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Perceived ostracism and paranoia: A test of potential moderating effects of psychological flexibility and inflexibility

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Abstract

Ostracism is known to lead to negative psychological outcomes; however, little is known as to how ostracism may be a predictor of paranoid thoughts. The present paper examined the relationship between perceived ostracism and paranoid thoughts (social reference, persecution) by focusing on the potential moderating roles of psychological flexibility and inflexibility. As expected, data from a sample of 315 internet users (Mage = 31.5 years) showed that perceived ostracism was positively related to both social reference and persecution. Psychological flexibility did not moderate the ostracism-paranoid thought relationships. However, psychological inflexibility was a moderator of the ostracism-social reference relationship, but not for ostracism-persecution. Specifically, at both high and low levels of psychological inflexibility, there was a significant positive relationship between ostracism and social reference. These unexpected findings suggest that future research is needed to elucidate the mechanisms by which perceived ostracism may lead to paranoia.

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Data is available from the corresponding author upon request.

Notes

  1. The sole attention check item was chosen to be embedded within the R-GPTS (Freeman et al., 2021).

  2. Sociodemographic factors such as age and sex are known to moderate the distress associated with ostracism (e.g., Hitlan et al., 2006; Sebastian et al., 2010). We tested a path analysis model including these factors and there were no substantive differences in the results.

  3. As the relationships between perceived ostracism and paranoid thoughts were so strong we ran an additional model testing the reverse effects (i.e., paranoid thoughts predicting perceived ostracism). It was found that psychological inflexibility and psychological flexibility were not significant moderators in this model.

References

  • Aiken, L. S., West, S. G., & Reno, R. R. (1991). Multiple regression: Testing and interpreting interactions. Sage Publications.

    Google Scholar 

  • Ajnakina, O., David, A. S., & Murray, R. M. (2019). ‘At risk mental state’clinics for psychosis–an idea whose time has come–and gone! Psychological Medicine, 49, 529–534.

    Article  PubMed  Google Scholar 

  • Baumann, P. S., Soderstrom, O., Empson, L. A., Soderstrom, D., Codeluppi, Z., Golay, P., Birchwood, M., & Conus, P. (2020). Urban remediation: A new recovery-oriented strategy to manage urban stress after first-episode psychosis. Social Psychiatry and Psychiatric Epidemiology, 55(3), 273–283.

    Article  PubMed  Google Scholar 

  • Bentall, R. P., Corcoran, R., Howard, R., Blackwood, N., & Kinderman, P. (2001). Persecutory delusions; A review and theoretical integration. Clinical Psychology Review, 21, 1143–1192.

    Article  PubMed  Google Scholar 

  • Blackhart, G. C., Eckel, L. A., & Tice, D. M. (2007). Salivary cortisol in response to acute social rejection and acceptance by peers. Biological Psychology, 75, 267–276.

    Article  PubMed  Google Scholar 

  • Bloy, S., Oliver, J. E., & Morris, E. (2011). Using Acceptance and Commitment Therapy with people with psychosis: A case study. Clinical Case Studies, 10(5), 347–359.

    Article  Google Scholar 

  • Bowlby, J. (1969). Attachment and Loss, Volume 1. Attachment. Basic.

  • Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46–76). The Guilford Press.

    Google Scholar 

  • Castilho, P., Martins, M. J., Pinto, A. M., Viegas, R., Carvalho, S., & Madeira, N. (2017). Understanding the effect of attachment styles in paranoid ideation: The mediator role of experiential avoidance. Journal of Contextual Behavioural Science, 6(1), 42–46.

    Article  Google Scholar 

  • Davies, M., Ellett, L., & Kingston, J. (2021). A randomised comparison of values and goals, versus goals only and control, for high nonclinical paranoia. Cognitive Therapy and Research, 45, 1213–1221.

    Article  Google Scholar 

  • Elahi, A., Algorta, G. P., Varese, F., McIntyre, J. C., & Bentall, R. P. (2017). Do paranoid delusions exist on a continuum with subclinical paranoia? A multi-method taxometric study. Schizophrenia Research, 190, 77–81.

    Article  PubMed  Google Scholar 

  • Ferris, D. L., Brown, D. J., Berry, J. W., & Lian, H. (2008). The development and validation of the Workplace Ostracism Scale. Journal of Applied Psychology, 93, 1348–1366.

  • Fett, A. K. J., Lemmers-Jansen, I. L., & Krabbendam, L. (2019). Psychosis and urbanicity: A review of the recent literature from epidemiology to neurourbanism. Current Opinion in Psychiatry, 32, 232–241.

