Jürgen Fuchshuber, Maria Gruber, Karin Feichtinger, Miriam Klauser, Karoline Parth, Nestor Kapusta, Stephan Doering, Victor Blüml
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引用次数: 0
Abstract
Objectives: The study investigates the relationship between personality organization, childhood trauma and paranoid thinking. It is hypothesized that personality organization mediates as well as moderates the link between paranoia and childhood adversity.
Methods: A mixed sample of patients and control participants (N = 119; 76% psychiatric patients; 71% female) was diagnostically assessed according to psychopathology (SCID I & II, BSI-53), personality organization (STIPO) and childhood trauma (CTQ). Mediation effects were analyzed within a Bayesian path modelling approach. We assessed potential moderation effects of personality organization by estimating interaction effects in the SPSS macro PROCESS.
Results: Significant positive correlations were found between childhood trauma, personality organization, and paranoid thinking (all p < .001). Mediation analysis showed that personality organization partially mediated the relationship between childhood trauma and paranoid thinking (indirect effect, B = .14, 95% CrI [.07, .23], p < .01), however only if not corrected for general psychiatric symptom load. In contrast, moderation analysis indicated that personality organization moderated the relationship (ΔR² = .02, F(6,112) = 4.93, p < .05), if controlled for unspecific psychopathology, with stronger personality dysfunction intensifying the link between childhood trauma and paranoid thinking.
Conclusions: The study generally supports the hypothesis that personality organization plays a critical role in linking childhood trauma to paranoid thinking, acting as both, mediator and moderator. This suggests that deficits in personality structure partly explain and modulate the association of childhood adversity with paranoid ideation. The complex role of general psychopathology in this relationship is discussed.
期刊介绍：
''Psychopathology'' is a record of research centered on findings, concepts, and diagnostic categories of phenomenological, experimental and clinical psychopathology. Studies published are designed to improve and deepen the knowledge and understanding of the pathogenesis and nature of psychopathological symptoms and psychological dysfunctions. Furthermore, the validity of concepts applied in the neurosciences of mental functions are evaluated in order to closely bring together the mind and the brain. Major topics of the journal are trajectories between biological processes and psychological dysfunction that can help us better understand a subject’s inner experiences and interpersonal behavior. Descriptive psychopathology, experimental psychopathology and neuropsychology, developmental psychopathology, transcultural psychiatry as well as philosophy-based phenomenology contribute to this field.
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