What makes one person paranoid and another person anxious? The differential prediction of social anxiety and persecutory ideation in an experimental situation
Open Access
- 1 March 2008
- journal article
- research article
- Published by Cambridge University Press (CUP) in Psychological Medicine
- Vol. 38 (8), 1121-1132
- https://doi.org/10.1017/s0033291708003589
Abstract
Background In recent years a close association between anxiety and persecutory ideation has been established, contrary to the traditional division of neurosis and psychosis. Nonetheless, the two experiences are distinct. The aim of this study was to identify factors that distinguish the occurrence of social anxiety and paranoid thoughts in an experimental situation. Method Two hundred non-clinical individuals broadly representative of the UK general population were assessed on a range of psychological factors, experienced a neutral virtual reality social environment, and then completed state measures of paranoia and social anxiety. Clustered bivariate logistic regressions were carried out, testing interactions between potential predictors and the type of reaction in virtual reality. Results The strongest finding was that the presence of perceptual anomalies increased the risk of paranoid reactions but decreased the risk of social anxiety. Anxiety, depression, worry and interpersonal sensitivity all had similar associations with paranoia and social anxiety. Conclusions The study shows that social anxiety and persecutory ideation share many of the same predictive factors. Non-clinical paranoia may be a type of anxious fear. However, perceptual anomalies are a distinct predictor of paranoia. In the context of an individual feeling anxious, the occurrence of odd internal feelings in social situations may lead to delusional ideas through a sense of ‘things not seeming right’. The study illustrates the approach of focusing on experiences such as paranoid thinking rather than diagnoses such as schizophrenia.This publication has 42 references indexed in Scilit:
- Studying and Treating Schizophrenia Using Virtual Reality: A New ParadigmSchizophrenia Bulletin, 2007
- Persecutory delusions and catastrophic worry in psychosis: Developing the understanding of delusion distress and persistenceBehaviour Research and Therapy, 2007
- The Cardiff Anomalous Perceptions Scale (CAPS): A New Validated Measure of Anomalous Perceptual ExperienceSchizophrenia Bulletin, 2005
- Data Gathering: Biased in Psychosis?Schizophrenia Bulletin, 2005
- The Schizophrenic Experience: Taken Out of Context?Schizophrenia Bulletin, 2005
- The Depression Anxiety Stress Scales (DASS): Normative data and latent structure in a large non‐clinical sampleBritish Journal of Clinical Psychology, 2003
- The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety InventoriesBehaviour Research and Therapy, 1995
- Putatively psychosis-prone subjects 10 years later.Journal of Abnormal Psychology, 1994
- Development and validation of the penn state worry questionnaireBehaviour Research and Therapy, 1990
- Measurement of social-evaluative anxiety.Journal of Consulting and Clinical Psychology, 1969