125 results on '"Barkus E"'
Search Results
2. The structure of schizotypal personality traits: a cross-national study
- Author
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Fonseca-Pedrero, E., Debbané, M., Ortuño-Sierra, J., Chan, R. C. K., Cicero, D. C., Zhang, L. C., Brenner, C., Barkus, E., Linscott, R. J., Kwapil, T., Barrantes-Vidal, N., Cohen, A., Raine, A., Compton, M. T., Tone, E. B., Suhr, J., Muñiz, J., Fumero, A., Giakoumaki, S., Tsaousis, I., Preti, A., Chmielewski, M., Laloyaux, J., Mechri, A., Lahmar, M. A., Wuthrich, V., Larøi, F., Badcock, J. C., and Jablensky, A.
- Published
- 2018
- Full Text
- View/download PDF
3. Dissociation mediates the relationship between childhood trauma and hallucination-proneness
- Author
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Varese, F., Barkus, E., and Bentall, R. P.
- Published
- 2012
4. Experience sampling research in individuals with mental illness: reflections and guidance
- Author
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Palmier-Claus, J E, Myin-Germeys, I, Barkus, E, Bentley, L, Udachina, A, Delespaul, P A. E. G, Lewis, S W, and Dunn, G
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- 2011
- Full Text
- View/download PDF
5. Schizotypy and psychosis-like experiences from recreational cannabis in a non-clinical sample
- Author
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Barkus, E. and Lewis, S.
- Published
- 2008
6. The structure of schizotypal personality traits: a cross-national study
- Author
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Fonseca-Pedrero, E., primary, Debbané, M., additional, Ortuño-Sierra, J., additional, Chan, R. C. K., additional, Cicero, D. C., additional, Zhang, L. C., additional, Brenner, C., additional, Barkus, E., additional, Linscott, R. J., additional, Kwapil, T., additional, Barrantes-Vidal, N., additional, Cohen, A., additional, Raine, A., additional, Compton, M. T., additional, Tone, E. B., additional, Suhr, J., additional, Muñiz, J., additional, Fumero, A., additional, Giakoumaki, S., additional, Tsaousis, I., additional, Preti, A., additional, Chmielewski, M., additional, Laloyaux, J., additional, Mechri, A., additional, Lahmar, M. A., additional, Wuthrich, V., additional, Larøi, F., additional, Badcock, J. C., additional, and Jablensky, A., additional
- Published
- 2017
- Full Text
- View/download PDF
7. Are deficits in cognition associated with psychotic-like experiences after cannabis?
- Author
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Barkus, E, Morrison, P, Di Forti, M, Murray, RM, Barkus, E, Morrison, P, Di Forti, M, and Murray, RM
- Abstract
UNLABELLED: Not all individuals who smoke cannabis report psychotic-like experiences. Given that risk factors for psychotic disorders are multifaceted, precipitating factors to psychotic-like experiences after cannabis are likely to be equally complex. Reduced neurocognitive performance is associated with both psychosis risk and cannabis use. Therefore, it is possible cognitive performance may differentiate those who report psychotic-like experiences after cannabis from those who do not. We determined whether those reporting psychotic/dysphoric experiences after cannabis had reduced neurocognitive performance compared to those reporting primarily euphoric experiences. METHODS: Participants were recruited on the basis of responses to the cannabis high captured by the Psychosis-Dysphoric and Euphoric experiences subscales from the Cannabis Experiences Questionnaire (CEQ). RESULTS: Compared to participants reporting primarily euphoric cannabis experiences (n = 36; 44% male; mean age (SD) = 28 (9) years), those who reported psychotic/dysphoric experiences (n = 40; 45% male; mean age (SD) = 26 (5) years) demonstrated significantly faster responses to a trial and error learning task. In the presence of distracters, those with psychotic/dysphoric experiences after cannabis made more errors on a Continuous Performance Task. CONCLUSIONS: Those who report psychotic/dysphoric experiences after cannabis have subtle inefficiencies in their cognitive processes. The multiple factors which predict vulnerability to psychotic-like experiences after cannabis require further investigation.
- Published
- 2016
8. Cognitive and oculomotor performance in subjects with low and high schizotypy: implications for translational drug development studies
- Author
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Koychev, I, primary, Joyce, D, additional, Barkus, E, additional, Ettinger, U, additional, Schmechtig, A, additional, Dourish, C T, additional, Dawson, G R, additional, Craig, K J, additional, and Deakin, J F W, additional
- Published
- 2016
- Full Text
- View/download PDF
9. Affective instability prior to and after thoughts about self-injury in individuals with and at-risk of psychosis: A mobile phone based study
- Author
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Palmier-Claus, J E, Ainsworth, J, Machin, M, Dunn, G, Barkus, E, Barrowclough, C, Rogers, A, Lewis, S W, Palmier-Claus, J E, Ainsworth, J, Machin, M, Dunn, G, Barkus, E, Barrowclough, C, Rogers, A, and Lewis, S W
- Abstract
It has been proposed that affective instability may be associated with thoughts about self-injury. The aim of this study was to test the hypotheses that instability in feelings of depression, but not anxiety, guilt, or hostility, would predict greater concurrent and subsequent thoughts about self-injury. Thirty-six individuals with psychosis completed questions on touch-screen mobile phones at semi-random times each day for one week. The instability of depression predicted greater concurrent and subsequent levels of thoughts about self-injury, even when controlling for depression level. Conversely, self-injurious thoughts predicted more stable depression. The instability of guilt, anxiety, and hostility did not significantly predict levels of thoughts about self-injury. Results indicate that a variable depressive state may trigger the onset of thoughts about self-injury, which increases the risk of its subsequent recurrence. The onset of self-injurious thoughts may, however, have a stabilizing effect on subsequent depression.
- Published
- 2013
10. Integrating mobile-phone based assessment for psychosis into people's everyday lives and clinical care: a qualitative study
- Author
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Palmier-Claus, JE, Rogers, A, Ainsworth, J, Machin, M, Barrowclough, C, Laverty, L, Barkus, E, Kapur, S, Wykes, T, Lewis, SW, Palmier-Claus, JE, Rogers, A, Ainsworth, J, Machin, M, Barrowclough, C, Laverty, L, Barkus, E, Kapur, S, Wykes, T, and Lewis, SW
- Abstract
BACKGROUND: Over the past decade policy makers have emphasised the importance of healthcare technology in the management of long-term conditions. Mobile-phone based assessment may be one method of facilitating clinically- and cost-effective intervention, and increasing the autonomy and independence of service users. Recently, text-message and smartphone interfaces have been developed for the real-time assessment of symptoms in individuals with schizophrenia. Little is currently understood about patients' perceptions of these systems, and how they might be implemented into their everyday routine and clinical care. METHOD: 24 community based individuals with non-affective psychosis completed a randomised repeated-measure cross-over design study, where they filled in self-report questions about their symptoms via text-messages on their own phone, or via a purpose designed software application for Android smartphones, for six days. Qualitative interviews were conducted in order to explore participants' perceptions and experiences of the devices, and thematic analysis was used to analyse the data. RESULTS: Three themes emerged from the data: i) the appeal of usability and familiarity, ii) acceptability, validity and integration into domestic routines, and iii) perceived impact on clinical care. Although participants generally found the technology non-stigmatising and well integrated into their everyday activities, the repetitiveness of the questions was identified as a likely barrier to long-term adoption. Potential benefits to the quality of care received were seen in terms of assisting clinicians, faster and more efficient data exchange, and aiding patient-clinician communication. However, patients often failed to see the relevance of the systems to their personal situations, and emphasised the threat to the person centred element of their care. CONCLUSIONS: The feedback presented in this paper suggests that patients are conscious of the benefits that mobile-phone base
- Published
- 2013
11. Integrating mobile-phone based assessment for psychosis into people's everyday lives and clinical care:A qualitative study
- Author
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Palmier-Claus, J.E., Rogers, A., Ainsworth, J., Machin, M., Barrowclough, C., Laverty, L., Barkus, E., Kapur, S., Wykes, T., Lewis, S.W., Palmier-Claus, J.E., Rogers, A., Ainsworth, J., Machin, M., Barrowclough, C., Laverty, L., Barkus, E., Kapur, S., Wykes, T., and Lewis, S.W.
