Untangling the complex relationships between symptoms of schizophrenia and emotion dynamics in daily life: Findings from an experience sampling pilot study

Grezellschak, Sarah; Oravecz, Zita; Moritz, Steffen; Lüdtke, Thies; Jansen, Andreas

doi:10.1016/j.psychres.2017.08.023

Cited by 22 publications

(21 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…within the entire sample) (Curran & Bauer, 2011; Wang & Maxwell, 2015). As in previous ESM studies (Udachina, Bentall, Varese, & Rowse, 2017; Vaessen et al, 2018; Westermann et al, 2017), participants who completed <30% (i.e. 18 out of 60) of ESM observations were excluded from the analysis.…”

Section: Methodsmentioning

confidence: 99%

Moment-to-moment dynamics between auditory verbal hallucinations and negative affect and the role of beliefs about voices

Chung

Tse

et al. 2020

Psychol. Med.

View full text Add to dashboard Cite

Background Negative affect (NA) has been suggested to be both an antecedent and a consequence of auditory verbal hallucinations (AVH). Furthermore, negative appraisals of voices have been theorized to contribute to the maintenance of AVH. Using the experience sampling method (ESM), this study examined the bi-directional relationship between NA and AVH, and the moderating effect of negative beliefs about voices. Methods Forty-seven patients diagnosed with schizophrenia spectrum disorders with frequent AVH completed a clinical interview, followed by ESM for 10 times a day over 6 days on an electronic device. Time-lagged analyses were conducted using multilevel regression modeling. Beliefs about voices were assessed at baseline. Results A total of 1654 data points were obtained. NA predicted an increase in AVH in the subsequent moment, and AVH predicted an increase in NA in the subsequent moment. Baseline beliefs about voices as malevolent and omnipotent significantly strengthened the association between NA and AVH within the same moment. In addition, the belief of omnipotence was associated with more hallucinatory experiences in the moment following NA. However, beliefs about voices were not associated directly with momentary levels of NA or AVH. Conclusions Experiences of NA and AVH drove each other, forming a feedback loop that maintained the voices. The associations between NA and AVH, either within the same moment or across moments, were exacerbated by negative beliefs about voices. Our results suggest that affect-improving interventions may stop the feedback loop and reduce AVH frequency.

show abstract

Section: Methodsmentioning

confidence: 99%

Moment-to-moment dynamics between auditory verbal hallucinations and negative affect and the role of beliefs about voices

Chung

Tse

et al. 2020

Psychol. Med.

View full text Add to dashboard Cite

show abstract

“…It could for instance be hypothesized that certain symptom domains (e.g., anxiety) are more stable than others ( e.g., psychosis, mania 46 ). At present, little is known about such between-domain differences: it has been reported that panic disorder and major depression show higher homebases (but similar attractor strengths) compared to borderline, post-traumatic stress and eating disorders 37 , 47 , while negative psychotic symptoms may have a stronger attraction (but similar homebase) compared to positive symptoms of psychosis 48 . However, small sample sizes and methodological heterogeneity preclude firm conclusions.…”

Section: Discussionmentioning

confidence: 99%

On the transience or stability of subthreshold psychopathology

Schreuder

Wigman

Groen

et al. 2021

Sci Rep

View full text Add to dashboard Cite

Symptoms of psychopathology lie on a continuum ranging from mental health to psychiatric disorders. Although much research has focused on progression along this continuum, for most individuals, subthreshold symptoms do not escalate into full-blown disorders. This study investigated how the stability of psychopathological symptoms (attractor strength) varies across severity levels (homebase). Data were retrieved from the TRAILS TRANS-ID study, where 122 at-risk young adults (mean age 23.6 years old, 57% males) monitored their mental states daily for a period of six months (± 183 observations per participant). We estimated each individual’s homebase and attractor strength using generalized additive mixed models. Regression analyses showed no association between homebases and attractor strengths (linear model: B = 0.02, p = 0.47, R2 < 0.01; polynomial model: B < 0.01, p = 0.61, R2 < 0.01). Sensitivity analyses where we (1) weighed estimates according to their uncertainty and (2) removed individuals with a DSM-5 diagnosis from the analyses did not change this finding. This suggests that stability is similar across severity levels, implying that subthreshold psychopathology may resemble a stable state rather than a transient intermediate between mental health and psychiatric disorder. Our study thus provides additional support for a dimensional view on psychopathology, which implies that symptoms differ in degree rather than kind.

show abstract

“…So far, a handful of studies have examined affect dynamics in psychosis. The majority found associations between psychotic symptoms and increased affective instability, that is, the degree of frequent and extreme moment-to-moment affective fluctuations (Ludwig et al, 2020; Marwaha et al, 2014; Myin-Germeys et al, 2000; Nittel et al, 2018, 2019; Nowak & Lincoln, 2021; Nowak et al, 2022; Oorschot et al, 2013; Westermann et al, 2017). However, most of these studies did not differentiate between the two principal dimensions of positive symptoms in psychosis, namely paranoid ideation and hallucination spectrum experiences.…”

mentioning

confidence: 99%

Are paranoid ideation and hallucination spectrum experiences differently associated with affect dynamics? A continuous-time modeling approach.

Nowak,

Wood,

Dinu

et al. 2023

Emotion

Self Cite

View full text Add to dashboard Cite

Psychotic experiences have been associated with distortions in affective functioning, including aberrancies in affect dynamics. However, it remains unclear whether the two principal symptom dimensions of psychosis, namely paranoid ideation and hallucination spectrum experiences, are differently associated with affect dynamics, and whether associations hold after statistically controlling for depressive symptoms. We investigate this by using a novel statistical approach, the hierarchical Ornstein-Uhlenbeck (OU) process model. This is a continuous-time stochastic differential equations model in a Bayesian framework that describes dynamics in affective valence and arousal via three core parameters: attractor point, variability, and attractor strength. In a community sample with varying levels of psychotic experiences (n = 116), we measured affective valence and arousal 10 times per day for 7 days, using the experience-sampling method. We found—while statistically controlling for depressive symptoms—credible between-subjects associations between paranoid ideation and attractor points of negative valence and high arousal. We also found a credible positive association between hallucination spectrum experiences and arousal variability. Limited evidence emerged for small associations between paranoid ideation and high valence variability as well as between paranoid ideation and high attractor strengths of valence and arousal. Hallucination spectrum experiences showed some evidence for a small association with high arousal attractor points. The detailed picture of affect dynamics provided by the OU model reveals different cross-sectional affective profiles associated with paranoid ideation versus hallucination spectrum experiences that suggest different affective mechanisms of their formation and maintenance.

show abstract

Untangling the complex relationships between symptoms of schizophrenia and emotion dynamics in daily life: Findings from an experience sampling pilot study

Cited by 22 publications

References 33 publications

Moment-to-moment dynamics between auditory verbal hallucinations and negative affect and the role of beliefs about voices

Moment-to-moment dynamics between auditory verbal hallucinations and negative affect and the role of beliefs about voices

On the transience or stability of subthreshold psychopathology

Are paranoid ideation and hallucination spectrum experiences differently associated with affect dynamics? A continuous-time modeling approach.

Contact Info

Product

Resources

About