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Interpersonal processes in paranoia: a systematic review.

Susanne F Meisel1, Philippa A Garety1, Daniel Stahl2

  • 1Department of Psychology,Institute of Psychology,Psychiatry and Neuroscience,King's College London,London,UK.

Psychological Medicine
|March 21, 2018
PubMed
Summary
This summary is machine-generated.

Interpersonal sensitivity is robustly linked to paranoia in both general and clinical populations. This finding supports self-perception theories of paranoia and suggests new intervention targets for paranoid symptoms.

Keywords:
Interpersonal processesinterpersonal sensitivityparanoiapsychosisselfsystematic review

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Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Paranoid ideation is a key symptom of psychosis, often linked to self-perception disturbances.
  • Interpersonal sensitivity, a personality trait, has been inconsistently associated with paranoia risk.

Purpose of the Study:

  • To systematically review the literature on the association between interpersonal sensitivity and paranoia.
  • To investigate if this association differs between state and trait paranoia assessments.

Main Methods:

  • A PRISMA-guided literature search was conducted in OVID and Web of Science databases up to December 2016.
  • Fourteen studies involving 12,138 participants were included, with all studies rated as 'fair' or 'good' quality.

Main Results:

  • A strong association between interpersonal sensitivity and paranoia was confirmed across clinical and general population samples.
  • The link was evident regardless of how paranoia or interpersonal sensitivity were measured.
  • The association was more pronounced for trait paranoia, potentially due to study variations.

Conclusions:

  • The findings support the role of personal vulnerability and social evaluative concerns in the development and persistence of paranoia.
  • This highlights potential targets for future interventions aimed at reducing paranoid symptoms.