- Abstract
Background Over the past decade policy makers have emphasised the importance of healthcare technology in the management of long-term conditions. Mobile-phone based assessment may be one method of facilitating clinically- and cost-effective intervention, and increasing the autonomy and independence of service users. Recently, text-message and smartphone interfaces have been developed for the real-time assessment of symptoms in individuals with schizophrenia. Little is currently understood about patients’ perceptions of these systems, and how they might be implemented into their everyday routine and clinical care. Method 24 community based individuals with non-affective psychosis completed a randomised repeated-measure cross-over design study, where they filled in self-report questions about their symptoms via text-messages on their own phone, or via a purpose designed software application for Android smartphones, for six days. Qualitative interviews were conducted in order to explore participants’ perceptions and experiences of the devices, and thematic analysis was used to analyse the data. Results Three themes emerged from the data: i) the appeal of usability and familiarity, ii) acceptability, validity and integration into domestic routines, and iii) perceived impact on clinical care. Although participants generally found the technology non-stigmatising and well integrated into their everyday activities, the repetitiveness of the questions was identified as a likely barrier to long-term adoption. Potential benefits to the quality of care received were seen in terms of assisting clinicians, faster and more efficient data exchange, and aiding patient-clinician communication. However, patients often failed to see the relevance of the systems to their personal situations, and emphasised the threat to the person centred element of their care. Conclusions The feedback presented in this paper suggests that patients are conscious of the benefits that mobile-phone based as
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- 2013
12. Affective Instability Prior to and after Thoughts about Self-Injury in Individuals With and At-Risk of Psychosis:A Mobile Phone Based Study
- Author
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Palmier-Claus, J.E., Ainsworth, J., Machin, M., Dunn, G., Barkus, E., Barrowclough, C., Rogers, A., Lewis, S.W., Palmier-Claus, J.E., Ainsworth, J., Machin, M., Dunn, G., Barkus, E., Barrowclough, C., Rogers, A., and Lewis, S.W.
- Abstract
It has been proposed that affective instability may be associated with thoughts about self-injury. The aim of this study was to test the hypotheses that instability in feelings of depression, but not anxiety, guilt, or hostility, would predict greater concurrent and subsequent thoughts about self-injury. Thirty-six individuals with psychosis completed questions on touch-screen mobile phones at semi-random times each day for one week. The instability of depression predicted greater concurrent and subsequent levels of thoughts about self-injury, even when controlling for depression level. Conversely, self-injurious thoughts predicted more stable depression. The instability of guilt, anxiety, and hostility did not significantly predict levels of thoughts about self-injury. Results indicate that a variable depressive state may trigger the onset of thoughts about self-injury, which increases the risk of its subsequent recurrence. The onset of self-injurious thoughts may, however, have a stabilizing effect on subsequent depression.
- Published
- 2013
13. Integrating mobile-phone based assessment for psychosis into people's everyday lives and clinical care : A qualitative study
- Author
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Palmier-Claus, J.E., Rogers, A., Ainsworth, J., Machin, M., Barrowclough, C., Laverty, L., Barkus, E., Kapur, S., Wykes, T., Lewis, S.W., Palmier-Claus, J.E., Rogers, A., Ainsworth, J., Machin, M., Barrowclough, C., Laverty, L., Barkus, E., Kapur, S., Wykes, T., and Lewis, S.W.
- Abstract
Background Over the past decade policy makers have emphasised the importance of healthcare technology in the management of long-term conditions. Mobile-phone based assessment may be one method of facilitating clinically- and cost-effective intervention, and increasing the autonomy and independence of service users. Recently, text-message and smartphone interfaces have been developed for the real-time assessment of symptoms in individuals with schizophrenia. Little is currently understood about patients’ perceptions of these systems, and how they might be implemented into their everyday routine and clinical care. Method 24 community based individuals with non-affective psychosis completed a randomised repeated-measure cross-over design study, where they filled in self-report questions about their symptoms via text-messages on their own phone, or via a purpose designed software application for Android smartphones, for six days. Qualitative interviews were conducted in order to explore participants’ perceptions and experiences of the devices, and thematic analysis was used to analyse the data. Results Three themes emerged from the data: i) the appeal of usability and familiarity, ii) acceptability, validity and integration into domestic routines, and iii) perceived impact on clinical care. Although participants generally found the technology non-stigmatising and well integrated into their everyday activities, the repetitiveness of the questions was identified as a likely barrier to long-term adoption. Potential benefits to the quality of care received were seen in terms of assisting clinicians, faster and more efficient data exchange, and aiding patient-clinician communication. However, patients often failed to see the relevance of the systems to their personal situations, and emphasised the threat to the person centred element of their care. Conclusions The feedback presented in this paper suggests that patients are conscious of the benefits that mobile-phone based as
- Published
- 2013
14. Affective Instability Prior to and after Thoughts about Self-Injury in Individuals With and At-Risk of Psychosis : A Mobile Phone Based Study
- Author
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Palmier-Claus, J.E., Ainsworth, J., Machin, M., Dunn, G., Barkus, E., Barrowclough, C., Rogers, A., Lewis, S.W., Palmier-Claus, J.E., Ainsworth, J., Machin, M., Dunn, G., Barkus, E., Barrowclough, C., Rogers, A., and Lewis, S.W.
- Abstract
It has been proposed that affective instability may be associated with thoughts about self-injury. The aim of this study was to test the hypotheses that instability in feelings of depression, but not anxiety, guilt, or hostility, would predict greater concurrent and subsequent thoughts about self-injury. Thirty-six individuals with psychosis completed questions on touch-screen mobile phones at semi-random times each day for one week. The instability of depression predicted greater concurrent and subsequent levels of thoughts about self-injury, even when controlling for depression level. Conversely, self-injurious thoughts predicted more stable depression. The instability of guilt, anxiety, and hostility did not significantly predict levels of thoughts about self-injury. Results indicate that a variable depressive state may trigger the onset of thoughts about self-injury, which increases the risk of its subsequent recurrence. The onset of self-injurious thoughts may, however, have a stabilizing effect on subsequent depression.
