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The temporal association between social isolation, distress, and psychotic experiences in individuals at clinical high-risk for psychosis

BackgroundPsychotic experiences (PEs) and social isolation (SI) seem related during early stages of psychosis, but the temporal dynamics between the two are not clear. Literature so far suggests a self-perpetuating cycle wherein momentary increases in PEs lead to social withdrawal, which, subsequent...

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Main Authors: Akcaoglu, Zeynep (Author) , Vaessen, Thomas (Author) , Velthorst, Eva (Author) , Lafit, Ginette (Author) , Achterhof, Robin (Author) , Nelson, Barnaby (Author) , McGorry, Patrick D. (Author) , Schirmbeck, Frederike (Author) , Morgan, Craig (Author) , Hartmann, Jessica A. (Author) , Gaag, Mark van der (Author) , Haan, Lieuwe de (Author) , Valmaggia, Lucia (Author) , McGuire, Philip K. (Author) , Kempton, Matthew (Author) , Steinhart, Henrietta (Author) , Klippel, Annelie (Author) , Viechtbauer, Wolfgang (Author) , Batink, Tim (Author) , Winkel, Ruud van (Author) , Amelsvoort, Thérèse van (Author) , Marcelis, Machteld (Author) , Aubel, Evelyne van (Author) , Reininghaus, Ulrich (Author) , Myin-Germeys, Inez (Author)
Format: Article (Journal)
Language:English
Published: 05 January 2024
In: Psychological medicine
Year: 2024, Volume: 54, Issue: 8, Pages: 1684-1692
ISSN:1469-8978
DOI:10.1017/S0033291723003598
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1017/S0033291723003598
Verlag, lizenzpflichtig, Volltext: https://www.cambridge.org/core/journals/psychological-medicine/article/temporal-association-between-social-isolation-distress-and-psychotic-experiences-in-individuals-at-clinical-highrisk-for-psychosis/DABBEF7A89AA5E758EFF70E6ECC7C82C#
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Author Notes:Zeynep Akcaoglu, Thomas Vaessen, Eva Velthorst, Ginette Lafit, Robin Achterhof, Barnaby Nelson, Patrick McGorry, Frederike Schirmbeck, EU-GEI High Risk Study, Craig Morgan, Jessica Hartmann, Mark van der Gaag, Lieuwe de Haan, Lucia Valmaggia, Philip McGuire, Matthew Kempton, Henrietta Steinhart, Annelie Klippel, Wolfgang Viechtbauer, Tim Batink, Ruud van Winkel, Thérèse van Amelsvoort, Machteld Marcelis, Evelyne van Aubel, Ulrich Reininghaus and Inez Myin-Germeys
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Summary:BackgroundPsychotic experiences (PEs) and social isolation (SI) seem related during early stages of psychosis, but the temporal dynamics between the two are not clear. Literature so far suggests a self-perpetuating cycle wherein momentary increases in PEs lead to social withdrawal, which, subsequently, triggers PEs at a next point in time, especially when SI is associated with increased distress. The current study investigated the daily-life temporal associations between SI and PEs, as well as the role of SI-related and general affective distress in individuals at clinical high risk (CHR) for psychosis.MethodsWe used experience sampling methodology in a sample of 137 CHR participants. We analyzed the association between SI, PEs, and distress using time-lagged linear mixed-effects models.ResultsSI did not predict next-moment fluctuations in PEs, or vice versa. Furthermore, although SI-related distress was not predictive of subsequent PEs, general affective distress during SI was a robust predictor of next-moment PEs.ConclusionsOur results suggest that SI and PEs are not directly related on a moment-to-moment level, but a negative emotional state when alone does contribute to the risk of PEs. These findings highlight the role of affective wellbeing during early-stage psychosis development.
Item Description:Gesehen am 21.03.2024
Physical Description:Online Resource
ISSN:1469-8978
DOI:10.1017/S0033291723003598

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