Academic Journal

Relationships between attachment insecurity, beliefs about the self and others, paranoia, and social functioning across the psychosis continuum.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Relationships between attachment insecurity, beliefs about the self and others, paranoia, and social functioning across the psychosis continuum.
Συγγραφείς: de-la-Higuera-Gonzalez P; Department of Personality, Assessment and Clinical Psychology, Faculty of Psychology, Universidad Complutense de Madrid (UCM), Madrid, Spain.; Foundation for the Biomedic Investigation HCSC, Health Investigation Institute Hospital Clinico San Carlos (IdISSC), Madrid, Spain.; Department of Psychology and Neuroscience, School of Health & Medical Sciences, City St George's, University of London, London, UK., Allefeld C; Department of Psychology and Neuroscience, School of Health & Medical Sciences, City St George's, University of London, London, UK., de-la-Torre-Luque A; Department of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Universidad Complutense de Madrid (UCM), Madrid, Spain.; Biomedical Research Networking Consortium for Mental Health (CIBERSAM ISCII), Madrid, Spain., Guillén AI; Department of Personality, Assessment and Clinical Psychology, Faculty of Psychology, Universidad Complutense de Madrid (UCM), Madrid, Spain., Díaz-Marsá M; Foundation for the Biomedic Investigation HCSC, Health Investigation Institute Hospital Clinico San Carlos (IdISSC), Madrid, Spain.; Department of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Universidad Complutense de Madrid (UCM), Madrid, Spain.; Biomedical Research Networking Consortium for Mental Health (CIBERSAM ISCII), Madrid, Spain., Fett AK; Department of Psychology and Neuroscience, School of Health & Medical Sciences, City St George's, University of London, London, UK.; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Πηγή: The British journal of clinical psychology [Br J Clin Psychol] 2026 Jun; Vol. 65 (2), pp. 530-550. Date of Electronic Publication: 2026 Jan 21.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 8105533 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0144-6657 (Print) Linking ISSN: 01446657 NLM ISO Abbreviation: Br J Clin Psychol Subsets: MEDLINE
Imprint Name(s): Publication: 2011- : West Sussex, England : Wiley-Blackwell
Original Publication: Letchworth, Herts, [England] : The Society, c1981-
Ιατρικοί όροι (MeSH): Psychotic Disorders*/physiopathology , Psychotic Disorders*/psychology , Paranoid Disorders*/physiopathology , Paranoid Disorders*/psychology , Object Attachment* , Self Concept* , Social Interaction* , Psychosocial Functioning* , Interpersonal Relations*, Humans ; Female ; Adult ; Male ; Middle Aged
Περίληψη: Objectives: Self-beliefs and other-regarding beliefs are related to attachment experiences and may contribute to paranoid beliefs and social functioning difficulties in psychosis. However, their relationships have not been examined jointly from an ecological perspective, while considering different degrees of psychosis risk.
Design: Relationships between avoidant and anxious attachment, self-beliefs and other-regarding beliefs, paranoia, and social functioning in daily-life were examined across the psychosis continuum of familial risk.
Methods: The sample comprised 29 patients with non-affective psychotic disorders (Mage = 39.07, SD = 9.91, 20.68% female), 17 first-degree relatives (Mage = 37.36, SD = 13.86, 64.71% female) and 26 controls (Mage = 36.15, SD = 8.1, 34.6% female). Avoidant and anxious attachment were assessed with the Psychosis Attachment Measure. Self-beliefs, beliefs about others, paranoia, and time spent alone were assessed for one week in participants' daily lives using the Experience Sampling Method. Multilevel models were used to investigate cross-sectional and temporal relationships between the variables.
Results: Less positive self-beliefs and beliefs about others were related to paranoia, but only self-beliefs mediated the association between attachment insecurity and paranoia. People who were alone more frequently held less positive self-beliefs and beliefs about others, and being alone at a specific point in time was related to less positive self-beliefs. Attachment insecurity was unrelated to the amount of time spent alone.
Conclusions: Less positive self-beliefs and beliefs about others were related to higher paranoia levels and fewer social interactions in daily-life. These associations were present in all groups, supporting their utility as cognitive treatment targets in diverse therapeutic contexts.
(© 2026 The Author(s). British Journal of Clinical Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.)
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Contributed Indexing: Keywords: Attachment; beliefs about others; experience sampling method; paranoia; psychosis; self‐beliefs; social engagement
Entry Date(s): Date Created: 20260122 Date Completed: 20260630 Latest Revision: 20260813
Update Code: 20260813
PubMed Central ID: PMC13159782
DOI: 10.1111/bjc.70027
PMID: 41566911
Βάση Δεδομένων: MEDLINE
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  Data: Relationships between attachment insecurity, beliefs about the self and others, paranoia, and social functioning across the psychosis continuum.
