The Stress of the Street for Patients with Persecutory Delusions: A Test of the Symptomatic and Psychological Effects of Going Outside into a Busy Urban Area

Schizophrenia Bulletin

Volumn 41, Issue 4, 2015, Pages 971-979

  Freeman, Daniel ^a   Emsley, Richard ^b   Dunn, Graham ^b   Fowler, David ^c   Bebbington, Paul ^d   Kuipers, Elizabeth ^e,f   Jolley, Suzanne ^e   Waller, Helen ^e   Hardy, Amy ^e   Garety, Philippa ^e,f  

^a WARNEFORD HOSPITAL   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

^c UNIVERSITY OF SUSSEX   (United Kingdom)

^d UNIVERSITY COLLEGE LONDON   (United Kingdom)

^e KING'S COLLEGE LONDON   (United Kingdom)

^f SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

anxiety; delusions; depression; paranoia; urbanicity

Indexed keywords

ADULT; AFFECT; ANXIETY; ARTICLE; DELUSIONAL DISORDER; DEPRESSION; ENVIRONMENTAL EXPOSURE; FEAR; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MENTAL STRESS; PARANOIA; PERSECUTORY DELUSION; PRIORITY JOURNAL; PSYCHOLOGICAL ASPECT; PSYCHOSIS; SCHIZOAFFECTIVE PSYCHOSIS; SCHIZOPHRENIA; SELF CONCEPT; SOCIAL ENVIRONMENT; SYMPTOM; THINKING; URBAN AREA; VOICE; DELUSION; MIDDLE AGED; PARANOID PSYCHOSIS; PATHOPHYSIOLOGY; PILOT STUDY; PSYCHOLOGY; RANDOMIZATION;

ADULT; ANXIETY; DELUSIONS; DEPRESSION; FEMALE; HUMANS; MALE; MIDDLE AGED; PARANOID DISORDERS; PILOT PROJECTS; PSYCHOTIC DISORDERS; RANDOM ALLOCATION; SOCIAL ENVIRONMENT; STRESS, PSYCHOLOGICAL;

EID: 84936755334     PISSN: 05867614     EISSN: 17451701     Source Type: Journal    
DOI: 10.1093/schbul/sbu173     Document Type: Article

References (35)

