Evidence map›Paper›PMID 25925392›Full record

ArticleSchizophrenia bulletin2015

The Vicious Cycle of Family Atmosphere, Interpersonal Self-concepts, and Paranoia in Schizophrenia-A Longitudinal Study.

Klaus Hesse, Levente Kriston, Stephanie Mehl, Andreas Wittorf, Wolfgang Wiedemann, Wolfgang Wölwer, Stefan Klingberg

Open access · bronzeAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Klaus HesseDepartment of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany; klaus.hesse@med.uni-tuebingen.de.
Levente KristonDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;
Stephanie MehlDepartment of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany;
Andreas WittorfDepartment of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany;
Wolfgang WiedemannDepartment of Psychiatry and Psychotherapy, Klinikum-Fulda, Fulda, Germany;
Wolfgang WölwerDepartment of Psychiatry and Psychotherapy, Medical Faculty University of Düsseldorf, Germany.
Stefan KlingbergDepartment of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany;
University of Tübingen · DEHeinrich Heine University Düsseldorf · DEKlinikum Fulda · DEPhilipps University of Marburg · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent cognitive models of paranoid delusions highlight the role of self-concepts in the development and maintenance of paranoia. Evidence is growing that especially interpersonal self-concepts are relevant in the genesis of paranoia. In addition, negative interpersonal life-experiences are supposed to influence the course of paranoia. As dysfunctional family atmosphere corresponds with multiple distressing dyadic experiences, it could be a risk factor for the development and maintenance of paranoia. A total of 160 patients with a diagnosis of schizophrenia were assessed twice within 12 months. Standardized questionnaires and symptom rating scales were used to measure interpersonal self-concepts, perceived family atmosphere, and paranoia. Data were analyzed using longitudinal cross-lagged structural equation models. Perceived negative family atmosphere was associated with the development of more pronounced negative interpersonal self-concepts 12 months later. Moreover, paranoia was related to negative family atmosphere after 12 months as well. As tests revealed that reversed associations were not able to explain the data, we found evidence for a vicious cycle between paranoia, family atmosphere, and interpersonal self-concepts as suggested by theoretical/cognitive model of paranoid delusions. Results suggest that broader interventions for patients and their caretakers that aim at improving family atmosphere might also be able to improve negative self-concepts and paranoia.

Indexed as

FamilyInterpersonal RelationsSelf ConceptAdultFemaleHumansLongitudinal StudiesMaleMiddle AgedModels, StatisticalParanoid DisordersRandomized Controlled Trials as TopicSchizophreniapsychosisrelativesself-schemasocial cognitionstructural equation modelling

Identifiers

PMID25925392
PMCPMC4601709
OpenAlexW2107902001

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.