- Published
- 2013
15. The feasibility and validity of ambulatory self-report of psychotic symptoms using a smartphone software application
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Palmier-Claus, JE, Ainsworth, J, Machin, M, Barrowclough, C, Dunn, G, Barkus, E, Rogers, A, Wykes, T, Kapur, S, Buchan, I, Salter, E, Lewis, SW, Palmier-Claus, JE, Ainsworth, J, Machin, M, Barrowclough, C, Dunn, G, Barkus, E, Rogers, A, Wykes, T, Kapur, S, Buchan, I, Salter, E, and Lewis, SW
- Abstract
BACKGROUND: Semi-structured interview scales for psychosis are the gold standard approach to assessing psychotic and other symptoms. However, such assessments have limitations such as recall bias, averaging, insensitivity to change and variable interrater reliability. Ambulant, real-time self-report assessment devices may hold advantages over interview measures, but it needs to be shown that the data thus collected are valid, and the collection method is acceptable, feasible and safe. We report on a monitoring system for the assessment of psychosis using smartphone technology. The primary aims were to: i) assess validity through correlations of item responses with those on widely accepted interview assessments of psychosis, and ii) examine compliance to the procedure in individuals with psychosis of varying severity. METHODS: A total of 44 participants (acute or remitted DSM-4 schizophrenia and related disorders, and prodromal) completed 14 branching self-report items concerning key psychotic symptoms on a touch-screen mobile phone when prompted by an alarm at six pseudo-random times, each day, for one week. Face to face PANSS and CDS interviews were conducted before and after the assessment period blind to the ambulant data. RESULTS: Compliance as defined by completion of at least 33% of all possible data-points over seven days was 82%. In the 36 compliant participants, 5 items (delusions, hallucinations, suspiciousness, anxiety, hopelessness) showed moderate to strong (rho 0.6-0.8) associations with corresponding items from interview rating scales. Four items showed no significant correlation with rating scales: each was an item based on observable behaviour. Ambulant ratings showed excellent test-retest reliability and sensitivity to change. CONCLUSIONS: Ambulatory monitoring of symptoms several times daily using smartphone software applications represents a feasible and valid way of assessing psychotic phenomena for research and clinical management purposes. Fur
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- 2012
16. The feasibility and validity of ambulatory self-report of psychotic symptoms using a smartphone software application
- Author
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Palmier-Claus, J.E., Ainsworth, J., Machin, M., Barrowclough, C., Dunn, G., Barkus, E., Rogers, A., Wykes, T., Kapur, S., Buchan, I., Salter, E., Lewis, S.W., Palmier-Claus, J.E., Ainsworth, J., Machin, M., Barrowclough, C., Dunn, G., Barkus, E., Rogers, A., Wykes, T., Kapur, S., Buchan, I., Salter, E., and Lewis, S.W.
- Abstract
Background Semi-structured interview scales for psychosis are the gold standard approach to assessing psychotic and other symptoms. However, such assessments have limitations such as recall bias, averaging, insensitivity to change and variable interrater reliability. Ambulant, real-time self-report assessment devices may hold advantages over interview measures, but it needs to be shown that the data thus collected are valid, and the collection method is acceptable, feasible and safe. We report on a monitoring system for the assessment of psychosis using smartphone technology. The primary aims were to: i) assess validity through correlations of item responses with those on widely accepted interview assessments of psychosis, and ii) examine compliance to the procedure in individuals with psychosis of varying severity. Methods A total of 44 participants (acute or remitted DSM-4 schizophrenia and related disorders, and prodromal) completed 14 branching self-report items concerning key psychotic symptoms on a touch-screen mobile phone when prompted by an alarm at six pseudo-random times, each day, for one week. Face to face PANSS and CDS interviews were conducted before and after the assessment period blind to the ambulant data. Results Compliance as defined by completion of at least 33% of all possible data-points over seven days was 82%. In the 36 compliant participants, 5 items (delusions, hallucinations, suspiciousness, anxiety, hopelessness) showed moderate to strong (rho 0.6-0.8) associations with corresponding items from interview rating scales. Four items showed no significant correlation with rating scales: each was an item based on observable behaviour. Ambulant ratings showed excellent test-retest reliability and sensitivity to change. Conclusions Ambulatory monitoring of symptoms several times daily using smartphone software applications represents a feasible and valid way of assessing psychotic phenomena for research and clinical management purposes. Further
- Published
- 2012
17. Dissociation mediates the relationship between childhood trauma and hallucination-proneness.
- Author
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Varese, F, Barkus, E, Bentall, R P, Varese, F, Barkus, E, and Bentall, R P
- Abstract
BACKGROUND: It has been proposed that the relationship between childhood trauma and hallucinations can be explained by dissociative processes. The present study examined whether the effect of childhood trauma on hallucination-proneness is mediated by dissociative tendencies. In addition, the influence of dissociative symptoms on a cognitive process believed to underlie hallucinatory experiences (i.e. reality discrimination; the capacity to discriminate between internal and external cognitive events) was also investigated.MethodPatients with schizophrenia spectrum disorders (n=45) and healthy controls (with no history of hallucinations; n=20) completed questionnaire measures of hallucination-proneness, dissociative tendencies and childhood trauma, as well as performing an auditory signal detection task. RESULTS: Compared to both healthy and non-hallucinating clinical controls, hallucinating patients reported both significantly higher dissociative tendencies and childhood sexual abuse. Dissociation positively mediated the effect of childhood trauma on hallucination-proneness. This mediational role was particularly robust for sexual abuse over other types of trauma. Signal detection abnormalities were evident in hallucinating patients and patients with a history of hallucinations, but were not associated with pathological dissociative symptoms. CONCLUSIONS: These results are consistent with dissociative accounts of the trauma-hallucinations link. Dissociation, however, does not affect reality discrimination. Future research should examine whether other cognitive processes associated with both dissociative states and hallucinations (e.g. deficits in cognitive inhibition) may explain the relationship between dissociation and hallucinatory experiences.
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- 2012
18. Experience sampling research in individuals with mental illness:Reflections and guidance
- Author
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Palmier-Claus, J.E., Myin-Germeys, I., Barkus, E., Bentley, L., Udachina, A., Delespaul, P.A.E.G., Lewis, S.W., Dunn, G., Palmier-Claus, J.E., Myin-Germeys, I., Barkus, E., Bentley, L., Udachina, A., Delespaul, P.A.E.G., Lewis, S.W., and Dunn, G.
- Abstract
Objective: The experience sampling method (ESM) represents a valuable way of assessing clinical phenomena in real world settings and across time. Despite its theoretical advantages, using this methodology in psychiatric populations is challenging. This paper acts as a guide to researchers wishing to employ this approach when investigating mental illness. Method: The contents represent the opinions of researchers around the United Kingdom and the Netherlands who are experienced at using the ESM. Results: In ESM studies, participants are required to fill in questions about their current thoughts, feelings and experiences when prompted by an electronic device (e.g. a wristwatch, PDA). Entries are typically made at fixed or random intervals over 6 days. This article outlines how to design and validate an ESM diary. We then discuss which sampling procedure to use and how to increase compliance through effective briefing and telephone sessions. Debriefing, data management and analytical issues are considered, before suggestions for future clinical uses of the ESM are made. Conclusion: The last decade has seen an increase in the number of studies employing the ESM in clinical research. Further research is needed to examine the optimal equipment and procedure for different clinical groups.
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- 2011
19. Experience sampling research in individuals with mental illness : Reflections and guidance
- Author
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Palmier-Claus, J.E., Myin-Germeys, I., Barkus, E., Bentley, L., Udachina, A., Delespaul, P.A.E.G., Lewis, S.W., Dunn, G., Palmier-Claus, J.E., Myin-Germeys, I., Barkus, E., Bentley, L., Udachina, A., Delespaul, P.A.E.G., Lewis, S.W., and Dunn, G.
