Interrelationships Among Childhood Trauma, Insecure Attachment, Dissociation, Negative Schemas and Psychosis Symptoms: A Network Analysis.
Background: Childhood trauma is associated with increased rates of psychosis, with research identifying insecure attachment, dissociation and negative schemas as mediating factors. Network analysis offers a framework to explore complex interrelationships between symptoms and vulnerability factors. T...
| Publicado en: | Clinical Psychology & Psychotherapy Vol. 32; no. 6; pp. 1 - 14 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov/Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190405516&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190405516 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10633995 BUX jtl: Clinical Psychology & Psychotherapy issn: 10633995 maglogo: Y pubinfo: dt: Nov/Dec2025 vid: 32 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 190405516 190405516 190405516 10.1002/cpp.70187 190405516 ppf: 1 ppct: 13 formats: tig: atl: Interrelationships Among Childhood Trauma, Insecure Attachment, Dissociation, Negative Schemas and Psychosis Symptoms: A Network Analysis. aug: au: Levi, David Pierce, Mathias Baird, Alison Berry, Katherine affil: School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences Centre, The University of Manchester, Manchester, UK sug: subj: Child Abuse Psychosocial Factors Attachment Behavior Evaluation Psychotic Disorders Symptoms Dissociative Disorders Funding Source Human Male Female Adolescence Adult Descriptive Statistics Cross Sectional Studies Self Report Scales Data Analysis Software Questionnaires Depression Anxiety Hallucinations Post Hoc Analysis Emotions Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Background: Childhood trauma is associated with increased rates of psychosis, with research identifying insecure attachment, dissociation and negative schemas as mediating factors. Network analysis offers a framework to explore complex interrelationships between symptoms and vulnerability factors. This study used network analysis to examine connections between experiences of childhood trauma, insecure attachment, dissociation, negative schemas and positive and negative psychosis symptoms. The study aims were to identify central, strongly connected variables and to compare network structures between subgroups with (n = 259) and without (n = 350) a self‐reported psychosis diagnosis. Methods: Cross‐sectional, self‐report data from an online survey sample (N = 609) were analysed. The sample was predominantly male (72.5%), White British/Other (80.1%), with a mean age of 28.70. The psychosis diagnosis sample contained more females (30.1%) than the sample without a psychosis diagnosis (21.1%). The psychosis diagnosis sample was also older, with a mean age of 32.93 compared with the no psychosis diagnosis sample (25.56). Pairwise Markov random field (PMRF) networks and strength centrality indices were used to identify central variables, while a network comparison test (NCT) evaluated structural differences between subgroups. Results: Bizarre experiences showed strong connectivity with other positive symptoms. Negative‐self schemas and paranoia demonstrated strong cross‐construct connectivity, forming a cluster with negative‐other schemas, avolition and insecure attachment. Depersonalisation–derealisation was strongly connected to hallucinations. The NCT revealed no significant structural differences between subgroups. Conclusions: Targeting negative‐self schemas and paranoia may yield the most substantial reductions in cross‐construct network connectivity and are indicated for treatment prioritisation. Interventions targeting detachment‐related dissociation may help reduce hallucinations. Longitudinal studies are needed to replicate these findings and explore causal pathways within network structures. Summary: Paranoia and avolition symptoms were implicated in a cluster of strong, potentially reinforcing associations with anxious attachment and negative‐self and other schemas. Interventions that weaken these links (e.g., reducing threat‐based thinking and safety behaviours such as avoiding social contact) may yield greater clinical gains than addressing these symptoms in isolation.Detachment‐type dissociation appears central to hallucinations. Techniques such as grounding, distress tolerance and mindfulness may help clients predict, control and reduce dissociative episodes, thereby reducing hallucinatory experiences.Use of multidimensional measures of psychological processes linked to psychosis symptoms (e.g., schema and insecure attachment subtypes and dissociation domains) provide richer information for formulations that can help identify and target reinforcing psychopathology more effectively. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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