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Bidirectional pathways between psychosocial risk factors and paranoid ideation in a general nonclinical population

Published online by Cambridge University Press:  21 October 2020

Aino Saarinen Open the ORCID record for Aino Saarinen [Opens in a new window] ,
Niklas Granö ,
Mirka Hintsanen ,
Terho Lehtimäki ,
C. Robert Cloninger Open the ORCID record for C. Robert Cloninger [Opens in a new window]  and
Liisa Keltikangas-Järvinen
Aino Saarinen*
Affiliation:
Research Unit of Psychology, University of Oulu, Oulu, Finland Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
Niklas Granö
Affiliation:
Department of Adolescent Psychiatry, Helsinki University Hospital, Helsinki, Finland
Mirka Hintsanen
Affiliation:
Research Unit of Psychology, University of Oulu, Oulu, Finland
Terho Lehtimäki
Affiliation:
Department of Clinical Chemistry, Fimlab Laboratories and Finnish Cardiovascular Research Center-Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
C. Robert Cloninger
Affiliation:
Department of Psychiatry, School of Medicine, Washington University, St. Louis, MO, USA Anthropedia Foundation, St. Louis, MO, USA
Liisa Keltikangas-Järvinen
Affiliation:
Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
*
Author for Correspondence: Aino Saarinen, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Haartmaninkatu 3, PO Box 21, 00014Helsinki, Finland; E-mail: [email protected].
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Abstract

We investigated (a) whether psychosocial factors (experienced stress, anticipatory worry, social detachment, sleeping disturbances, alcohol use) predict the course of paranoid ideation between the ages of 24 to 50 years and (b) whether the predictive relationships are more likely to proceed from the psychosocial factors to paranoid ideation, or vice versa. The participants (N = 1534–1553) came from the population-based Young Finns study. Paranoid ideation and psychosocial factors were assessed by reliable self-report questionnaires in 2001, 2007, and 2011/2012. The data were analyzed using growth curve and structural equation models. High experienced stress, anticipatory worry, social detachment, frequent sleeping disturbances, and frequent alcohol use predicted more paranoid ideation. More risk factors predicted increasing paranoid ideation. There were bidirectional predictive relationships of paranoid ideation with experienced stress, anticipatory worry, social detachment, and sleeping disturbances. The link between alcohol use and paranoid ideation was only correlative. In conclusion, paranoid ideation increases by reciprocal interactions with stress, worry, social detachment, and sleeping disturbances. The findings support the threat–anticipation model of paranoid ideation, providing important implications for treatment of paranoia.

Keywords

alcohol useparanoidsleepsocial isolationstress
Type
Regular Article
Information
Development and Psychopathology , Volume 34 , Issue 1 , February 2022 , pp. 421 - 430
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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