Laboratoire Inter-universitaire de Psychologie: Personnalité, Cognition et Changement Social - Université Grenoble Alpes, Grenoble, France; CHU Montpellier, Epsylon Laboratory, University Department of Adult Psychiatry, Rue du Pr. Henri Serre, 34000, Montpellier, EA 4556, France.
Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculdade de Psicologia e de Ciências da Educação da Universidade de Coimbra, Apartado 602, 3001-802, Coimbra, Portugal.
Psychiatry Res. 2019 Jan;271:581-589. doi: 10.1016/j.psychres.2018.11.065. Epub 2018 Dec 6.
This study examined the relationship between abusive supervision and non-clinical paranoia and explored which cognitive mechanisms are mediating this association (i.e. rumination, cognitive avoidance and negative affect). A sample of two hundred and five French-speaking workers currently in employment in France was recruited to fill in a battery of online questionnaires comprising of the French adaptations of the Abusive Supervision Scale, the State Social Paranoia Scales, the Depression and Anxiety and Stress Scales, the Cognitive Avoidance Questionnaire and the Mini-Cambridge Exeter Repetitive Thought Scale. Mediation analyses showed that the experience of supervisory abuse directly influences state paranoia, however, there were significant mediation effects. Abusive supervision impacted on cognitive avoidance that led to more rumination, which in its turn increased negative affect and this increased state paranoia. Rumination impacted on state paranoia but through the effect of negative affect only. This study showed that abusive supervision works together with cognitive and affective factors to impact on non-clinical paranoia. It is recommended that Cognitive and Behavioural therapy (CBT) is tailored to help workers to cope with experiences of supervisory abuse and associated paranoid thoughts by focusing on replacing rumination and cognitive avoidance strategies for more adaptive cognitive strategies and on how to manage depression.
本研究考察了辱骂性监管与非临床妄想之间的关系，并探讨了哪些认知机制在介导这种关联（即反刍思维、认知回避和负性情绪）。本研究招募了 205 名目前在法国就业的说法语的工人，让他们填写了一系列在线问卷，其中包括法语版辱骂性监管量表、状态社会妄想量表、抑郁、焦虑和压力量表、认知回避问卷和迷你剑桥埃克塞特重复思维量表。中介分析表明，监督虐待的经历直接影响状态妄想，但存在显著的中介效应。辱骂性监管影响认知回避，进而导致更多的反刍思维，反刍思维又增加了负性情绪，从而增加了状态妄想。反刍思维影响状态妄想，但仅通过负性情绪的影响。本研究表明，辱骂性监管与认知和情感因素一起影响非临床妄想。建议量身定制认知行为疗法（CBT），帮助工人应对监督虐待和相关妄想思维，方法是专注于用更适应认知策略取代反刍思维和认知回避策略，并关注如何管理抑郁。
