ArticlePsychology and psychotherapy2022
The journey of adolescent paranoia: A qualitative study with patients attending child and adolescent mental health services.
Article in Psychology and psychotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
- The Lived Experience of Paranoia: Systematic Review of Qualitative Studies.Schizophrenia bulletin open · 2026Review
- Children's experiences of living with their mental ill-health - a scoping review.International journal of qualitative studies on health and well-being · 2025Article
- Are people noticing excessive mistrust in others and how do they understand it? A survey of a UK representative adult population.Psychological medicine · 2025Article
- Social anxiety and paranoid beliefs in adolescents.JCPP advances · 2025Article
- The developmental course of adolescent paranoia: a longitudinal analysis of the interacting role of mistrust and general psychopathology.European child & adolescent psychiatry · 2025Article
- Immersive virtual reality as a novel approach to investigate the association between adverse events and adolescent paranoid ideation.Social psychiatry and psychiatric epidemiology · 2025Article
- Directionality of causal association between adolescent mental health and attention deficit: an empirical analysis using a hybrid network model.Frontiers in psychology · 2025Article
- The lived experience of mental disorders in adolescents: a bottom-up review co-designed, co-conducted and co-written by experts by experience and academics.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- The Apple Doesn't Fall Far from the Tree? Paranoia and Safety Behaviours in Adolescent-Parent-Dyads.Research on child and adolescent psychopathology · 2024Article
- A Child-Parent Dyad Study on Adolescent Paranoia and the Influence of Adverse Life Events, Bullying, Parenting Stress, and Family Support.Schizophrenia bulletin · 2023Article
- The journey of adolescent paranoia: A qualitative study with patients attending child and adolescent mental health services.Psychology and psychotherapy · 2022Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesParanoia is most likely to emerge in adolescence. In adolescents with mental health disorders, the disruptive effect of paranoia on social relationships could worsen outcomes. However, little is known about clinical presentations of paranoia at this age. We therefore explored the development, experience, and impact of paranoia in adolescent patients.
designA qualitative interview design with interpretative phenomenological analysis was used.
methodTwelve adolescents (11-17 years) with paranoia attending child and adolescent mental health services were interviewed.
resultsAdolescents described a journey starting with their awareness of paranoia beginning to a paranoid experience of mistrust and fear of others, and, subsequently, their adjustment to paranoia in daily life. Paranoia onset was rooted in the discovery of interpersonal threat and personal vulnerability, shaped by challenging peer interactions, becoming aware of danger in the world, and personal adverse experiences. The paranoia experience included a struggle to trust friends, anticipating threat with intense fear, and using defensive strategies to keep safe. Adolescents described how the paranoia experience was confusing, negatively impacted self-concept, held them back from teenage life, and caused disconnection from friends. Longer-term responses to paranoia reflected a tension between reluctantly resigning to the experience and trying to resist the impact.
conclusionsThe journey of paranoia in adolescence involves navigating multiple tensions, with young people balancing independence with vulnerability, trust with mistrust, and the desire to socialise with a fear of danger and deception. Decisions about how to respond to paranoia are likely to determine the next stage of their journey.
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Registered trials
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.