- Abstract
Objective: The experience sampling method (ESM) represents a valuable way of assessing clinical phenomena in real world settings and across time. Despite its theoretical advantages, using this methodology in psychiatric populations is challenging. This paper acts as a guide to researchers wishing to employ this approach when investigating mental illness. Method: The contents represent the opinions of researchers around the United Kingdom and the Netherlands who are experienced at using the ESM. Results: In ESM studies, participants are required to fill in questions about their current thoughts, feelings and experiences when prompted by an electronic device (e.g. a wristwatch, PDA). Entries are typically made at fixed or random intervals over 6 days. This article outlines how to design and validate an ESM diary. We then discuss which sampling procedure to use and how to increase compliance through effective briefing and telephone sessions. Debriefing, data management and analytical issues are considered, before suggestions for future clinical uses of the ESM are made. Conclusion: The last decade has seen an increase in the number of studies employing the ESM in clinical research. Further research is needed to examine the optimal equipment and procedure for different clinical groups.
- Published
- 2011
20. Affective Instability Prior to and after Thoughts about Self-Injury in Individuals With and At-Risk of Psychosis: A Mobile Phone Based Study
- Author
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Palmier-Claus, J. E., primary, Ainsworth, J., additional, Machin, M., additional, Dunn, G., additional, Barkus, E., additional, Barrowclough, C., additional, Rogers, A., additional, and Lewis, S. W., additional
- Published
- 2013
- Full Text
- View/download PDF
21. Auditory Hallucinations in Schizophrenia and Nonschizophrenia Populations: A Review and Integrated Model of Cognitive Mechanisms
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Waters, F., primary, Allen, P., additional, Aleman, A., additional, Fernyhough, C., additional, Woodward, T. S., additional, Badcock, J. C., additional, Barkus, E., additional, Johns, L., additional, Varese, F., additional, Menon, M., additional, Vercammen, A., additional, and Laroi, F., additional
- Published
- 2012
- Full Text
- View/download PDF
22. Dissociation mediates the relationship between childhood trauma and hallucination-proneness
- Author
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Varese, F., primary, Barkus, E., additional, and Bentall, R. P., additional
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- 2011
- Full Text
- View/download PDF
23. P.4.010 A validation of cognitive biomarkers for the early identification of cognitive enhancing agents in schizotypy
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Koychev, I., primary, McMullen, K., additional, Lees, J., additional, Grayson, L., additional, Schmechtig, A., additional, Dourish, C., additional, Wilkinson, L., additional, Williams, S., additional, Deakin, J.F.W., additional, and Barkus, E., additional
- Published
- 2011
- Full Text
- View/download PDF
24. Experience sampling research in individuals with mental illness: reflections and guidance
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Palmier-Claus, J. E., primary, Myin-Germeys, I., additional, Barkus, E., additional, Bentley, L., additional, Udachina, A., additional, Delespaul, P. A. E. G., additional, Lewis, S. W., additional, and Dunn, G., additional
- Published
- 2010
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25. Cannabis Experiences Questionnaire
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Barkus, E., primary and Lewis, S., additional
- Published
- 2008
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26. WC6E COGNITIVE AND PSYCHOLOGICAL PREDICTORS OF PSYCHOSIS PRONENESS IN STUDENT SAMPLES
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Barkus, E., primary and Lewis, S., additional
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- 2006
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27. The Presence of Neurological Soft Signs Along the Psychosis Proneness Continuum
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Barkus, E., primary, Stirling, J., additional, Hopkins, R., additional, and Lewis, S., additional
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- 2005
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28. Does intravenous Δ9-tetrahydrocannabinol increase dopamine release? A SPET study.
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Barkus E, Morrison PD, Vuletic D, Dickson JC, Ell PJ, Pilowsky LS, Brenneisen R, Holt DW, Powell J, Kapur S, Murray RM, Barkus, Emma, Morrison, Paul D, Vuletic, D, Dickson, John C, Ell, Peter J, Pilowsky, Lyn S, Brenneisen, Rudolf, Holt, David W, and Powell, John
- Abstract
Intravenous (IV) Δ9-tetrahydrocannabinol (THC) induces transient psychotic symptoms in healthy subjects and in schizophrenic patients, but the psychotomimetic mechanism is unknown. One possibility is that THC stimulates dopamine (DA) release in the striatum. In this study we tested whether IV THC led to an increase in striatal DA release compared to placebo. We also investigated whether DA release and positive psychotic symptoms were related. Eleven healthy male volunteers completed two 123I-iodobenzamide ([123I]IBZM) single photon emission tomography (SPET) sessions and received IV THC (2.5 mg) or placebo in a randomized counterbalanced order, under double-blind conditions. Analysable data were obtained from nine participants. The Positive and Negative Syndrome Scale (PANSS) was used to rate psychotomimetic effects. Striatal binding index values were calculated using the occipital cortex as a reference region. Both the PANSS positive and general symptoms increased significantly at 30 min following IV THC. There were no significant differences in binding index in the caudate or putamen under THC compared to placebo conditions. Positive psychotic symptoms and DA release were unrelated. THC did not lead to a significant increase in DA release even though the dose was sufficient for participants to have psychotic symptoms. These findings do not support a central role for striatal DA in THC-elicited psychosis. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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- View/download PDF
29. Evaluation of state and trait biomarkers in healthy volunteers for the development of novel drug treatments in schizophrenia.
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Koychev I, Barkus E, Ettinger U, Killcross S, Roiser JP, Wilkinson L, and Deakin B
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- 2011
30. Distress and metacognition in psychosis prone individuals: comparing high schizotypy to the at-risk mental state.
- Author
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Barkus E, Stirling J, French P, Morrison A, Bentall R, and Lewis S
- Abstract
Both schizotypy and at-risk mental states (ARMS: prodromal states) define individuals at risk for psychotic symptoms. However, the relationship between the 2 is unclear. ARMS individuals are, by definition, help-seeking and therefore at greater risk. We tested whether high schizotypes and ARMS exist along the same continuum by examining maladaptive metacognitions and distress. About 95 healthy volunteers (39% male; mean age, 22.8 years) completed the Schizotypal Personality Questionnaire, the Launay-Slade Hallucinations Scale, Metacognitions Questionnaire (MCQ), and the General Health Questionnaire, and 58 help seeking individuals with ARMS status (41% male; mean age, 22.2 years) completed the Metacognitions Questionnaire and General Health Questionnaire. With increasing expression of schizotypy and hallucinatory proneness healthy volunteers became difficult to differentiate from ARMS patients and showed similarities in distress and metacognitive abnormalities. Results suggest healthy volunteers who express both schizotypal trait and proneness to hallucinations have cognitive processes in common with ARMS patients. [ABSTRACT FROM AUTHOR]
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- 2010
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31. Substance use in adolescence and psychosis: clarifying the relationship.
