bipolar disorder; distress; emotional valence; impact on functioning; major depression; schizoaffective disorder; schizophrenia; Anxiety; Anxiety Disorders; Hallucinations/psychology; Humans; Depression; Voice; Developmental and Educational Psychology; Clinical Psychology; Arts and Humanities (miscellaneous); Psychiatry and Mental Health
Abstract :
[en] OBJECTIVES: Auditory verbal hallucinations (AVHs) occur as a symptom in various mental disorders, and show different phenomenological aspects, depending on their underlying psychopathology. Anxiety and depression, which are known to be involved in the development of AVHs, are suggested to amplify a vicious cycle in which negative interpretations of daily experiences feed into the formation of negative core schemas about the self and others. However, the way in which these variables interrelate is still unknown. Therefore, our aim was to determine the specific roles of anxiety and depression in the relationship between core schemas and emotional aspects of AVHs for three groups (non-clinical voice hearers, affective voice hearers and non-affective voice hearers).
METHODS: Positive and negative core schemas of the self and others were tested as predictors of emotional distress due to AVHs, examining anxiety and depression separately as potential mediators.
RESULTS: Results showed full mediating effects of depression in non-affective voice hearers in the relationship between negative core schemas and AVH distress, but not in affective voice hearers. Anxiety was not a mediator in any of the groups.
CONCLUSIONS: These findings suggest different emotional mechanisms depending on the underlying psychopathology.
Disciplines :
Neurosciences & behavior
Author, co-author :
Kusztrits, Isabella ; Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway ; NORMENT Norwegian Centre for Mental Disorders Research, University of Bergen & Haukeland University Hospital, Bergen, Norway
Toh, Wei Lin ; Centre for Mental Health, Swinburne University of Technology, Melbourne, Victoria, Australia
Thomas, Neil ; Centre for Mental Health, Swinburne University of Technology, Melbourne, Victoria, Australia
Laroi, Frank ; Université de Liège - ULiège > Psychologie et Neuroscience Cognitives (PsyNCog) ; Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway ; NORMENT Norwegian Centre for Mental Disorders Research, University of Bergen & Haukeland University Hospital, Bergen, Norway
Meyers, Denny; Centre for Mental Health, Swinburne University of Technology, Melbourne, Victoria, Australia
Hirnstein, Marco ; Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway ; NORMENT Norwegian Centre for Mental Disorders Research, University of Bergen & Haukeland University Hospital, Bergen, Norway
Rossell, Susan ; Centre for Mental Health, Swinburne University of Technology, Melbourne, Victoria, Australia ; Psychiatry, St Vincent's Hospital, Melbourne, Victoria, Australia
Language :
English
Title :
From core schemas about the self and others to voice phenomenology: Anxiety and depression affect voice hearers differently.
This work was supported by a research grant from the Bergen Research Foundation (BFS2016REK03) to MH, the Australian National Health and Medical Research Council (NHMRC; senior fellowship to S.L.R (GNT1154651) and a project grant to S.L.R and N.T. (GNT1060664)) as well as a Barbara Dicker Brain Sciences Foundation to S.L.R., N.T. and W.L.T.
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