Deconstructing the relationships between self-esteem and paranoia in early psychosis : an experience sampling study
Monsonet, Manel (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Kwapil, Thomas (University of Illinois at Urbana-Champaign)
Barrantes-Vidal, Neus (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)

Date:	2020
Abstract:	No studies have examined the association between self-esteem and paranoia developmentally across the critical stages of psychosis emergence. The present study fills this gap and extends previous research by examining how different dimensions, measures, and types of self-esteem relate to daily-life paranoia across at-risk mental states for psychosis (ARMS) and first episode of psychosis (FEP) stages. Furthermore, the moderation effects of momentary anxiety and momentary perceived social support on the association between momentary self-esteem and paranoia were examined. This study used a multilevel, cross-sectional design. One-hundred and thirteen participants (74 ARMS and 39 FEP) were assessed repeatedly over seven consecutive days on levels of momentary paranoia, self-esteem, anxiety and perceived social support using experience sampling methodology. Measures of trait and implicit self-esteem were also collected. Global momentary and trait self-esteem, and their positive and negative dimensions, were related to daily-life paranoia in both ARMS and FEP groups. Conversely, implicit self-esteem was not associated with daily-life paranoia in either group. Anxiety negatively moderated the association between positive self-esteem and lower paranoia, whereas both feeling close to others and feeling cared for by others strengthened this association. However, only feeling cared for by others moderated the association between negative self-esteem and higher paranoia. Different types, measures and dimensions of self-esteem are differentially related to paranoia in early psychosis and are influenced by contextual factors in daily-life. This yields a more complex picture of these associations and offers insights that might aid psychological interventions.
Grants:	Agència de Gestió d'Ajuts Universitaris i de Recerca 2017-SGR-1612 Ministerio de Ciencia e Innovación PSI2017-87512-C2-01 Ministerio de Educación, Cultura y Deporte FPU13/01173
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Paranoia ; Self-esteem ; Early psychosis ; Experience sampling ; Social support
Published in:	The British journal of clinical psychology, Vol. 59 (august 2020) , p. 503-523, ISSN 2044-8260

DOI: 10.1111/bjc.12263
PMID: 32862467

21 p, 310.4 KB

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