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Barkus E and Murray RM
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- 2010
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32. Integrating mobile-phone based assessment for psychosis into people’s everyday lives and clinical care: a qualitative study
- Author
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Palmier-Claus Jasper E, Rogers Anne, Ainsworth John, Machin Matt, Barrowclough Christine, Laverty Louise, Barkus Emma, Kapur Shitij, Wykes Til, and Lewis Shôn W
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Mobile-phone ,Psychosis ,Assessment ,Ambulant ,Schizophrenia ,Psychiatry ,RC435-571 - Abstract
Abstract Background Over the past decade policy makers have emphasised the importance of healthcare technology in the management of long-term conditions. Mobile-phone based assessment may be one method of facilitating clinically- and cost-effective intervention, and increasing the autonomy and independence of service users. Recently, text-message and smartphone interfaces have been developed for the real-time assessment of symptoms in individuals with schizophrenia. Little is currently understood about patients’ perceptions of these systems, and how they might be implemented into their everyday routine and clinical care. Method 24 community based individuals with non-affective psychosis completed a randomised repeated-measure cross-over design study, where they filled in self-report questions about their symptoms via text-messages on their own phone, or via a purpose designed software application for Android smartphones, for six days. Qualitative interviews were conducted in order to explore participants’ perceptions and experiences of the devices, and thematic analysis was used to analyse the data. Results Three themes emerged from the data: i) the appeal of usability and familiarity, ii) acceptability, validity and integration into domestic routines, and iii) perceived impact on clinical care. Although participants generally found the technology non-stigmatising and well integrated into their everyday activities, the repetitiveness of the questions was identified as a likely barrier to long-term adoption. Potential benefits to the quality of care received were seen in terms of assisting clinicians, faster and more efficient data exchange, and aiding patient-clinician communication. However, patients often failed to see the relevance of the systems to their personal situations, and emphasised the threat to the person centred element of their care. Conclusions The feedback presented in this paper suggests that patients are conscious of the benefits that mobile-phone based assessment could bring to clinical care, and that the technology can be successfully integrated into everyday routine. However, it also suggests that it is important to demonstrate to patients the personal, as well as theoretical, benefits of the technology. In the future it will be important to establish whether clinical practitioners are able to use this technology as part of a personalised mental health regime.
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- 2013
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33. The feasibility and validity of ambulatory self-report of psychotic symptoms using a smartphone software application
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Palmier-Claus Jasper E, Ainsworth John, Machin Matthew, Barrowclough Cristine, Dunn Graham, Barkus Emma, Rogers Anne, Wykes Til, Kapur Shitij, Buchan Iain, Salter Emma, and Lewis Shôn W
- Subjects
Mobile-phone ,Psychosis ,Assessment ,Ambulant ,Schizophrenia ,Psychiatry ,RC435-571 - Abstract
Abstract Background Semi-structured interview scales for psychosis are the gold standard approach to assessing psychotic and other symptoms. However, such assessments have limitations such as recall bias, averaging, insensitivity to change and variable interrater reliability. Ambulant, real-time self-report assessment devices may hold advantages over interview measures, but it needs to be shown that the data thus collected are valid, and the collection method is acceptable, feasible and safe. We report on a monitoring system for the assessment of psychosis using smartphone technology. The primary aims were to: i) assess validity through correlations of item responses with those on widely accepted interview assessments of psychosis, and ii) examine compliance to the procedure in individuals with psychosis of varying severity. Methods A total of 44 participants (acute or remitted DSM-4 schizophrenia and related disorders, and prodromal) completed 14 branching self-report items concerning key psychotic symptoms on a touch-screen mobile phone when prompted by an alarm at six pseudo-random times, each day, for one week. Face to face PANSS and CDS interviews were conducted before and after the assessment period blind to the ambulant data. Results Compliance as defined by completion of at least 33% of all possible data-points over seven days was 82%. In the 36 compliant participants, 5 items (delusions, hallucinations, suspiciousness, anxiety, hopelessness) showed moderate to strong (rho 0.6-0.8) associations with corresponding items from interview rating scales. Four items showed no significant correlation with rating scales: each was an item based on observable behaviour. Ambulant ratings showed excellent test-retest reliability and sensitivity to change. Conclusions Ambulatory monitoring of symptoms several times daily using smartphone software applications represents a feasible and valid way of assessing psychotic phenomena for research and clinical management purposes. Further evaluation required over longer assessment periods, in clinical trials and service settings.
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- 2012
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34. Ketogenic diet has a positive association with mental and emotional well-being in the general population.
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Garner S, Davies E, Barkus E, and Kraeuter AK
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- Humans, Male, Female, Cross-Sectional Studies, Adult, Middle Aged, Loneliness psychology, Emotions, Young Adult, Surveys and Questionnaires, Cohort Studies, Aged, Adolescent, Diet, Ketogenic methods, Diet, Ketogenic psychology, Mental Health, Anxiety, Depression diet therapy, Stress, Psychological psychology
- Abstract
Objectives: A ketogenic diet reduces pathologic stress and improves mood in neurodegenerative and neurodevelopmental disorders. However, the effects of a ketogenic diet for people from the general population have largely been unexplored. A ketogenic diet is increasingly used for weight loss. Research in healthy individuals primarily focuses on the physical implications of a ketogenic diet. It is important to understand the holistic effects of a ketogenic diet, not only the physiological but also the psychological effects, in non-clinical samples. The aim of this cross-sectional study with multiple cohorts was to investigate the association of a ketogenic diet with different aspects of mental health, including calmness, contentedness, alertness, cognitive and emotional stress, depression, anxiety, and loneliness, in a general healthy population., Methods: Two online surveys were distributed: cohort 1 used Bond-Lader visual analog scales and Perceived Stress Scale (n = 147) and cohort 2 the Depression Anxiety Stress Scale and revised UCLA Loneliness Scale (n = 276)., Results: A ketogenic diet was associated with higher self-reported mental and emotional well-being behaviors, including calmness, contentedness, alertness, cognitive and emotional stress, depression, anxiety, and loneliness, compared with individuals on a non-specific diet in a general population., Conclusion: This research found that a ketogenic diet has potential psychological benefits in the general population., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
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- 2024
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35. Positive and negative schizotypy personality traits are lower in individuals on ketogenic diet in a non-clinical sample.
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Garner S, Barkus E, and Kraeuter AK
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- Humans, Female, Male, Adult, Young Adult, Middle Aged, Adolescent, Psychiatric Status Rating Scales, Diet, Ketogenic, Schizotypal Personality Disorder diet therapy
- Abstract
Schizotypal personality comprises traits such as odd beliefs, perceptual abnormalities, and social difficulties; these traits are distributed throughout the general population. While not meeting the clinical threshold for schizophrenia or schizotypal personality disorder, schizotypal personality traits still provide insights for understanding early clinical risk factors. Ketogenic diet reportedly reduces psychotic symptoms in preclinical and clinical studies. Therefore, we investigated whether ketogenic diet is associated with lower schizotypal traits in the general population. Participants following a ketogenic or other diet were recruited using opportunity sampling. Individuals completed a survey investigating general demographic, socioeconomic, health, diet and lifestyle questions, followed by the Schizotypal Personality Questionnaire - Brief Revised version (SPQ-BR). We found that individuals following a ketogenic diet (n = 118) had lower ideas of reference, magical thinking, suspiciousness, unusual perceptions, constricted affect, social anxiety scores, cognitive (positive) perceptual scores, interpersonal (negative) scores and total SPQ-BR compared to individuals on the other diets (n = 139). Magical thinking, constricted affect, social anxiety, cognitive perceptual, interpersonal scores and total SPQ-BR scores remained significant when we controlled for body mass index (BMI) and age. Disorganised features were not influenced by ketogenic diet. The longer individuals adhered to a ketogenic diet the lower their positive and negative schizotypy traits. These findings highlight that ketogenic diet is associated with lower non-clinical schizotypal personality traits. Our results suggest that ketogenic diet might have potential prophylactic properties for individuals at-risk for psychosis., Competing Interests: Declaration of competing interest The authors have no conflict of interest to report., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
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- 2024
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36. The role of loneliness and negative schemas in the moment-to-moment dynamics between social anxiety and paranoia.
