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Adversity and persecutory ideation: A moderated mediational model.

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Summary

Childhood adversity predicts adult paranoia. Experiential avoidance mediates this link, while self-esteem discrepancy moderates the adversity-avoidance relationship, offering new insights into persecutory ideation development.

Keywords:
AdversityExperiential avoidancePersecutory ideationSelf-esteem

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Area of Science:

  • Psychology
  • Psychopathology
  • Clinical Psychology

Background:

  • Adversity is a known risk factor for psychopathology, including persecutory ideation.
  • Understanding mediators and moderators of this relationship in adults is crucial for targeted interventions.
  • Experiential avoidance and self-esteem are proposed psychological factors influencing this pathway.

Purpose of the Study:

  • To investigate experiential avoidance as a mediator between adversity and persecutory ideation.
  • To examine self-esteem discrepancy as a moderator of the relationship between adversity and experiential avoidance.
  • To explore these mechanisms in adults with persecutory ideation, depression, and healthy controls.

Main Methods:

  • Cross-sectional study design with three participant groups: persecutory ideation (n=52), depression (n=35), and healthy controls (n=51).
  • Assessment of trauma history, paranoia, depression, explicit self-esteem, and implicit self-esteem.
  • Calculation of a self-esteem discrepancy index using a Go/No-go association task.

Main Results:

  • Adversity was significantly associated with increased levels of paranoia.
  • Experiential avoidance mediated the relationship between adversity and paranoia.
  • Self-esteem discrepancy moderated the association between adversity and experiential avoidance.

Conclusions:

  • Experiential avoidance plays a key role in how adversity contributes to persecutory ideation.
  • Self-esteem discrepancy influences the impact of adversity on experiential avoidance, highlighting its role in vulnerability.
  • These findings provide a more nuanced understanding of persecutory ideation and suggest potential targets for therapeutic intervention.