Emotion and psychosis: Links between depression, self-esteem, negative schematic beliefs and delusions and hallucinations

@article{Smith2006EmotionAP,
  title={Emotion and psychosis: Links between depression, self-esteem, negative schematic beliefs and delusions and hallucinations},
  author={Ben Smith and David Fowler and Daniel Freeman and Paul E. Bebbington and Hannah Bashforth and Philippa A. Garety and Graham Dunn and Elizabeth Kuipers},
  journal={Schizophrenia Research},
  year={2006},
  volume={86},
  pages={181-188}
}

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References

SHOWING 1-10 OF 54 REFERENCES

Connecting neurosis and psychosis: the direct influence of emotion on delusions and hallucinations.

Cognitive approach to depression and suicidal thinking in psychosis. 2. Testing the validity of a social ranking model.

Depression in psychosis arises from the individual's appraisal of psychosis and its implications for his/her perceived social identity, position and 'group fit'.

A cognitive model of the positive symptoms of psychosis

The cognitive processes that are thought to lead to the formation and maintenance of the positive symptoms of psychosis are set out and a fuller integration with the findings of biological research will be required.

The London-East Anglia randomized controlled trial of cognitive-behaviour therapy for psychosis. IV: Self-esteem and persecutory delusions.

There was evidence that the majority of persecutory delusions do not fit either strong or weak formulations of the delusion-as-defence explanation and that there may be subgroups with differing aetiologies.

Social cognition and subclinical paranoid ideation.

It is suggested that mood, anxiety and perceptions of the self are related to paranoid ideation in a nonclinical sample by examining the linear relationship between persecutory ideation and multiple clinical and social cognitive variables.

Pathways to Defense of the Self: A Theory of Two Types of Paranoia

Developments in cognitive therapies and theories for paranoid psychosis have constituted a significant breakthrough in our understanding of this disorder, offering a valid psychological alternative

Brief report Social cognition and subclinical paranoid ideation

Objective. A number of cognitive biases have been identified relevant to persecutory thought (e.g. exaggerated self-serving bias). Moreover, findings of increased depressed mood in conjunction with

Neuroticism and low self-esteem as risk factors for psychosis

Neuroticism increases the risk for development of psychotic symptoms and may involve certain cognitive styles associated with neuroticism, such as beliefs about the uncontrollability of certain events and experiences.

Event attributes and the content of psychotic experiences in first-episode psychosis

There are links between stressful event attributes and core psychotic themes at first-episode psychosis, which has implications for theoretical models of, and early psychological intervention for, psychosis.

Reasoning, emotions, and delusional conviction in psychosis.

There was evidence that belief inflexibility mediated the relationship between jumping to conclusions and delusional conviction, and anxiety, but not depression, made an independent contribution to delusional conviction.
...