The impact of social stress on self-esteem and paranoid ideation

Marie-Luise Kesting; Marcel Bredenpohl; Julia Klenke; Stefan Westermann; Tania M Lincoln

doi:10.1016/j.jbtep.2012.07.010

The impact of social stress on self-esteem and paranoid ideation

Standard

The impact of social stress on self-esteem and paranoid ideation. / Kesting, Marie-Luise; Bredenpohl, Marcel; Klenke, Julia; Westermann, Stefan; Lincoln, Tania M.

In: J BEHAV THER EXP PSY, Vol. 44, No. 1, 03.2013, p. 122-8.

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

Harvard

Kesting, M-L, Bredenpohl, M, Klenke, J, Westermann, S & Lincoln, TM 2013, 'The impact of social stress on self-esteem and paranoid ideation', J BEHAV THER EXP PSY, vol. 44, no. 1, pp. 122-8. https://doi.org/10.1016/j.jbtep.2012.07.010

APA

Kesting, M-L., Bredenpohl, M., Klenke, J., Westermann, S., & Lincoln, T. M. (2013). The impact of social stress on self-esteem and paranoid ideation. J BEHAV THER EXP PSY, 44(1), 122-8. https://doi.org/10.1016/j.jbtep.2012.07.010

Vancouver

Kesting M-L, Bredenpohl M, Klenke J, Westermann S, Lincoln TM. The impact of social stress on self-esteem and paranoid ideation. J BEHAV THER EXP PSY. 2013 Mar;44(1):122-8. https://doi.org/10.1016/j.jbtep.2012.07.010

Bibtex

@article{b23c6d5a686a42e7aa9a2e1cca5eca0d,

title = "The impact of social stress on self-esteem and paranoid ideation",

abstract = "BACKGROUND: Vulnerability-stress models propose that social stress triggers psychotic episodes in high risk individuals. Previous studies found not only stress but also a decrease in self-esteem to precede the formation of delusions. As evidence for causal conclusions has not been provided yet, the present study assessed the direct impact of social stress on paranoid beliefs using an experimental design and considered a decrease in self-esteem as a mediator and the proneness to psychosis and paranoia as moderators of the effect.METHODS: A nonclinical population sample (n = 76) was randomly assigned to an experimental (EG) or a control group condition (CG). In the EG, participants were excluded during a virtual ball game (Cyberball) by the other two players and received a negative feedback after performing a test. The CG was included in the game and received a neutral feedback. Before and after the experimental conditions, emotions, self-esteem and paranoid beliefs were assessed using state-adapted questionnaires.RESULTS: After the social stress induction, the EG reported a higher increase in subclinical paranoid beliefs compared to the CG. The impact of social stress on paranoid ideation was mediated by a decrease in self-esteem and moderated by proneness to paranoia. Individuals who felt distressed by paranoid thoughts at baseline were more likely to react with an increase in paranoid ideation under social stress.LIMITATIONS: The results need to be confirmed in a patient sample to draw conclusions about the processes involved in the formation of delusions in clinically relevant stages.CONCLUSIONS: The impact of social stress on symptom formation and self-esteem is discussed in terms of recent models of symptom formation and interventions in psychosis.",

keywords = "Adolescent, Adult, Analysis of Variance, Emotions/physiology, Female, Humans, Male, Middle Aged, Models, Statistical, Paranoid Disorders/diagnosis, Psychiatric Status Rating Scales, Reproducibility of Results, Self Concept, Stress, Psychological/complications, Surveys and Questionnaires, User-Computer Interface, Young Adult",

author = "Marie-Luise Kesting and Marcel Bredenpohl and Julia Klenke and Stefan Westermann and Lincoln, {Tania M}",

