ArticleSchizophrenia bulletin2017
Social Adversity and Psychosis: The Mediating Role of Cognitive Vulnerability.
Article in Schizophrenia bulletin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Social Fragmentation and Schizophrenia: A Systematic Review.The Journal of clinical psychiatry · 2021Pooled it
- Loneliness in psychosis: a systematic review.Social psychiatry and psychiatric epidemiology · 2018Pooled it
- Are You Really Paranoid, Just Because They Are After You? Exploring the Underlying Sensitization Processes of Intersectional Discrimination on Everyday-Life Paranoia.Clinical psychology in Europe · 2026Article
- Multimodal prediction of psychotic-like experiences using elastic net modeling: external validation in a clinical sample.Psychological medicine · 2025Article
- Loneliness in schizophrenia: Just loneliness.Annals of the New York Academy of Sciences · 2025Review
- Core beliefs in psychosis: a systematic review and meta-analysis.Schizophrenia (Heidelberg, Germany) · 2025Review
- Recent social stress and severity of auditory hallucinations.Schizophrenia research · 2024Article
- Visualizing threat and trustworthiness prior beliefs in face perception in high versus low paranoia.Schizophrenia (Heidelberg, Germany) · 2024Article
- Differentiating paranoia and conspiracy mentality using a network approach.Scientific reports · 2023Article
- Paranoid Thinking as a Function of Minority Group Status and Intersectionality: An International Examination of the Role of Negative Beliefs.Schizophrenia bulletin · 2023Article
- Psychosocial stress, interpersonal sensitivity, and social withdrawal in clinical high risk for psychosis: a systematic review.Schizophrenia (Heidelberg, Germany) · 2023Review
- Mediating role of impaired wisdom in the relation between childhood trauma and psychotic-like experiences in Chinese college students: a nationwide cross-sectional study.BMC psychiatry · 2022Article
- Taking a machine learning approach to optimize prediction of vaccine hesitancy in high income countries.Scientific reports · 2022Article
- Article
- Psychological Dimensions Relevant to Motivation and Pleasure in Schizophrenia.Frontiers in behavioral neuroscience · 2022Review
- Toward a Complex Network of Risks for Psychosis: Combining Trauma, Cognitive Biases, Depression, and Psychotic-like Experiences on a Large Sample of Young Adults.Schizophrenia bulletin · 2021Article
- Social Defeat, Psychotic Symptoms, and Crime in Young Caribbean Immigrants to Rotterdam.Frontiers in psychiatry · 2021Article
- Trauma and Social Pathways to Psychosis, and Where the Two Paths Meet.Frontiers in psychiatry · 2021Review
- Childhood social isolation and psychotic experiences in young adulthood: a community based study.European child & adolescent psychiatry · 2020Article
- The Relevance of Emotion Regulation in Explaining Why Social Exclusion Triggers Paranoia in Individuals at Clinical High Risk of Psychosis.Schizophrenia bulletin · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Social adversity is a risk factor for psychosis, but the translating mechanisms are not well understood. This study tests whether the relationship between social adversity and psychosis is mediated by cognitive vulnerability in the form of low perceived social rank, negative schemas related to self and other, and loneliness and whether the putative mediations are specific to psychosis or are largely explained by depression. Methods: The study was a survey in a community sample (N = 2350) from Germany (n = 786), Indonesia (n = 844), and the United States (n = 720). Mediation path analysis with structural equation modeling was used to test for the specificity of the hypothesized paths to psychosis controlling for depression. Results: Social adversity had a significant medium to large effect on positive (R2 = .20) and negative symptoms (R2 = .38). Social rank, negative schemas, and loneliness significantly mediated the relationship between social adversity and negative symptoms and the models explained a large amount of the variance (R2 = .43-.44). For positive symptoms, only negative schemas were a significant mediator (R2 = .27). Discussion: The results emphasize the role of social adversity in psychosis and support the assumption that cognitive vulnerability is a relevant translating mechanism as postulated by the social defeat hypothesis and cognitive models of psychosis. This underlines the relevance of the clinical practice of targeting beliefs in cognitive interventions for psychosis. It also indicates that targeting cognitive vulnerability in people experiencing social adversity could be a promising approach to prevention.
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