The association of family functioning and psychosis proneness in five countries that differ in cultural values and family structures

Wüsten, Caroline; Lincoln, Tania M.

doi:10.1016/j.psychres.2017.03.041

Cited by 13 publications

(9 citation statements)

References 46 publications

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“…55 Furthermore, lower distress has been found to be predicted by spiritual appraisals and greater perceived social support from family and friends, 49 which have both been shown to be more pronounced in individuals from LAMIC than from HIC. 21,56 Taken together, cultural differences may play a key role in regard to the way PEs are appraised. The notion that the attribution of PEs as normal could be relevant to symptom distress is also indirectly supported by the fact that a "normalizing approach" where the therapist emphasizes that PEs are a common experience is a prominent part of the effective cognitive-behavioral approach to psychosis 57 and has been found to reduce self-stigmatizing cognitions.…”

Section: Discussionmentioning

confidence: 99%

Psychotic Experiences and Related Distress: A Cross-national Comparison and Network Analysis Based on 7141 Participants From 13 Countries

Wüsten

Schlier

Jaya³

et al. 2018

Schizophrenia Bulletin

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Psychotic experiences (PEs) are common in the general population but do not necessarily reflect a risk status if they occur in relative isolation or are not distressing. Emerging evidence suggests that PEs might be experienced as more benign for individuals from collectivistic low- and middle-income countries (LAMIC) compared with individualistic high-income countries (HIC). The aim of this study was to determine whether: (1) self-reported PEs are less distressing in community samples from LAMIC than from HIC; (2) the network of PEs is significantly less connected in a sample from LAMIC than from HIC. Adults from 8 HIC (n = 4669) and 5 LAMIC (n = 2472) were compared. The lifetime frequency of PEs and related distress were assessed with the Community Assessment of Psychic Experiences. We analyzed the associations of PEs with distress and country type. The interconnection of PEs was visualized by a network analysis and tested for differences in global connection strengths. The average endorsement rates of PEs were significantly higher in LAMIC than in HIC (χ2 = 1772.87, P < .01, Φcramer = 0.50). There was a universal positive correlation between higher frequency of PEs and more distress, but the distress levels controlled for frequency were significantly higher in HIC (R2 = 0.11; b = 0.26; SE = 0.01; T = 17.68; P < .001). Moreover, the network of PEs was significantly less connected in LAMIC (S = 0.40, P < .05). The findings indicate that PEs are of less clinical relevance in LAMIC compared with HIC. The universal use of current high-risk criteria might thus not be adequate without consideration of associated distress and cultural values.

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Section: Discussionmentioning

confidence: 99%

Psychotic Experiences and Related Distress: A Cross-national Comparison and Network Analysis Based on 7141 Participants From 13 Countries

Wüsten

Schlier

Jaya³

et al. 2018

Schizophrenia Bulletin

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“…Reddit users are mostly from the U.S. (Clement, 2021 ), and we cannot speculate what the experiences are like in more diverse samples outside the Reddit communities. There are significant cross-country differences in COVID-19 experiences and mental health outcomes (e.g., Geirdal et al, 2021 ; Terraneo et al, 2021 ; Wang et al, 2020 ), as well as cultural and country-differences in experiences of psychosis (Lyons et al, 2020 ; Wüsten & Lincoln, 2017 ; Wüsten et al, 2018 ). It would be interesting to compare psychosis and the lived experiences of the first lockdown in individuals from different countries and cultures.…”

Section: Limitations and Implicationsmentioning

confidence: 99%

"COVID-19 spreads round the planet, and so do paranoid thoughts". A qualitative investigation into personal experiences of psychosis during the COVID-19 pandemic

et al. 2021

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The COVID-19 pandemic is likely to affect people who have had previous experiences of psychosis – either positively or negatively. A research gap exists in looking at qualitative experiences of the pandemic. In the present study, we address the research gap in those who self-identified as having psychosis via Reddit discussion forum posts, collecting data from a popular online community. Sixty-five posts were analysed using inductive thematic analysis. Five overarching themes were identifie; declining mental health, changed psychosis experiences, personal coping experiences, social connectedness and disconnectedness, and COVID-19 as a metaphor. The data show that there are varied experiences associated with the pandemic. People who have experiences of psychosis do not only have vulnerabilities but may also perceive themselves as having strengths that allow them to cope better.

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“…Parental divorce or other long-term separation from a parent in childhood (Ajnakina et al, 2016;Morgan et al, 2007;Stilo et al, 2017) and childhood socioeconomic disadvantage (Wicks et al, 2010) have also been associated with an increased risk of adult psychosis. Negative family environment was associated with psychosis proneness in community samples from different countries (Wüsten and Lincoln, 2017).…”

Section: Introductionmentioning

confidence: 98%

Childhood adversities and clinical symptomatology in first-episode psychosis

Lindgren

Mäntylä

Rikandi

et al. 2017

Psychiatry Research

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In addition to severe traumatic experiences, milder, more common childhood adversities reflecting psychosocial burden may also be common in people with psychotic disorders and have an effect on symptomatology and functioning. We explored eleven negative childhood experiences and their influence on clinical symptoms among young adults with first-episode psychosis (FEP, n = 75) and matched population controls (n = 51). Individuals with FEP reported more adversities than controls. Specifically serious conflicts within the family, bullying at school, maternal mental health problems, and one's own and parents' serious illness during childhood were experienced by the patients more often than by controls. In the FEP group, the severity of adversity was associated with increased anxiety, manic, and obsessive-compulsive symptoms, but not with the severity of positive psychotic symptoms. Adversity produced a more pronounced effect on symptoms in male patients than in female patients. To conclude, in line with earlier studies of more chronic psychosis, a majority of the participants with FEP reported exposure to childhood adversities, with the FEP group reporting more adversities than controls. High levels of mood and anxiety symptoms in patients with FEP may be related to cumulative exposure to childhood adversities. This should be taken into account in the treatment for FEP.

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The association of family functioning and psychosis proneness in five countries that differ in cultural values and family structures

Cited by 13 publications

References 46 publications

Psychotic Experiences and Related Distress: A Cross-national Comparison and Network Analysis Based on 7141 Participants From 13 Countries

Psychotic Experiences and Related Distress: A Cross-national Comparison and Network Analysis Based on 7141 Participants From 13 Countries

"COVID-19 spreads round the planet, and so do paranoid thoughts". A qualitative investigation into personal experiences of psychosis during the COVID-19 pandemic

Childhood adversities and clinical symptomatology in first-episode psychosis

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