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Chau AKC, So SH, and Barkus E
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- Young Adult, Humans, Anxiety complications, Paranoid Disorders, Loneliness
- Abstract
Social anxiety and paranoia often co-occur and exacerbate each other. While loneliness and negative schemas contribute to the development of social anxiety and paranoia separately, their role in the development of the two symptoms co-occurring is rarely considered longitudinally. This study examined the moment-to-moment relationship between social anxiety and paranoia, as well as the effects of loneliness and negative schemas on both experiences individually and coincidingly. A total of 134 non-clinical young adults completed experience sampling assessments of momentary social anxiety, paranoia, and loneliness ten times per day for six consecutive days. Participants' negative-self and -other schemas were assessed with the Brief Core Schema Scale. Dynamic structural equation modelling revealed a bidirectional relationship between social anxiety and paranoia across moments. Loneliness preceded increases in both symptoms in the next moment. Higher negative-self schema was associated with a stronger link from paranoia to social anxiety; whereas higher negative-other schema was associated with a stronger link from social anxiety to paranoia. Our findings support the reciprocal relationship between social anxiety and paranoia. While loneliness contributes to the development of social anxiety and paranoia, negative self and other schemas appear to modify the relationships between the two symptoms., (© 2023. The Author(s).)
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- 2023
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37. Salivary testosterone and cortisol levels in borderline personality disorder before and after a 12-week group dialectical behavior therapy intervention.
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Dyson T, Thomas SJ, Townsend ML, Finch A, South A, Barkus E, Walter E, Mendonca C, Grenyer BFS, and Pickard JA
- Abstract
Background: Borderline Personality Disorder (BPD) is a chronic, debilitating, and difficult to treat condition. BPD has recently been linked to steroid hormone dysregulation and medical conditions characterized by disturbed androgen metabolism. This study aimed to investigate cortisol and testosterone levels in BPD, and changes in hormones following psychological treatment., Methods: Participants with BPD ( n = 33) completed a 12-week Dialectical Behavior Therapy group program. Pre and post salivary testosterone and cortisol were analyzed. Baseline hormones in the BPD group were compared to age-and-sex matched controls ( n = 33). Non-parametric tests were utilized to investigate group differences, pre-post treatment hormone and symptom changes, and associations between symptoms and hormone levels., Results: Participants with BPD had significantly higher testosterone levels than controls. Mean testosterone levels in females with BPD were double that of female controls. Testosterone and cortisol levels were related, and some BPD symptoms were associated with with hormone levels. BPD symptoms reduced significantly with treatment, however pre to post hormone levels did not change., Conclusions: This study supports an association between BPD symptoms and neuroendocrine dysfunction at baseline, however we found no reduction in hormone dysfunction post treatment. Further research into relationships between stress signaling and neuroendocrine disturbances in BPD may inform aetiological and treatment models., Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12618000477224. Registered on 3 April 2018., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Dyson, Thomas, Townsend, Finch, South, Barkus, Walter, Mendonca, Grenyer and Pickard.)
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- 2023
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38. Dark Triad personality traits, second-to-forth digit ratio (2D:4D) and circulating testosterone and cortisol levels.
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South AJ, Barkus E, Walter EE, Mendonca C, and Thomas SJ
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- Humans, Male, Female, Adolescent, Young Adult, Adult, Testosterone, Personality, Machiavellianism, Antisocial Personality Disorder, Hydrocortisone, Digit Ratios
- Abstract
Introduction: Dark Triad (DT) personality traits (psychopathy, Machiavellianism, and narcissism) show sex differences and associations with hormones. Understanding aetiology may assist in mitigating the harm of these potentially adverse characteristics. Low second-to-fourth digit ratio (2D:4D) is hypothesised to be a marker of high prenatal testosterone exposure and may provide important information about organisational hormones. The aim of the present study was to measure Dark Triad and Big 5 personality traits in relation to digit ratio, salivary testosterone, and cortisol., Methods: A non-clinical sample (N = 268; 49.25% Female, age M25.20 ± 8.77 yrs) completed the Short Dark Triad and International Personality Inventory Pool - Mini. Afternoon saliva was analysed for testosterone and cortisol, and 2D:4D finger ratios were measured., Results: Males scored higher on DT traits than females. Females scored higher on Big 5 agreeableness and neuroticism. Males had higher testosterone and cortisol levels and lower 2D:4D than females. Digit ratio correlated inversely with salivary testosterone, Machiavellianism, and psychopathy. Testosterone levels correlated positively with cortisol levels and psychopathy and negatively with agreeableness, neuroticism, and Machiavellianism., Conclusions: These results provide indications that Machiavellianism and psychopathy (Dark Triad) traits, but not narcissism or Big 5 traits, are linked to markers of prenatal testosterone exposure. Results also replicate sex differences seen in 2D:4D digit ratios, with males having a shorter second-relative-to-forth finger. Links between circulating testosterone, digit ratios, cortisol and personality traits provide further information about potential biological bases of personality., Competing Interests: Declaration of Competing Interest The authors have no competing interests to declare., (Copyright © 2023 Elsevier B.V. All rights reserved.)
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- 2023
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39. Mindfulness and Imagery Enhanced Behavioral Parenting: Effectiveness Pilot of the Confident Carers Cooperative Kids Program.
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Donovan MO, Briscoe-Hough K, Barkus E, Herbert JS, Miller L, Konza G, and Pickard JA
- Abstract
Mindfulness is increasingly offered to parents of children presenting with behavioral problems, either as a stand-alone intervention, or integrated within existing behavioral parenting interventions. There is relatively modest support for mindful parenting, with small to medium effect size improvements demonstrated across child and parent outcome measures. Here we introduce a mindfulness and imagery enhanced behavioral parenting program. We argue blending mindfulness, imagery and behavioral skills could produce improved parenting engagement and perseverance, leading to stronger outcomes. Pilot data is presented from two contrasting real world clinical settings. Parents attending the 8-week Confident Carers Cooperative Kids (CCCK) group program in a university clinic setting were invited to be included in the study ( n = 20). Permission was also gained to use archival data from a community organisation offering CCCK groups to parents who were at risk of child welfare involvement ( n = 14). Pre- and post-intervention measures were completed across both groups on parent-reported child behavior, parent wellbeing, adaptive parenting, and mindful parenting. Parents from both groups achieved significant pre- to post-intervention improvements in child behavior problems, parent wellbeing, adaptive parenting, and mindful parenting, with large effect sizes. Larger improvements in child behavior problems were reported by parents from the community group compared with the university group. The CCCK intervention appears beneficial across child and parent outcomes, including for families most in need. A larger sample is required to replicate and extend these promising findings., Competing Interests: Conflict of interestThe authors declare no competing interests., (© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
- Published
- 2023
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40. Invited discussant comments during the UCL-Penn Global COVID Study webinar 'How Do We Trust (Again): Paranoia and Mental Health': part 1 of 2.
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Barkus E
- Abstract
The article provides commentary on Wong et al.'s investigation of the relationship between schizotypal traits, social mistrust and aggression, mental and physical health outcomes across three waves of data collection commencing in April 2020. The researchers aimed to consider the nature of the relationship between these variables and the stability of these relationships as coronavirus (Covid-19) restrictions fluctuated over time. Their results suggested that loneliness reflects a hub which links the trait variables of schizotypal and social mistrust to aggression and mental and physical health symptoms. Their network did not vary by demographic factors nor wave of data collection, suggesting that stable individual differences were driving results. Their results propose that interventions which increase social connection could provide positive health benefits as well as decreasing aggression (via reductions in social mistrust). Their data contributes to understanding about how schizotypal traits link to outcomes under conditions of social stress., Competing Interests: Research ethics statementThe author declares that research ethics approval for the study was provided by the IOE Ethics and Review Committee in April 2020 (REC 1331; Wong & Raine, 2020).Consent for publication statementThe author declares that research participants’ informed consent to publication of findings – including photos, videos and any personal or identifiable information – was secured prior to publication.Conflicts of interest statementThe author declares no conflict of interest with this work.The author declares no conflict of interest with this work., (© 2022 The Authors.)
