Universität zu Köln

Mehl, Stephanie, Landsberg, Martin W., Schmidt, Anna-Christine, Cabanis, Maurice, Bechdolf, Andreas, Herrlich, Jutta, Loos-Jankowiak, Stephanie, Kircher, Tilo ORCID: 0000-0002-2514-2625, Kiszkenow, Stephanie, Klingberg, Stefan ORCID: 0000-0001-8081-7181, Kommescher, Mareike, Moritz, Steffen ORCID: 0000-0001-8601-0143, Mueller, Bernhard W., Sartory, Gudrun, Wiedemann, Georg, Wittorf, Andreas, Woelwer, Wolfgang and Wagner, Michael ORCID: 0000-0003-2589-6440 (2014). Why Do Bad Things Happen to Me? Attributional Style, Depressed Mood, and Persecutory Delusions in Patients With Schizophrenia. Schizophr. Bull., 40 (6). S. 1338 - 1347. OXFORD: OXFORD UNIV PRESS. ISSN 1745-1701

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Abstract

Theoretical models postulate an important role of attributional style (AS) in the formation and maintenance of persecutory delusions and other positive symptoms of schizophrenia. However, current research has gathered conflicting findings. In a cross-sectional design, patients with persistent positive symptoms of schizophrenia (n = 258) and healthy controls (n = 51) completed a revised version of the Internal, Personal and Situational Attributions Questionnaire (IPSAQ-R) and assessments of psychopathology. In comparison to controls, neither patients with schizophrenia in general nor patients with persecutory delusions (n = 142) in particular presented an externalizing and personalizing AS. Rather, both groups showed a self-blaming AS and attributed negative events more toward themselves. Persecutory delusions were independently predicted by a personalizing bias for negative events (beta = 0.197, P = .001) and by depression (beta = 0.152, P = .013), but only 5% of the variance in persecutory delusions could be explained. Cluster analysis of IPSAQ-R scores identified a personalizing (n = 70) and a self-blaming subgroup (n = 188), with the former showing slightly more pronounced persecutory delusions (P = .021). Results indicate that patients with schizophrenia and patients with persecutory delusions both mostly blamed themselves for negative events. Nevertheless, still a subgroup of patients could be identified who presented a more pronounced personalizing bias and more severe persecutory delusions. Thus, AS in patients with schizophrenia might be less stable but more determined by individual and situational characteristics that need further elucidation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Mehl, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Landsberg, Martin W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt, Anna-Christine UNSPECIFIED UNSPECIFIED UNSPECIFIED Cabanis, Maurice UNSPECIFIED UNSPECIFIED UNSPECIFIED Bechdolf, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Herrlich, Jutta UNSPECIFIED UNSPECIFIED UNSPECIFIED Loos-Jankowiak, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Kircher, Tilo UNSPECIFIED orcid.org/0000-0002-2514-2625 UNSPECIFIED Kiszkenow, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Klingberg, Stefan UNSPECIFIED orcid.org/0000-0001-8081-7181 UNSPECIFIED Kommescher, Mareike UNSPECIFIED UNSPECIFIED UNSPECIFIED Moritz, Steffen UNSPECIFIED orcid.org/0000-0001-8601-0143 UNSPECIFIED Mueller, Bernhard W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sartory, Gudrun UNSPECIFIED UNSPECIFIED UNSPECIFIED Wiedemann, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Wittorf, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Woelwer, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Wagner, Michael UNSPECIFIED orcid.org/0000-0003-2589-6440 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-424556
DOI:	10.1093/schbul/sbu040
Journal or Publication Title:	Schizophr. Bull.
Volume:	40
Number:	6
Page Range:	S. 1338 - 1347
Date:	2014
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1745-1701
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSITIVE SYMPTOMS; COGNITIVE MODEL; SPECIFICITY; PREDICTORS; PSYCHOSIS; DEFICITS; BIASES Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42455