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Mentalizing under stress and psychotic experiences: An experience sampling study.

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Summary
This summary is machine-generated.

Difficulties in mentalizing, the capacity to understand one's own and others' mental states, may worsen psychotic experiences, especially under stress. This study examined the link between mentalizing and psychosis in daily life.

Keywords:
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Area of Science:

  • Psychology
  • Psychiatry
  • Cognitive Neuroscience

Background:

  • Theoretical models suggest stress-induced disruptions in mentalizing capacity are a risk marker for psychosis.
  • Limited research has explored the context-dependent nature of mentalizing and psychotic processes in real-world settings.

Purpose of the Study:

  • To investigate the concurrent and longitudinal associations between mentalizing and psychotic experiences in daily life.
  • To test the hypothesis that mentalizing difficulties predict both concurrent and subsequent psychotic experiences.

Main Methods:

  • An experience sampling method was used over 1 week with 8 daily assessments.
  • Participants (n=43) reported on situational stress, mentalizing difficulties, negative affect, and psychotic experiences.
  • Linear mixed-effects and vector autoregressive modeling analyzed associations.

Main Results:

  • Significant concurrent and cross-lagged associations were found between mentalizing difficulties and psychotic experience severity.
  • Mentalizing capacity may decline under stress, influencing psychotic experiences.

Conclusions:

  • Findings suggest a link between stress, mentalizing capacity, and the severity/persistence of psychotic experiences.
  • Future research should incorporate objective mentalizing measures in longitudinal designs.