Skip to main content
Log in

Maladaptive Cognitive Emotion Regulation Prospectively Predicts Subclinical Paranoia

  • Brief Report
  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

The study investigates whether adaptive and maladaptive cognitive emotion regulation (ER) strategies such as reappraisal, catastrophizing or self-blaming prospectively predict paranoia. We conducted an exploratory longitudinal study with two measurement points, 1 month apart, in a subclinical sample using an online-survey (N = 60). Using bivariate correlations and linear regression analysis, we investigated the cross-sectional and prospective relationship of paranoia and cognitive ER strategies. Only maladaptive cognitive ER strategies were correlated with paranoia. The maladaptive ER strategy ‘self-blaming’ at Time 1 positively predicted paranoia at Time 2 (R 2 = 0.66, p < 0.001). Maladaptive ER has an explanatory value to inform the underlying mechanisms of paranoia in subclinical and potentially clinical samples.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217–237. doi:10.1016/j.cpr.2009.11.004.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Berking, M., & Wupperman, P. (2012). Emotion regulation and mental health: Recent findings, current challenges, and future directions. Current Opinion in Psychiatry, 25, 128–134. doi:10.1097/YCO.0b013e3283503669.

    Article  PubMed  Google Scholar 

  • Birnbaum, M. H. (2004). Human research and data collection via the internet. Annual Review of Psychology, 55, 803–832. doi:10.1146/annurev.psych.55.090902.141601.

    Article  PubMed  Google Scholar 

  • Combs, D. R., Michael, C. O., & Penn, D. L. (2006). Paranoia and emotion perception across the continuum. British Journal of Clinical Psychology, 45, 19–31. doi:10.1348/014466505X29099.

    Article  PubMed  Google Scholar 

  • Ellett, L., Freeman, D., & Garety, P. A. (2008). The psychological effect of an urban environment on individuals with persecutory delusions: The Camberwell walk study. Schizophrenia Research, 99, 77–84.

    Article  PubMed  Google Scholar 

  • Freeman, D., & Garety, P. A. (2000). Comments on the content of persecutory delusions: Does the definition need clarification? British Journal of Clinical Psychology, 39, 407–414. doi:10.1348/014466500163400.

    Article  PubMed  Google Scholar 

  • Freeman, D., & Garety, P. A. (2004). Paranoia: The psychology of persecutory delusions. Hove: Psychology Press.

    Google Scholar 

  • Freeman, D., Garety, P. A., Bebbington, P. E., Smith, B., Rollinson, R., Fowler, D., et al. (2005). Psychological investigation of the structure of paranoia in a non-clinical population. The British Journal of Psychiatry, 186, 427–435. doi:10.1192/bjp.186.5.427.

    Article  PubMed  Google Scholar 

  • Garnefski, N., & Kraaij, V. (2007). The cognitive emotion regulation questionnaire. European Journal of Psychological Assessment, 23, 141–149. doi:10.1027/1015-5759.23.3.141.

    Article  Google Scholar 

  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.

    Article  Google Scholar 

  • Gross, J. J. (2001). Emotion regulation in adulthood: Timing is everything. Current Directions in Psychological Science, 10, 214–219.

    Article  Google Scholar 

  • Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227–239.

    Article  PubMed  Google Scholar 

  • Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012). Emotion dysregulation model of mood and anxiety disorders. Depression and Anxiety, 29, 409–416. doi:10.1002/da.21888.

    Article  PubMed  Google Scholar 

  • Kesting, M.-L., Bredenpohl, M., Klenke, J., Westermann, S., & Lincoln, T. M. (2013). The impact of social stress on self-esteem and paranoid ideation. Journal of Behavior Therapy and Experimental Psychiatry, 44, 122–128.

    Article  PubMed  Google Scholar 

  • Khoury, B., & Lecomte, T. (2012). Emotion regulation and schizophrenia. International Journal of Cognitive Therapy, 5, 67–76. doi:10.1521/ijct.2012.5.1.67.

    Article  Google Scholar 

  • Kinderman, P., & Bentall, R. P. (1997). Causal attributions in paranoia and depression: Internal, personal, and situational attributions for negative events. Journal of Abnormal Psychology, 106, 341–345.

