Worries about being judged versus being harmed: Disentangling the association of social anxiety and paranoia with schizotypy

Horton, LE and Barrantes-Vidal, N and Silvia, PJ and Kwapil, TR (2014) Worries about being judged versus being harmed: Disentangling the association of social anxiety and paranoia with schizotypy. PLoS ONE, 9 (6).

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Abstract

Paranoia is a dimension of clinical and subclinical experiences in which others are believed to have harmful intentions. Mild paranoid concerns are relatively common in the general population, and more clinically severe paranoia shares features with social anxiety and is a key characteristic of schizotypy. Given that subclinical manifestations of schizotypy and paranoia may predict the occurrence of more severe symptoms, disentangling the associations of these related constructs may advance our understanding of their etiology; however no known studies to date have comprehensively evaluated how paranoia relates to social anxiety and schizotypy. The current research sought to examine the association of paranoia, assessed across a broad continuum of severity, with 1) the positive and negative schizotypy dimensions and 2) social anxiety. Specifically, the study tested a series of six competing, a priori models using confirmatory factor analysis in a sample of 862 young adults. As hypothesized, the data supported a four-factor model including positive schizotypy, negative schizotypy, social anxiety, and paranoia factors, suggesting that these are distinct constructs with differing patterns of interrelationships. Paranoia had a strong association with positive schizotypy, a moderate association with social anxiety, and a minimal association with negative schizotypy. The results are consistent with paranoia being part of a multidimensional model of schizotypy and schizophrenia. Prior studies treating schizotypy and schizophrenia as homogenous constructs often produce equivocal or non-replicable results because these dimensions are associated with distinct etiologies, presentations, and treatment responses; thus, the present conceptualization of paranoia within a multidimensional schizotypy framework should advance our understanding of these constructs. © 2014 Horton et al.

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Details

Item Type:	Article
Status:	Published
Creators/Authors:	Creators Email Pitt Username ORCID Horton, LE lhb8@pitt.edu LHB8 Barrantes-Vidal, N Silvia, PJ Kwapil, TR
Contributors:	Contribution Contributors Name Email Pitt Username ORCID Editor Soriano-Mas, Carles UNSPECIFIED UNSPECIFIED UNSPECIFIED
Date:	10 June 2014
Date Type:	Publication
Journal or Publication Title:	PLoS ONE
Volume:	9
Number:	6
DOI or Unique Handle:	10.1371/journal.pone.0096269
Schools and Programs:	School of Medicine > Psychiatry
Refereed:	Yes
Date Deposited:	30 Jun 2014 18:39
Last Modified:	02 Feb 2019 14:55
URI:	http://d-scholarship.pitt.edu/id/eprint/22106

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