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  Data: <searchLink fieldCode="AU" term="%22de-la-Higuera-Gonzalez+P%22">de-la-Higuera-Gonzalez P</searchLink>; Department of Personality, Assessment and Clinical Psychology, Faculty of Psychology, Universidad Complutense de Madrid (UCM), Madrid, Spain.; Foundation for the Biomedic Investigation HCSC, Health Investigation Institute Hospital Clinico San Carlos (IdISSC), Madrid, Spain.; Department of Psychology and Neuroscience, School of Health & Medical Sciences, City St George's, University of London, London, UK.<br /><searchLink fieldCode="AU" term="%22Allefeld+C%22">Allefeld C</searchLink>; Department of Psychology and Neuroscience, School of Health & Medical Sciences, City St George's, University of London, London, UK.<br /><searchLink fieldCode="AU" term="%22de-la-Torre-Luque+A%22">de-la-Torre-Luque A</searchLink>; Department of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Universidad Complutense de Madrid (UCM), Madrid, Spain.; Biomedical Research Networking Consortium for Mental Health (CIBERSAM ISCII), Madrid, Spain.<br /><searchLink fieldCode="AU" term="%22Guillén+AI%22">Guillén AI</searchLink>; Department of Personality, Assessment and Clinical Psychology, Faculty of Psychology, Universidad Complutense de Madrid (UCM), Madrid, Spain.<br /><searchLink fieldCode="AU" term="%22Díaz-Marsá+M%22">Díaz-Marsá M</searchLink>; Foundation for the Biomedic Investigation HCSC, Health Investigation Institute Hospital Clinico San Carlos (IdISSC), Madrid, Spain.; Department of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Universidad Complutense de Madrid (UCM), Madrid, Spain.; Biomedical Research Networking Consortium for Mental Health (CIBERSAM ISCII), Madrid, Spain.<br /><searchLink fieldCode="AU" term="%22Fett+AK%22">Fett AK</searchLink>; Department of Psychology and Neuroscience, School of Health & Medical Sciences, City St George's, University of London, London, UK.; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
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  Data: <searchLink fieldCode="JN" term="%228105533%22">The British journal of clinical psychology</searchLink> [Br J Clin Psychol] 2026 Jun; Vol. 65 (2), pp. 530-550. <i>Date of Electronic Publication: </i>2026 Jan 21.
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  Data: <i>Publication</i>: 2011- : West Sussex, England : Wiley-Blackwell<br /><i>Original Publication</i>: Letchworth, Herts, [England] : The Society, c1981-
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  Data: <searchLink fieldCode="MM" term="%22Psychotic+Disorders%22">Psychotic Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Psychotic+Disorders+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Psychotic+Disorders%22">Psychotic Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Psychotic+Disorders+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Paranoid+Disorders%22">Paranoid Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Paranoid+Disorders+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Paranoid+Disorders%22">Paranoid Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Paranoid+Disorders+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Object+Attachment%22">Object Attachment*</searchLink> <br /><searchLink fieldCode="MM" term="%22Self+Concept%22">Self Concept*</searchLink> <br /><searchLink fieldCode="MM" term="%22Social+Interaction%22">Social Interaction*</searchLink> <br /><searchLink fieldCode="MM" term="%22Psychosocial+Functioning%22">Psychosocial Functioning*</searchLink> <br /><searchLink fieldCode="MM" term="%22Interpersonal+Relations%22">Interpersonal Relations*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: Self-beliefs and other-regarding beliefs are related to attachment experiences and may contribute to paranoid beliefs and social functioning difficulties in psychosis. However, their relationships have not been examined jointly from an ecological perspective, while considering different degrees of psychosis risk.<br />Design: Relationships between avoidant and anxious attachment, self-beliefs and other-regarding beliefs, paranoia, and social functioning in daily-life were examined across the psychosis continuum of familial risk.<br />Methods: The sample comprised 29 patients with non-affective psychotic disorders (M<subscript>age</subscript> = 39.07, SD = 9.91, 20.68% female), 17 first-degree relatives (M<subscript>age</subscript> = 37.36, SD = 13.86, 64.71% female) and 26 controls (M<subscript>age</subscript> = 36.15, SD = 8.1, 34.6% female). Avoidant and anxious attachment were assessed with the Psychosis Attachment Measure. Self-beliefs, beliefs about others, paranoia, and time spent alone were assessed for one week in participants' daily lives using the Experience Sampling Method. Multilevel models were used to investigate cross-sectional and temporal relationships between the variables.<br />Results: Less positive self-beliefs and beliefs about others were related to paranoia, but only self-beliefs mediated the association between attachment insecurity and paranoia. People who were alone more frequently held less positive self-beliefs and beliefs about others, and being alone at a specific point in time was related to less positive self-beliefs. Attachment insecurity was unrelated to the amount of time spent alone.<br />Conclusions: Less positive self-beliefs and beliefs about others were related to higher paranoia levels and fewer social interactions in daily-life. These associations were present in all groups, supporting their utility as cognitive treatment targets in diverse therapeutic contexts.<br /> (© 2026 The Author(s). British Journal of Clinical Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.)
– Name: Ref
  Label: References
  Group: RefInfo
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  Data: <i>Keywords: </i>Attachment; beliefs about others; experience sampling method; paranoia; psychosis; self‐beliefs; social engagement
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  Data: <i>Date Created: </i>20260122 <i>Date Completed: </i>20260630 <i>Latest Revision: </i>20260813
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        Value: 10.1111/bjc.70027
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      – Code: eng
        Text: English
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      – SubjectFull: Psychotic Disorders psychology
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      – SubjectFull: Paranoid Disorders physiopathology
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      – SubjectFull: Paranoid Disorders psychology
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      – SubjectFull: Object Attachment
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      – SubjectFull: Self Concept
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      – TitleFull: Relationships between attachment insecurity, beliefs about the self and others, paranoia, and social functioning across the psychosis continuum.
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              Text: 2026 Jun
              Type: published
              Y: 2026
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            – TitleFull: The British journal of clinical psychology
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