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- 2022
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41. Subclinical psychopathology and affective forecasting: Role of in-the-moment feelings.
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Zhang RT, Yang TX, Chen SY, Cheung EFC, Barkus E, and Chan RCK
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- Humans, Pleasure, Psychopathology, Social Interaction, Emotions, Mental Disorders
- Abstract
It is important for positive well-being and social engagement to understand how people predict future emotions, an ability known as affective forecasting. However, mechanisms underpinning the change to affective forecasting are not well understood in people with subclinical psychiatric symptoms. The current study differentiated components that comprise affective forecasting and investigated how non-clinical features relate to these. We recruited 319 participants to complete the social affective forecasting task and respond to questionnaires that captured schizotypal and autistic traits as well as depressive symptoms. Associations between affective forecasting and subclinical features were investigated using correlations, regression, and structure equation modeling. Results showed that interpersonal features of schizotypal traits negatively predicted anticipated emotions in positive social conditions via in-the-moment feelings but not via mental simulation. Findings highlight that in-the-moment feelings may be an intervention target to help people who have difficulties with social interactions to anticipate more pleasure for future social events., (© 2022 Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.)
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- 2022
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42. The profile of unusual beliefs associated with metacognitive thinking and attributional styles.
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Coleman EP, Croft RJ, and Barkus E
- Subjects
- Adult, Female, Humans, Male, Surveys and Questionnaires, Young Adult, Metacognition, Social Perception
- Abstract
Cognitive interpretations of daily events may differ in people from the general population who hold unusual beliefs. It is also important to understand whether different belief profiles exist to appreciate which patterns of beliefs are less psychologically healthy. Cluster analysis was used to form unusual belief profiles in a general population sample (n = 578; M
age = 22 years, SD = 6.98; 80% female) across paranoid, paranormal, and magical ideation beliefs, and we assessed whether they differed in attribution style and metacognitive beliefs about worry. Four clusters were formed: low on all measures (low all); high on all measures (high all); comparably higher on paranormal beliefs (paranormal group); and comparably higher on paranoid beliefs (paranoid group). For total Metacognitions Questionnaire-30, the high all and high paranoid clusters did not differ, and both clusters scored higher than the high paranormal group, who all scored higher than the low all cluster. For attributional styles (Attributional Styles Questionnaire), lower scores on internal positive attribution were found for the high all and high paranoid clusters compared to the low all and high paranormal clusters. The high paranormal cluster had higher scores than the high paranoid cluster on self-serving bias. Differences in attributional style appeared to be driven by mental health diagnosis. Our results suggest different profiles of unusual beliefs are detectable in the general population that differ in their metacognitive beliefs and perceived causation of events in their environment. Future studies investigating delusional proneness need to consider multiple unusual beliefs as well as assessing mood state and distress., (© 2022 The Authors. PsyCh Journal published by Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.)- Published
- 2022
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43. Dyslexia: Links with schizotypy and neurological soft signs.
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Barkus E, de Leede-Smith S, Roodenrys S, Horsley L, Matrini S, and Mison E
- Subjects
- Adult, Humans, Neurologic Examination, Personality, Surveys and Questionnaires, Dyslexia, Schizotypal Personality Disorder psychology
- Abstract
Abnormalities in language processing, psychological distress, and subtle neurodevelopmental features called neurological soft signs (NSS) are expressed by people with dyslexia and those scoring highly on schizotypy. We investigated whether the expression of NSS, distress, and schizotypy predicted dyslexia status. Participants (N = 96, 48 dyslexic) selected to be age and sex matched, completed the Schizotypal Personality Questionnaire, General Health Questionnaire, Neurological Evaluation Scale, and the National Adult Reading Test (NART; a measure of verbal intelligence). Dyslexia status was predicted by higher total NSS and disorganized schizotypy scores in the absence of NART. However, even with the inclusion of NART, disorganized schizotypy remained a significant predictor. The findings suggest that disorganized features of schizotypy could be a significant factor for those with dyslexia. Conversely, more attention needs to be given to developmental language disorders in those who score highly on schizotypy., (© 2021 Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.)
- Published
- 2022
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44. Not all stress is created equal: Acute, not ambient stress, impairs learning in high schizotypes.
- Author
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Walter EE, Fernandez F, and Barkus E
- Subjects
- Adult, Female, Humans, Male, Young Adult, Psychotic Disorders, Schizotypal Personality Disorder psychology
- Abstract
Learning from feedback is essential for daily functioning, with factors that impact learning having implications for healthy and clinical populations. Reinforcement learning appears impaired across the psychosis continuum, with deficits reported in patients with psychotic disorders as well as high schizotypes from the general population. Stress can impair learning, and sensitivity to stress is present along the psychosis continuum. The aim of the present study was to understand if stress impairs reinforcement learning in those at the lower end of the psychosis continuum. We investigated both naturalistic stress in everyday life using daily hassles (Study 1: n = 70; 31% male, M age = 22.67 years) and acute psychosocial stress using the Trier Social Stress Test (Study 2: n = 57; 32% male, M age = 22.43 years). In the presence of naturalistic stress, learning did not differ across schizotypes. However, under acute psychosocial stress, high schizotypes experienced impaired learning. Our results suggest trail-and-error learning is robust to the ebbs and flows of everyday stress for high schizotypes; however, acute stress is associated with decrements in learning. This indicates that the magnitude of stressors should be considered when designing cognitive and functional interventions for those along the psychosis continuum., (© 2021 Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.)
- Published
- 2022
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45. Mindful Parent Training for Parents of Children Aged 3-12 Years with Behavioral Problems: a Scoping Review.
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Donovan MO, Pickard JA, Herbert JS, and Barkus E
- Abstract
Objectives: While mindfulness-based parenting programs (MPPs) are increasingly popular for reducing child behavior problems, the evidence for the advantages of MPP over existing behavioral parent training is unclear. Existing systematic reviews have largely excluded the breadth of MPP protocols, including those that integrate behavioral skills components. Therefore, a scoping review was conducted to map the nature and extent of research on MPPs for parents of children aged 3 to 12 years with behavioral problems., Methods: PRISMA-ScR guidelines were used to conduct an encompassing peer literature review of cross-disciplinary databases. Studies were included if they reported mindfulness interventions for parents of children aged between 3 and 12 years with externalizing behavior problems and had an outcome measure of child behavioral problems that could be represented as an effect size. Randomized controlled trials as well as quasi-experimental, pre-post studies and unpublished dissertations were included., Results: Sixteen studies met the inclusion criteria ( N = 1362). The majority of MPPs delivered mindfulness adapted to parenting based on the Bögels' protocol within clinical settings. There was a dearth of fully integrated mindfulness and behavioral programs. MPPs generally produced pre-to-post-intervention improvements with small effect sizes across child behavior and parent style, stress, and mindfulness measures. Examining longer follow-up periods compared to pre-intervention, effects reached a moderate size across most outcome measures., Conclusions: MPPs continue to show promise in improving child behavior and parental mindfulness, well-being, and style. Further research is needed to determine how to best leverage the advantages of mindfulness in augmenting the well-established effectiveness of behavioral programs., Competing Interests: Conflict of InterestThe authors declare no competing interests., (© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.)
