Bagrowska Paulina, Nelson Barnaby, Gawęda Łukasz
Experimental Psychopathology Lab, Institute of Psychology, Polish Academy of Sciences, Stefana Jaracza 1, 00-378, Warsaw, Poland.
The National Centre of Excellence in Youth Mental Health, The University of Melbourne, Orygen, Parkville, VIC, Australia.
Soc Psychiatry Psychiatr Epidemiol. 2025 Jul 22. doi: 10.1007/s00127-025-02964-7.
Existing theoretical models suggest that paranoid thoughts develop against the background of increased interpersonal sensitivity, thus heightening feelings of vulnerability, social evaluative concerns, and fears of social rejection. However, the complex interrelatedness among the risk factors contributing to the development of paranoid thoughts remains poorly understood.
A total of 1019 adults from the non-clinical population participated in a study that employed anetwork approach to explore the complex interactions between paranoid thoughts and severalrisk factors, including traumatic childhood experiences, sleep quality, rejection sensitivity, negative self-views, negative emotional states, and aberrant salience.
The results revealed that negative emotional states, mainly stress and anxiety, low self-esteem, negative body image, increased rejection sensitivity, and emotional neglect in childhood werethe most central nodes in the network. Furthermore, aside from the experience of emotionalneglect, these variables were also identified as the strongest bridge factors within the network.
The findings offer new insights into the risk factors associated with the development ofparanoid thoughts, suggesting potential triggers that could propagate other symptoms withinthe paranoia network. The results indicate that interventions targeting self-esteem, negativebody image, anxiety, and rejection sensitivity may prevent the progression of paranoidthoughts into more severe forms.
现有的理论模型表明，偏执想法是在人际敏感性增加的背景下产生的，从而加剧了脆弱感、社会评价担忧和对社会排斥的恐惧。然而，导致偏执想法产生的风险因素之间复杂的相互关系仍未得到充分理解。
共有1019名来自非临床人群的成年人参与了一项研究，该研究采用网络方法来探究偏执想法与几个风险因素之间的复杂相互作用，这些风险因素包括童年创伤经历、睡眠质量、拒绝敏感性、消极的自我认知、消极情绪状态和异常突显。
结果显示，消极情绪状态，主要是压力和焦虑、低自尊、消极的身体形象、拒绝敏感性增加以及童年时期的情感忽视是网络中最核心的节点。此外，除了情感忽视经历外，这些变量还被确定为网络中最强的桥梁因素。
这些发现为与偏执想法产生相关的风险因素提供了新的见解，表明了可能在偏执网络中引发其他症状的潜在触发因素。结果表明，针对自尊、消极身体形象、焦虑和拒绝敏感性的干预措施可能会防止偏执想法发展为更严重的形式。
