Interplay Between Childhood Maltreatment, Alexithymia, Negative Affect and Cognitive Bias in Relation to Psychotic Symptoms and Psychotic-Like Experiences
Vahid Khosravani, Seyed Mehdi Samimi Ardestani, Nika Eskandari, Farangis Sharifibastan, Morteza Aghaeimazraji, Michael Berk, Azra Mohammadpanah Ardakan, Mina Shirmohammadali
{"title":"Interplay Between Childhood Maltreatment, Alexithymia, Negative Affect and Cognitive Bias in Relation to Psychotic Symptoms and Psychotic-Like Experiences","authors":"Vahid Khosravani, Seyed Mehdi Samimi Ardestani, Nika Eskandari, Farangis Sharifibastan, Morteza Aghaeimazraji, Michael Berk, Azra Mohammadpanah Ardakan, Mina Shirmohammadali","doi":"10.1002/cpp.70096","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <p>Prior research has individually examined childhood maltreatment, alexithymia, negative affect and cognitive biases in the context of psychosis. This study investigated the interplay among these factors in relation to psychotic symptoms and psychotic-like experiences (PLEs) among three groups (<i>n</i> = 1383): hospitalized individuals with schizophrenia (<i>n</i> = 302) and nonclinical individuals at high (<i>n</i> = 205) and at low risk for psychosis (<i>n</i> = 876). Both self-report and clinician-rated scales were conducted. Individuals with schizophrenia and those at high risk exhibited higher measures of cognitive bias, alexithymia, childhood maltreatment and negative affect than those at low risk. Within each group, participants reporting childhood maltreatment and alexithymia also demonstrated elevated cognitive bias, negative affect, psychotic symptoms, schizotypy or PLEs than people without such reports. The same result was replicated across the entire sample regarding cognitive bias and negative affect, with the most adverse profile observed in individuals with both alexithymia and childhood maltreatment. Further, specific dimensions of cognitive bias facets behaved differently in their mediating roles in the links of childhood maltreatment, alexithymia and negative affect to psychotic symptoms and PLEs. The study highlights childhood maltreatment, alexithymia, negative affect and cognitive bias facets as significant risk factors along the psychosis continuum. Additionally, the study emphasizes the role of cognitive bias facets in linking childhood maltreatment, alexithymia and negative affect to psychotic symptoms and PLEs.</p>\n </section>\n \n <section>\n \n <h3> Key Practitioner Messages</h3>\n \n <div>\n \n <ul>\n \n \n <li>Individuals with schizophrenia and those at high and low risk for psychosis were evaluated for childhood maltreatment, alexithymia, negative affect, psychotic symptoms and PLEs.</li>\n \n \n <li>The high-risk and schizophrenia groups scored higher on several variables than those at low risk group.</li>\n \n \n <li>In each group, people with childhood maltreatment and alexithymia differed from those without.</li>\n \n \n <li>In the total sample, people with childhood maltreatment and alexithymia showed significant differences, with individuals having both alexithymia and childhood maltreatment demonstrating the most adverse profile.</li>\n \n \n <li>Specific cognitive biases linked childhood maltreatment, alexithymia and negative affect to psychotic symptoms and PLEs.</li>\n </ul>\n </div>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70096","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
Abstract
Prior research has individually examined childhood maltreatment, alexithymia, negative affect and cognitive biases in the context of psychosis. This study investigated the interplay among these factors in relation to psychotic symptoms and psychotic-like experiences (PLEs) among three groups (n = 1383): hospitalized individuals with schizophrenia (n = 302) and nonclinical individuals at high (n = 205) and at low risk for psychosis (n = 876). Both self-report and clinician-rated scales were conducted. Individuals with schizophrenia and those at high risk exhibited higher measures of cognitive bias, alexithymia, childhood maltreatment and negative affect than those at low risk. Within each group, participants reporting childhood maltreatment and alexithymia also demonstrated elevated cognitive bias, negative affect, psychotic symptoms, schizotypy or PLEs than people without such reports. The same result was replicated across the entire sample regarding cognitive bias and negative affect, with the most adverse profile observed in individuals with both alexithymia and childhood maltreatment. Further, specific dimensions of cognitive bias facets behaved differently in their mediating roles in the links of childhood maltreatment, alexithymia and negative affect to psychotic symptoms and PLEs. The study highlights childhood maltreatment, alexithymia, negative affect and cognitive bias facets as significant risk factors along the psychosis continuum. Additionally, the study emphasizes the role of cognitive bias facets in linking childhood maltreatment, alexithymia and negative affect to psychotic symptoms and PLEs.
Key Practitioner Messages
Individuals with schizophrenia and those at high and low risk for psychosis were evaluated for childhood maltreatment, alexithymia, negative affect, psychotic symptoms and PLEs.
The high-risk and schizophrenia groups scored higher on several variables than those at low risk group.
In each group, people with childhood maltreatment and alexithymia differed from those without.
In the total sample, people with childhood maltreatment and alexithymia showed significant differences, with individuals having both alexithymia and childhood maltreatment demonstrating the most adverse profile.
Specific cognitive biases linked childhood maltreatment, alexithymia and negative affect to psychotic symptoms and PLEs.
期刊介绍:
Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.