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Interactions between social adversities and paranoia among Chinese adolescents: An investigation using network approaches.

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Τίτλος: Interactions between social adversities and paranoia among Chinese adolescents: An investigation using network approaches.
Συγγραφείς: Tang Q; Institute of Interdisciplinary Studies, Hunan Normal University, Changsha, Hunan, China; Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, Hunan, China; Department of Psychology, Faculty of Educational Sciences, Hunan Normal University, Changsha, Hunan, China., Xu Y; Department of Psychology, Faculty of Educational Sciences, Hunan Normal University, Changsha, Hunan, China., Gong J; Department of Psychology, Faculty of Educational Sciences, Hunan Normal University, Changsha, Hunan, China., Sun X; Institute of Interdisciplinary Studies, Hunan Normal University, Changsha, Hunan, China; Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, Hunan, China; Department of Psychology, Faculty of Educational Sciences, Hunan Normal University, Changsha, Hunan, China. Electronic address: xqsun@hunnu.edu.cn.
Πηγή: Child abuse & neglect [Child Abuse Negl] 2026 Mar; Vol. 173, pp. 107928. Date of Electronic Publication: 2026 Jan 28.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Science Inc Country of Publication: England NLM ID: 7801702 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-7757 (Electronic) Linking ISSN: 01452134 NLM ISO Abbreviation: Child Abuse Negl Subsets: MEDLINE
Imprint Name(s): Publication: Oxford : Elsevier Science Inc
Original Publication: Oxford, Elmsford, N. Y., Pergamon Press.
Ιατρικοί όροι (MeSH): Adverse Childhood Experiences*/psychology , Child Abuse*/psychology , Paranoid Disorders*/psychology , Paranoid Disorders*/epidemiology , Paranoid Disorders*/etiology, Bullying/psychology ; China/epidemiology ; Crime Victims/psychology ; Adolescent ; Female ; Humans ; Interpersonal Relations ; Risk Factors ; Male ; East Asian People
Περίληψη: Background: Social adversity is recognized as a risk factor for paranoia. However, few studies have examined multiple forms of social adversities experienced by adolescents while differentiating their unique associations with paranoia. Furthermore, the interaction between social adversities and their potential influence on paranoia remains unclear.
Objective: To investigate the interactions among histories of child maltreatment, concurrent social adversities, and paranoia, and to explore the potential directions of these relationships.
Participants and Setting: A valid sample of 1643 Chinese adolescents aged 13-18 (50.0% female) was recruited at baseline, of whom 1077 were reassessed after 5-6 months.
Methods: Self-reported experiences of child maltreatment, bullying victimization, and adverse life events, along with levels of paranoia, were evaluated. Regularized partial correlation networks (RPCNs) and directed acyclic graphs (DAGs) were constructed at each time point.
Results: At both time points, paranoia was located at the center of the RPCNs, connecting different clusters of adversities, and possessed the highest closeness, betweenness, and bridge centralities. Moreover, paranoia was most closely linked with relational and verbal bullying and relationship pressure. The DAGs further indicated that relational and verbal bullying and relationship pressure might predict paranoia, which in turn links to other adverse experiences.
Conclusion: Our findings support the conceptualization of paranoia as an interpersonal construct that influences and is influenced by social interactions (particularly adversities characterized by negative judgments and rejection). Interventions should focus on enhancing interpersonal functioning and alleviating threat beliefs to disrupt the vicious cycle between paranoia and social adversities.
(Copyright © 2026 Elsevier Ltd. All rights reserved.)
Competing Interests: Declaration of competing interest The authors have no conflicts of interest to disclose.
Contributed Indexing: Keywords: Child maltreatment; Directed acyclic graph; Persecutory delusion; Psychosis; Schizotypy; School bullying
Entry Date(s): Date Created: 20260129 Date Completed: 20260701 Latest Revision: 20261001
Update Code: 20261001
DOI: 10.1016/j.chiabu.2026.107928
PMID: 41610495
Βάση Δεδομένων: MEDLINE
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  Data: Interactions between social adversities and paranoia among Chinese adolescents: An investigation using network approaches.
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  Data: <searchLink fieldCode="AU" term="%22Tang+Q%22">Tang Q</searchLink>; Institute of Interdisciplinary Studies, Hunan Normal University, Changsha, Hunan, China; Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, Hunan, China; Department of Psychology, Faculty of Educational Sciences, Hunan Normal University, Changsha, Hunan, China.<br /><searchLink fieldCode="AU" term="%22Xu+Y%22">Xu Y</searchLink>; Department of Psychology, Faculty of Educational Sciences, Hunan Normal University, Changsha, Hunan, China.<br /><searchLink fieldCode="AU" term="%22Gong+J%22">Gong J</searchLink>; Department of Psychology, Faculty of Educational Sciences, Hunan Normal University, Changsha, Hunan, China.<br /><searchLink fieldCode="AU" term="%22Sun+X%22">Sun X</searchLink>; Institute of Interdisciplinary Studies, Hunan Normal University, Changsha, Hunan, China; Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, Hunan, China; Department of Psychology, Faculty of Educational Sciences, Hunan Normal University, Changsha, Hunan, China. Electronic address: xqsun@hunnu.edu.cn.
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  Data: Background: Social adversity is recognized as a risk factor for paranoia. However, few studies have examined multiple forms of social adversities experienced by adolescents while differentiating their unique associations with paranoia. Furthermore, the interaction between social adversities and their potential influence on paranoia remains unclear.<br />Objective: To investigate the interactions among histories of child maltreatment, concurrent social adversities, and paranoia, and to explore the potential directions of these relationships.<br />Participants and Setting: A valid sample of 1643 Chinese adolescents aged 13-18 (50.0% female) was recruited at baseline, of whom 1077 were reassessed after 5-6 months.<br />Methods: Self-reported experiences of child maltreatment, bullying victimization, and adverse life events, along with levels of paranoia, were evaluated. Regularized partial correlation networks (RPCNs) and directed acyclic graphs (DAGs) were constructed at each time point.<br />Results: At both time points, paranoia was located at the center of the RPCNs, connecting different clusters of adversities, and possessed the highest closeness, betweenness, and bridge centralities. Moreover, paranoia was most closely linked with relational and verbal bullying and relationship pressure. The DAGs further indicated that relational and verbal bullying and relationship pressure might predict paranoia, which in turn links to other adverse experiences.<br />Conclusion: Our findings support the conceptualization of paranoia as an interpersonal construct that influences and is influenced by social interactions (particularly adversities characterized by negative judgments and rejection). Interventions should focus on enhancing interpersonal functioning and alleviating threat beliefs to disrupt the vicious cycle between paranoia and social adversities.<br /> (Copyright © 2026 Elsevier Ltd. All rights reserved.)
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  Data: Declaration of competing interest The authors have no conflicts of interest to disclose.
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