    Article  PubMed  CAS  Google Scholar 

  • Koole, S. (2009). The psychology of emotion regulation: An integrative review. Cognition and Emotion, 23, 4–41. doi:10.1080/02699930802619031.

    Article  Google Scholar 

  • Lincoln, T. M., & Keller, E. (2008). Delusions and hallucinations in students compared to the general population. Psychology and Psychotherapy: Theory, Research and Practice, 81, 231–235. doi:10.1348/147608308X297096.

    Article  Google Scholar 

  • Lincoln, T. M., Lange, J., Burau, J., Exner, C., & Moritz, S. (2010). The effect of state-anxiety on paranoid ideation and jumping to conclusions. An experimental investigation. Schizophrenia Bulletin, 36, 1140–1148.

    Article  PubMed  Google Scholar 

  • Lincoln, T. M., Peter, N., Schäfer, M., & Moritz, S. (2009). Impact of stress on paranoia: An experimental investigation of moderators and mediators. Psychological Medicine, 39, 1129–1139. doi:10.1017/S0033291708004613.

    Article  PubMed  CAS  Google Scholar 

  • Loch, N., Hiller, W., & Witthöft, M. (2011). Der cognitive emotion regulation questionnaire (CERQ). Zeitschrift für Klinische Psychologie und Psychotherapie, 40, 94–106.

    Article  Google Scholar 

  • Modinos, G., Ormel, J., & Aleman, A. (2010). Altered activation and functional connectivity of neural systems supporting cognitive control of emotion in psychosis proneness. Schizophrenia Research, 118, 88–97. doi:10.1016/j.schres.2010.01.030.

    Article  PubMed  Google Scholar 

  • Prince, K. R., Litovsky, A. R., & Friedman-Wheeler, D. G. (2012). Internet-mediated research: Beware of bots. Behavior Therapist, 35, 85–88.

    Google Scholar 

  • Thewissen, V., Bentall, R. P., Oorschot, M., à Campo, J., van Lierop, T., van Os, J., et al. (2011). Emotions, self-esteem, and paranoid episodes: An experience sampling study. British Journal of Clinical Psychology, 50, 178–195. doi:10.1348/014466510X508677.

    Article  PubMed  Google Scholar 

  • Verdoux, H., & van Os, J. (2002). Psychotic symptoms in non-clinical populations and the continuum of psychosis. Schizophrenia Research, 54, 59–65.

    Article  PubMed  Google Scholar 

  • Westermann, S., Kesting, M.-L., & Lincoln, T. M. (2012). Being deluded after being excluded? How emotion regulation deficits in paranoia-prone individuals impact on state paranoia during experimentally induced social stress. Behavior Therapy, 43, 329–340. doi:10.1016/j.beth.2011.07.005.

    Article  PubMed  Google Scholar 

  • Westermann, S., & Lincoln, T. M. (2010). Using signal detection theory to test the impact of negative emotion on sub-clinical paranoia. Journal of Behavior Therapy and Experimental Psychiatry, 41, 96–101. doi:10.1016/j.jbtep.2009.10.007.

    Article  PubMed  Google Scholar 

  • Westermann, S., & Lincoln, T. M. (2011). Emotion regulation difficulties are relevant to persecutory ideation. Psychology and Psychotherapy: Theory, Research and Practice, 84, 273–287. doi:10.1348/147608310X523019.

    Article  Google Scholar 

  • Westermann, S., Rief, W., & Lincoln, T. M. (in press). Emotion regulation in delusion-proneness: Deficits in cognitive reappraisal, but not in expressive suppression. Psychology and Psychotherapy: Theory, Research and Practice. doi:10.1111/papt.12000.

Download references

Conflict of interest

All authors declare that they have no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stefan Westermann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Westermann, S., Boden, M.T., Gross, J.J. et al. Maladaptive Cognitive Emotion Regulation Prospectively Predicts Subclinical Paranoia. Cogn Ther Res 37, 881–885 (2013). https://doi.org/10.1007/s10608-013-9523-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-013-9523-6

Keywords

Navigation