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- 2022
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46. The cross-lagged relationship between loneliness, social support, and psychotic-like experiences in young adults.
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Tan M, Barkus E, and Favelle S
- Subjects
- Humans, Social Support, Students, Young Adult, Loneliness, Psychotic Disorders
- Abstract
Background: Individuals with psychotic disorders often report feelings of loneliness, fewer social contacts and less satisfaction with their social support prior to diagnosis. However, temporal relationships between these variables remain unclear. The primary aim of this study was to examine whether subjective and objective social factors predict, or are predicted by, psychotic-like experiences (PLEs) in healthy young adults., Methods: 196 undergraduates completed baseline and 3-month follow-up assessments for PLEs, loneliness, social support size, and satisfaction. Cross-lagged panel models were conducted to investigate the temporal relationships between these variables., Results: Higher loneliness scores, fewer social contacts, and being less satisfied with social support at both time points were significantly associated with higher endorsement of PLEs. Furthermore, after controlling for baseline levels, cross-lagged analyses revealed that individuals who reported feeling more lonely and having less social support at baseline, predicted higher PLEs three months later but not vice versa. No cross-lagged effect was found between the satisfaction of social support and PLEs., Conclusion: The study highlights the significant relationships between loneliness, social support and PLEs. Higher levels of loneliness and smaller social support networks predicted future PLEs. These findings need to be given full consideration in future clinical practice and intervention for young adults with PLEs.
- Published
- 2021
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47. Schizotypy and help-seeking for anxiety.
- Author
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Blanch S and Barkus E
- Subjects
- Anxiety therapy, Anxiety Disorders, Humans, Personality, Surveys and Questionnaires, Psychotic Disorders, Schizotypal Personality Disorder diagnosis, Schizotypal Personality Disorder therapy
- Abstract
Background: Delays in help-seeking for anxiety are common; however, earlier interventions improve long-term outcomes. This holds importance for high schizotypes since anxiety relates to psychotic symptom development. The study investigated whether schizotypal traits and anxiety itself influence help-seeking behaviour., Methods: A non-clinical student sample (N = 800) completed the Schizotypal Personality Questionnaire, Depression, Anxiety, Stress Scale and General Help-Seeking Questionnaire, vignette version online., Results: Recognizing another's help need was associated with lower anxiety scores. A trend was observed between lower schizotypy scores and better recognition of self-need for help. Actual help-seekers (N = 163) had significantly higher schizotypy and anxiety scores than non-help-seekers., Conclusion: Schizotypal traits independently contribute to delays in help-seeking for anxiety. Approaching informal help sources whom also have anxiety symptoms can delay formal help-seeking, unless they have sought help themselves., (© 2020 John Wiley & Sons Australia, Ltd.)
- Published
- 2021
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48. The intentionality bias in schizotypy: a social matter.
- Author
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Roodenrys S, Barkus E, Woolrych TJ, Miller LM, and Favelle SK
- Subjects
- Bias, Humans, Intention, Judgment, Psychotic Disorders, Schizotypal Personality Disorder
- Abstract
Introduction: We aimed to investigate the association between schizotypy and intentionality bias, the tendency to interpret ambiguous actions as being intentional, for social and non-social actions separately. This bias contributes to interpersonal difficulties, and has been associated with psychotic symptoms, such as delusions. However, results have been inconsistent for an association between putative psychosis proneness, schizotypy, and intentionality bias. Further, the multidimensional nature of schizotypy has not been considered. Agreeableness was measured to examine the specificity of the relationship, and inhibition to examine its potential role as a mediator., Methods: Two online studies are reported ( n = 280 and n = 163) in which participants made intentionality judgements about ambiguous actions described in sentences. They also completed questionnaire measures of schizotypy and agreeableness, and inhibitory efficiency (a sentence completion task)., Results: Schizotypy was associated with perceiving ambiguous actions as intentional, particularly in social contexts, after controlling for agreeableness. The association with social intentionality was stronger for schizotypy subscales capturing paranoia and unusual beliefs. Inhibitory efficiency as not a significant predictor of intentionality bias., Conclusion: These finding suggest intentionality biases for social and non-social events are distinguishable. In relation to schizotypy, social situations appear to generate perceptions of intentionality. Intentionality bias represents a phenotypic cognitive risk for psychosis which should be further investigated.
- Published
- 2021
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49. Role for Positive Schizotypy and Hallucination Proneness in Semantic Processing.
- Author
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de Leede-Smith S, Roodenrys S, Horsley L, Matrini S, Mison E, and Barkus E
- Abstract
Semantic processing underpins the organization of verbal information for both storage and retrieval. Deficits in semantic processing are associated with both the risk for and symptoms presented in schizophrenia. However, studies are mixed and could reflect the confounding effects of medication and symptom heterogeneity. Therefore, we considered whether two risk phenotypes, positive schizotypy and hallucinatory predisposition, present in the general population were associated with differential responding profiles for a semantic processing task. One hundred and eighty-three participants completed the Schizotypal Personality Questionnaire, Launay-Slade Hallucination Scale, National Adult Reading Test, a handedness measure, and a computerized semantic relatedness judgment task. Pairs of words were related through their dominant or subordinate meanings, or unrelated. Participants were divided into four groups using a mean split on cognitive-perceptual (positive) schizotypy and hallucination proneness. Significant differences between groups were found for reaction time on the semantic relatedness task, with the high cognitive-perceptual schizotypy groups responding significantly slower to all word pairs compared to their low scoring counterparts. There was some evidence that high hallucination proneness was associated with significantly faster reaction times which may reflect disinhibitive processes, however additional support is required. The results suggest that these two components of psychosis risk are associated with different patterns of responding to semantic processing. More diffuse activation of semantic information appeared to be associated with positive schizotypy, while those predisposed to hallucinations appeared to respond quicker. These results have significant implications in the re-conceptualization of hallucination proneness as distinct from positive schizotypy. Additional research is required to investigate the association between psychotic-like experiences separate from personality variables such as positive schizotypy and semantic processing., (Copyright © 2020 de Leede-Smith, Roodenrys, Horsley, Matrini, Mison and Barkus.)
- Published
- 2020
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50. Complex Scenes From the International Affective Picture System (IAPS).
- Author
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Wei M, Roodenrys S, Miller L, and Barkus E
- Subjects
- Adult, Aged, Female, Humans, Male, Middle Aged, Young Adult, Emotions physiology
- Abstract
Complex scenes from standardized stimuli databases such as the International Affective Picture System (IAPS) are organized dimensionally rather than discretely. Further, the potentially unique function of socially relevant scenes is often overlooked. This study sought to identify discrete categories of complex scenes from the IAPS and to explore if there were qualitative features that make the emotional content of some social scenes identifiable with higher levels of agreement. One hundred and three participants (53.4% female, mean age 24.4) judged 118 IAPS scenes as reflecting fear, happy, sad, or neutral. A second judgment study was conducted with a separate group of participants ( N = 117; 79.2% female; mean age 30.41) to further characterize valid affective scenes across the full range of basic emotions. Sixty images received agreement on their emotional category from >70% of judges and were considered valid. IAPS identifier codes for these images are available for reference (along with the supplementary material from the second judgment study), organized by emotional and social content. An incidental observation was such that compared to nonsocial scenes, lower agreement rates were observed for social scenes across the board. Qualitative features of social scenes that were classified into emotional categories based on higher levels of agreement are discussed.
- Published
- 2020
- Full Text
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