The psychopathological trajectories to delusion in Schizophrenia: the affective and schizotypal pathways
Introduction Delusions are a key feature of schizophrenia psychopathology. From a phenomenological approach, Jaspers (1913) differentiates between “primary” or true schizophrenic delusions, defined as an unmediated phenomenon that cannot be understood in terms of prior psychological origin or motiv...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S092493382201968X/type/journal_article |
| _version_ | 1797616923826978816 |
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| author | D. Borrelli R. Ottoni S. Maffei N. Fascendini C. Marchesi M. Tonna |
| author_facet | D. Borrelli R. Ottoni S. Maffei N. Fascendini C. Marchesi M. Tonna |
| author_sort | D. Borrelli |
| collection | DOAJ |
| description |
Introduction
Delusions are a key feature of schizophrenia psychopathology. From a phenomenological approach, Jaspers (1913) differentiates between “primary” or true schizophrenic delusions, defined as an unmediated phenomenon that cannot be understood in terms of prior psychological origin or motivation, and “secondary” delusions, understandable from the patient’s mood state or personality. Primary delusions have been considered the hallmark of reality distorsion dimension in schizophrenia, disregarding a possible affective patwhay to delusional belief.
Objectives
The present study was aimed at elucidating the psychopathological trajectories to delusion in schizophrenia through the investigation of both affective and schizotypal trait dispositions.
Methods
Seventy-eight participants affected by schizophrenia were administered the Peters Delusional Inventory (PDI), the Positive and Negative Affective Scale (PANAS), the Experience of Shame Scale (ESS), the Referential Thinking Scale (REF), the Magical Ideation Scale (MIS) and the Perceptual Aberration Scale (PAS).
Results
The severity of delusional ideation (PDI) was positively related to both affective (PANAS positive dimension, ESS) and schizotypal traits (MIS, PAS and REF). Moreover, referential thinking (REF) mediated the relationship between “magical ideation” (MIS) and delusions severity (Fig. 1), whereas experience of shame (ESS) was a moderating factor in the between referential thinking and delusion severity (Fig. 2).
Conclusions
The study findings suggest that in schizophrenia patients, severity of delusions is underpinned by an intertwining of both affective and schizotypal pathways.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:47:11Z |
| format | Article |
| id | doaj.art-5095ec49f8684fa4bb63a9fdb60d6d8c |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:47:11Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-5095ec49f8684fa4bb63a9fdb60d6d8c2023-11-17T05:07:19ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S762S76210.1192/j.eurpsy.2022.1968The psychopathological trajectories to delusion in Schizophrenia: the affective and schizotypal pathwaysD. Borrelli0R. Ottoni1S. Maffei2N. Fascendini3C. Marchesi4M. Tonna5University of Parma, Unit Of Neuroscience, Psychiatric Unit, Parma, ItalyUniversity of Parma, Department Of Medicine & Surgery, Unit Of Neuroscience, Psychiatric Unit, Parma, ItalyLocal Health Service, Department Of Mental Health, Parma, ItalyUniversity of Parma, Unit Of Neuroscience, Psychiatric Unit, Parma, ItalyUniversity of Parma, Department Of Medicine & Surgery, Unit Of Neuroscience, Psychiatric Unit, Parma, ItalyUniversity of Parma, Department Of Medicine & Surgery, Unit Of Neuroscience, Psychiatric Unit, Parma, Italy Introduction Delusions are a key feature of schizophrenia psychopathology. From a phenomenological approach, Jaspers (1913) differentiates between “primary” or true schizophrenic delusions, defined as an unmediated phenomenon that cannot be understood in terms of prior psychological origin or motivation, and “secondary” delusions, understandable from the patient’s mood state or personality. Primary delusions have been considered the hallmark of reality distorsion dimension in schizophrenia, disregarding a possible affective patwhay to delusional belief. Objectives The present study was aimed at elucidating the psychopathological trajectories to delusion in schizophrenia through the investigation of both affective and schizotypal trait dispositions. Methods Seventy-eight participants affected by schizophrenia were administered the Peters Delusional Inventory (PDI), the Positive and Negative Affective Scale (PANAS), the Experience of Shame Scale (ESS), the Referential Thinking Scale (REF), the Magical Ideation Scale (MIS) and the Perceptual Aberration Scale (PAS). Results The severity of delusional ideation (PDI) was positively related to both affective (PANAS positive dimension, ESS) and schizotypal traits (MIS, PAS and REF). Moreover, referential thinking (REF) mediated the relationship between “magical ideation” (MIS) and delusions severity (Fig. 1), whereas experience of shame (ESS) was a moderating factor in the between referential thinking and delusion severity (Fig. 2). Conclusions The study findings suggest that in schizophrenia patients, severity of delusions is underpinned by an intertwining of both affective and schizotypal pathways. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S092493382201968X/type/journal_articledelusionPsychosisPsychopathologyschizophrénia |
| spellingShingle | D. Borrelli R. Ottoni S. Maffei N. Fascendini C. Marchesi M. Tonna The psychopathological trajectories to delusion in Schizophrenia: the affective and schizotypal pathways European Psychiatry delusion Psychosis Psychopathology schizophrénia |
| title | The psychopathological trajectories to delusion in Schizophrenia: the affective and schizotypal pathways |
| title_full | The psychopathological trajectories to delusion in Schizophrenia: the affective and schizotypal pathways |
| title_fullStr | The psychopathological trajectories to delusion in Schizophrenia: the affective and schizotypal pathways |
| title_full_unstemmed | The psychopathological trajectories to delusion in Schizophrenia: the affective and schizotypal pathways |
| title_short | The psychopathological trajectories to delusion in Schizophrenia: the affective and schizotypal pathways |
| title_sort | psychopathological trajectories to delusion in schizophrenia the affective and schizotypal pathways |
| topic | delusion Psychosis Psychopathology schizophrénia |
| url | https://www.cambridge.org/core/product/identifier/S092493382201968X/type/journal_article |
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