative beliefs about the self, interpersonal sensitivity, sleep disturbances, and worrying, which exist along a continuum in the general population. For the present study, we tested the bidirectional causal relationships between paranoia and affect.METHOD: A large population sample (N = 2,357) was examined at three time-points (baseline, six months, two years) as to the severity of subclinical paranoid beliefs (Paranoia Checklist, PCL) and depressive symptoms (Patient Health Questionnaire-9, PHQ-9). Worrying and avoidance were measured with items from the Maladaptive and Adaptive Coping Style Questionnaire (MAX).RESULTS: Depression and paranoid symptoms were strongly cross-sectionally related (r = 0.69) and showed high stability (r > 0.72). Depressive symptoms at T2 predicted paranoid symptoms at T3 (beta = 0.16; no significant relationship from T1 to T2), whereas paranoid symptoms predicted depressive symptoms from T1 to T2 (beta = 0.09; no significant relationship from T2 to T3).LIMITATIONS: Results should be replicated in a sample of paranoid patients, as risk factors for subclinical versus manifest paranoia may differ. Some constructs were measured with single items derived from a new scale.CONCLUSIONS: The predictive association of depression to subsequent paranoia was small and confined to the long interval from T2 to T3. Treatments should target both paranoia and depression - irrespective of their causal relationship - particularly as patients with psychosis consider treatment of their emotional problems a priority.

AB - BACKGROUND AND OBJECTIVES: Affective versus nonaffective psychoses are today no longer regarded as mutually exclusive disorders. Theorists have recently highlighted the role of affective symptoms in the formation of paranoid beliefs, particularly negative beliefs about the self, interpersonal sensitivity, sleep disturbances, and worrying, which exist along a continuum in the general population. For the present study, we tested the bidirectional causal relationships between paranoia and affect.METHOD: A large population sample (N = 2,357) was examined at three time-points (baseline, six months, two years) as to the severity of subclinical paranoid beliefs (Paranoia Checklist, PCL) and depressive symptoms (Patient Health Questionnaire-9, PHQ-9). Worrying and avoidance were measured with items from the Maladaptive and Adaptive Coping Style Questionnaire (MAX).RESULTS: Depression and paranoid symptoms were strongly cross-sectionally related (r = 0.69) and showed high stability (r > 0.72). Depressive symptoms at T2 predicted paranoid symptoms at T3 (beta = 0.16; no significant relationship from T1 to T2), whereas paranoid symptoms predicted depressive symptoms from T1 to T2 (beta = 0.09; no significant relationship from T2 to T3).LIMITATIONS: Results should be replicated in a sample of paranoid patients, as risk factors for subclinical versus manifest paranoia may differ. Some constructs were measured with single items derived from a new scale.CONCLUSIONS: The predictive association of depression to subsequent paranoia was small and confined to the long interval from T2 to T3. Treatments should target both paranoia and depression - irrespective of their causal relationship - particularly as patients with psychosis consider treatment of their emotional problems a priority.

KW - Journal Article

U2 - 10.1016/j.jbtep.2016.10.002

DO - 10.1016/j.jbtep.2016.10.002

M3 - SCORING: Journal article

C2 - 27817827

VL - 56

SP - 113

EP - 121

JO - J BEHAV THER EXP PSY

JF - J BEHAV THER EXP PSY

SN - 0005-7916

ER -