1. McGrath J, Saha S, Welham J, El Saadi O, MacCauley C, Chant D. A systematic review of the incidence of schizophrenia: The distribution of rates and the influence of sex, urbanicity, migrant status and methodology. BMC Med. 2004;2:13.
2. March D, Hatch SL, Morgan C, et al. Psychosis and place. Epidemiol Rev. 2008;30:84-100.
3. Vassos E, Pedersen CB, Murray RM, Collier DA, Lewis CM. Meta-analysis of the association of urbanicity with schizophrenia. Schizophr Bull. 2012;38:1118-1123.
4. Heinz A, Deserno L, Reininghaus U. Urbanicity, social adversity and psychosis. World Psychiatry. 2013;12:187-197.
5. Freeman D, Garety P, Kuipers E, Fowler D, Bebbington P. A cognitive model of persecutory delusions. Br J Clin Psychol. 2002;41:331-347.
6. Adam. First person account: experiencing suspicious thoughts and paranoia. Schizophr Bull. 2011;37:653-655.
7. Selten JP, Cantor-Graae E. Social defeat: risk factor for schizophrenia? Br J Psychiatry. 2005;187:101-102.
8. Ellett L, Freeman D, Garety PA. The psychological effect of an urban environment on individuals with persecutory delusions: The Camberwell walk study. Schizophr Res. 2008;99:77-84.
9. Freeman D, Pugh K, Green C, Valmaggia L, Dunn G, Garety P. A measure of state persecutory ideation for experimental studies. J Nerv Ment Dis. 2007;195:781-784.
10. Freeman, D, Garety, PA. Comments on the content of persecutory delusions: does the definition need clarification? British Journal of Clinical Psychology, 2000;39:407-414.
11. Hodgekins J, Coker S, Freeman D, et al. Assessing levels of subthreshold psychotic symptoms in the recovery phase: The Schizotypal Symptoms Inventory (SSI). J Exp Psychopathol. 2012;3:582-593.
12. Andreasen NC. The Scale for the Assessment of Positive Symptoms (SAPS). Iowa City, IA: The University of Iowa; 1984.
13. Andreasen NC. The Scale for the Assessment of Negative Symptoms (SAPS). Iowa City, IA: The University of Iowa; 1984.
14. Fowler D, Freeman D, Smith B, et al. The Brief Core Schema Scales (BCSS): psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychol Med. 2006;36:749-759.
15. Freeman D, Dunn G, Fowler D, et al. Current paranoid thinking in patients with delusions: The presence of cognitiveaffective biases. Schizophr Bull. 2013;39:1281-1287.
16. Bentall RP, Rowse G, Kinderman P, et al. Paranoid delusions in schizophrenia spectrum disorders and depression. J Nerv Ment Dis. 2008;196:375-383.
17. Mathews A, Mackintosh B. Induced emotional interpretation bias and anxiety. J Abnorm Psychol. 2000;109:602-615.
18. Garety PA, Freeman D, Jolley S, et al. Reasoning, emotions, and delusional conviction in psychosis. J Abnorm Psychol. 2005;114:373-384.
19. Wessely S, Buchanan A, Reed A, et al. Acting on delusions. I: Prevalence. Br J Psychiatry. 1993;163:69-76.
20. Freeman D, Garety PA, Fowler D, Kuipers E, Bebbington P, Dunn G. Why do people with delusions fail to choose more realistic explanations for their experiences? An empirical investigation. J Consult Clin Psychol. 2004;72:671-680.
21. Wechsler D. Wechsler Test of Adult Reading. London: Psychological Corporation; 2001.
22. Garety P, Waller H, Emsley R, et al. Cognitive mechanisms of change in delusions: an experimental investigation targeting reasoning to effect change in paranoia. Schizophr Bull. 2014. doi:10.1093/schbul/sbu103
23. StataCorp. Stata Statistical Software: Release 11. College Station, TX: StataCorp LP; 2009.
24. Valeri L, Vanderweele TJ. Mediation analysis allowing for exposure-mediator interactions and causal interpretation: theoretical assumptions and implementation with SAS and SPSS macros. Psychol Methods. 2013;18:137-150.
25. Emsley R, Dunn G, White IR. Mediation and moderation of treatment effects in randomised controlled trials of complex interventions. Stat Methods Med Res. 2010;19:237-270.
26. World Health Organisation. SCAN: Schedules for Clinical Assessment in Neuropsychiatry. Geneva: World Health Organisation; 1992.
27. So S, Freeman D, Garety P. Impact of state anxiety on the jumping to conclusions delusion bias. Aust N Z J Psychiatry. 2008;42:879-886.
28. Freeman D, Startup H, Dunn G, et al. The interaction of affective with psychotic processes: A test of the effects of worrying on working memory, jumping to conclusions, and anomalies of experience in patients with persecutory delusions. J Psychiatr Res. 2013;47:1837-1842.
29. Fritz M, Mackinnon DP. Required sample size to detect the mediated effect. Psychol Sci. 2007;18:233-239.
30. Fowler D, Hodgekins J, Garety P, et al. Negative cognition, depressed mood, and paranoia: A longitudinal pathway analysis using structural equation modeling. Schizophr Bull. 2012;38:1063-1073.
31. Freeman D, Evans N, Lister R, Antley A, Dunn G, Slater M. Height, social comparison, and paranoia: an immersive virtual reality experimental study. Psychiatry Res. 2014;218:348-352.
32. Freeman D, Waller H, Harpur-Lewis R, et al. Urbanicity, persecutory delusions, and clinical intervention. Behav Cogn Psychother. 2013. doi:http://dx.doi.org/10.1017/ S1352465813000660
33. Freeman D, Garety P. Advances in understanding and treating persecutory delusions: A review. Soc Psychiatry Psychiatr Epidemiol. 2014;49:1179-1189.
34. Bullock J, Green D, Ha S. Yes, but what's the mechanism? (don't expect an easy answer). J Pers Soc Psychol. 2010;98:550-558.
35. Freeman D. Studying and treating schizophrenia using virtual reality (vr): A new paradigm. Schizophr Bull. 2008;34:605-610.