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Updated: May 19, 2026

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Published on: March 14, 2025
Emotion regulation difficulties are relevant to persecutory ideation.
Stefan Westermann1, Tania M Lincoln
1Philipps-Universitaüt Marburg, Germany. stefan.westermann@staff.unimarburg.de
Difficulties in emotion regulation, particularly impulse control, are linked to persecutory ideation. These challenges may worsen delusions and represent a key treatment target.
Area of Science:
- Psychology
- Psychiatry
- Clinical Neuroscience
Background:
- Persecutory delusions involve negative emotions amplified by emotion regulation difficulties.
- Understanding these difficulties is crucial for addressing persecutory ideation.
Purpose of the Study:
- To investigate emotion regulation difficulties in persecutory ideation.
- To determine the specificity of these difficulties in a subclinical sample.
Main Methods:
- Correlational approach used with 151 participants via online survey.
- Assessed emotion regulation difficulties, persecutory ideation, general psychopathology, and positive symptoms of schizophrenia.
Main Results:
- Significant correlations found between emotion regulation difficulties and paranoid ideation.
- Impulse control difficulties were specific to persecutory ideation after controlling for general psychopathology.
- Unexpected positive associations noted between emotional acceptance, paranoid ideation, and positive symptoms.
Conclusions:
- Subclinical psychotic symptoms are specifically associated with certain emotion regulation aspects.
- Emotion regulation difficulties likely contribute to the formation and maintenance of persecutory delusions.
- Targeting emotion regulation may be a valuable therapeutic strategy.
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