year = "2013",

month = mar,

doi = "10.1016/j.jbtep.2012.07.010",

language = "English",

volume = "44",

pages = "122--8",

journal = "J BEHAV THER EXP PSY",

issn = "0005-7916",

publisher = "Elsevier Limited",

number = "1",

}

RIS

TY - JOUR

T1 - The impact of social stress on self-esteem and paranoid ideation

AU - Kesting, Marie-Luise

AU - Bredenpohl, Marcel

AU - Klenke, Julia

AU - Westermann, Stefan

AU - Lincoln, Tania M

PY - 2013/3

Y1 - 2013/3

N2 - BACKGROUND: Vulnerability-stress models propose that social stress triggers psychotic episodes in high risk individuals. Previous studies found not only stress but also a decrease in self-esteem to precede the formation of delusions. As evidence for causal conclusions has not been provided yet, the present study assessed the direct impact of social stress on paranoid beliefs using an experimental design and considered a decrease in self-esteem as a mediator and the proneness to psychosis and paranoia as moderators of the effect.METHODS: A nonclinical population sample (n = 76) was randomly assigned to an experimental (EG) or a control group condition (CG). In the EG, participants were excluded during a virtual ball game (Cyberball) by the other two players and received a negative feedback after performing a test. The CG was included in the game and received a neutral feedback. Before and after the experimental conditions, emotions, self-esteem and paranoid beliefs were assessed using state-adapted questionnaires.RESULTS: After the social stress induction, the EG reported a higher increase in subclinical paranoid beliefs compared to the CG. The impact of social stress on paranoid ideation was mediated by a decrease in self-esteem and moderated by proneness to paranoia. Individuals who felt distressed by paranoid thoughts at baseline were more likely to react with an increase in paranoid ideation under social stress.LIMITATIONS: The results need to be confirmed in a patient sample to draw conclusions about the processes involved in the formation of delusions in clinically relevant stages.CONCLUSIONS: The impact of social stress on symptom formation and self-esteem is discussed in terms of recent models of symptom formation and interventions in psychosis.

AB - BACKGROUND: Vulnerability-stress models propose that social stress triggers psychotic episodes in high risk individuals. Previous studies found not only stress but also a decrease in self-esteem to precede the formation of delusions. As evidence for causal conclusions has not been provided yet, the present study assessed the direct impact of social stress on paranoid beliefs using an experimental design and considered a decrease in self-esteem as a mediator and the proneness to psychosis and paranoia as moderators of the effect.METHODS: A nonclinical population sample (n = 76) was randomly assigned to an experimental (EG) or a control group condition (CG). In the EG, participants were excluded during a virtual ball game (Cyberball) by the other two players and received a negative feedback after performing a test. The CG was included in the game and received a neutral feedback. Before and after the experimental conditions, emotions, self-esteem and paranoid beliefs were assessed using state-adapted questionnaires.RESULTS: After the social stress induction, the EG reported a higher increase in subclinical paranoid beliefs compared to the CG. The impact of social stress on paranoid ideation was mediated by a decrease in self-esteem and moderated by proneness to paranoia. Individuals who felt distressed by paranoid thoughts at baseline were more likely to react with an increase in paranoid ideation under social stress.LIMITATIONS: The results need to be confirmed in a patient sample to draw conclusions about the processes involved in the formation of delusions in clinically relevant stages.CONCLUSIONS: The impact of social stress on symptom formation and self-esteem is discussed in terms of recent models of symptom formation and interventions in psychosis.

KW - Adolescent

KW - Adult

KW - Analysis of Variance

KW - Emotions/physiology

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Models, Statistical

KW - Paranoid Disorders/diagnosis

KW - Psychiatric Status Rating Scales

KW - Reproducibility of Results

KW - Self Concept

KW - Stress, Psychological/complications

KW - Surveys and Questionnaires

KW - User-Computer Interface

KW - Young Adult

U2 - 10.1016/j.jbtep.2012.07.010

DO - 10.1016/j.jbtep.2012.07.010

M3 - SCORING: Journal article

C2 - 22960709

VL - 44

SP - 122

EP - 128

JO - J BEHAV THER EXP PSY

JF - J BEHAV THER EXP PSY

SN - 0005-7916

IS - 1

ER -