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Negative schemata about the self and others and paranoid ideation in at‐risk states and those with persisting positive symptoms
Author(s) -
Müller Hendrik,
de Millas Walter,
Gaebel Wolfgang,
Herrlich Jutta,
Hasan Alkomiet,
Janssen Birgit,
Juckel Georg,
Karow Anne,
Kircher Tilo,
KiszkenowBäker Stefanie,
Klingberg Stefan,
Klosterkötter Joachim,
KrügerÖzgürdal Seza,
Lambert Martin,
Lautenschlager Marion,
Maier Wolfgang,
Michel Tanja Maria,
Mehl Stefanie,
Müller Bernhard W.,
Pützfeld Verena,
Rausch Franziska,
Riedel Michael,
Sartory Gudrun,
Schneider Frank,
Wagner Michael,
Wiedemann Georg,
Wittorf Andreas,
Wobrock Thomas,
Wölwer Wolfgang,
Zink Mathias,
Bechdolf Andreas
Publication year - 2018
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/eip.12433
Subject(s) - psychology , schema (genetic algorithms) , psychosis , association (psychology) , ideation , clinical psychology , psychiatry , psychotherapist , machine learning , computer science , cognitive science
Background The objective of this study is to test the conflicting theories concerning the association of negative self and other schemata and paranoid ideation. Methods A risk‐based approach, including risk stratification, is used to gain insight into the association of the negative self and other schemata that may be shared by individuals or differentiate between individuals at clinical high risk ( CHR ) for a first‐episode psychosis and those with full‐blown psychosis. The dataset includes a sample of individuals at CHR (n = 137) and a sample of individuals with persisting positive symptoms ( PPS , n = 211). The CHR sample was subdivided according to a prognostic index yielding 4 CHR sub‐classes with increasing risk for transition to psychosis. Results Negative beliefs about the self were associated with paranoid ideation in CHR and a lower risk state. In the highest risk state and full‐blown psychosis, there is an association with negative beliefs about others. Conclusion These findings are in line with theories suggesting a switch from a predominantly activated negative self‐schema to a malevolent others‐schema in association with paranoid ideation along the risk‐continuum. However, due to methodological limitations these results should be replicated by future studies.