    Article  PubMed  PubMed Central  Google Scholar 

  • Freeman, D. (2016). Persecutory delusions: A cognitive perspective on understanding and treatment. The Lancet Psychiatry, 3, 685–692.

    Article  PubMed  Google Scholar 

  • Freeman, D., Garety, P. A., Kuipers, E., Fowler, D., & Bebbington, P. E. (2002). A cognitive model of persecutory delusions. British Journal of Clinical Psychology, 41, 331–347.

    Article  PubMed  Google Scholar 

  • Freeman, D., Garety, P. A., Bebbington, P. E., Smith, B., Rollinson, R., Fowler, D., Kuipers, E., Ray, K., & Dunn, G. (2005). Psychological investigation of the structure of paranoia in a non-clinical population. British Journal of Psychiatry, 186, 427–435.

    Article  Google Scholar 

  • Freeman, D., Loe, B. S., Kingdon, D., Startup, H., Molodynski, A., Rosebrock, L., Brown, P., Sheaves, B., Waite, F., & Bird, J. C. (2021). The revised Green et al., Paranoid Thoughts Scale (R-GPTS): Psychometric properties, severity ranges, and clinical cut-offs. Psychological Medicine, 51, 244–253.

    Article  PubMed  Google Scholar 

  • Gao, S., Assink, M., Liu, T., Chan, K. L., & Ip, P. (2021). Associations between rejection sensitivity, aggression, and victimisation: A meta-analytic review. Trauma, Violence & Abuse, 22(1), 125–135.

    Article  Google Scholar 

  • Gaudiano, B. A., Herbert, J. D., & Hayes, S. C. (2010). Is it the symptom or the relation to it? Investigating potential mediators of change in Acceptance and Commitment Therapy for psychosis. Behaviour Therapy, 41(4), 543–554.

    Article  Google Scholar 

  • Gloster, A. T., Block, V. J., Klotsche, J., Villanueva, J., Rinner, M. T. B., Benoy, C., Walter, M., Karekla, M., & Bader, K. (2021). Psy-Flex: A contextually sensitive measure of psychological flexibility. Journal of Contextual Behavioural Science, 22, 13–23.

    Article  Google Scholar 

  • Graeupner, D., & Coman, A. (2017). The dark side of meaning-making: How social exclusion leads to superstitious thinking. Journal of Experimental Social Psychology, 69, 218–222.

    Article  Google Scholar 

  • Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional diagnostoc approach to diagnosis and treatment. Journal of Consultimg and Clinical Psychology, 64, 1152–1168. https://doi.org/10.1037/0022-006X.64.6.1152

    Article  Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 1–25.

    Article  PubMed  Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press.

    Book  Google Scholar 

  • Hitlan, R. T., Cliffton, R. J., & DeSoto, M. C. (2006). Perceived exclusion in the workplace: The moderating effects of gender on work-related attitudes and psychological health. North American Journal of Psychology, 8, 217–236.

    Google Scholar 

  • Hochard, K. D., Hulbert-Williams, L., Ashcroft, S., & McLoughlin, S. (2021). Acceptance and values clarification versus cognitive restructuring and relaxation: A randomised controlled trial of ultra-brief non-expert delivered coaching interventions for social resilience. Journal of Contextual Behavioral Science, 21, 12–21.

    Article  Google Scholar 

  • Johns, L. C., Oliver, J. E., Khondker, M., Byrne, M., Jolley, S., Wykes, T., Joseph, C., Butler, L., Craig, T., & Morris, E. M. J. (2016). The feasibility and acceptability of a brief Acceptance and Commitment Therapy (ACT) group intervention for people with psychosis: The ‘ACT for life’ study. Journal of Behaviour Therapy & Experimental Psychiatry, 50, 257–263.

    Article  Google Scholar 

  • Kashdan, T. B., Disabato, D. J., Goodman, F. R., Doorley, J. D., & McKnight, P. E. (2020). Understanding psychological flexibility: A multi-method exploration of pursuing valued goals despite the presence of distress. Psychological Assessment, 32(9), 829–8450.

    Article  Google Scholar 

  • Kirchner, L., Schummer, S. E., Krug, H., Kube, T., & Rief, W. (2022). How social rejection expectations and depressive symptoms bi-directionally predict each other–A cross-lagged panel analysis. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12383

    Article  Google Scholar 

  • Lincoln, S. H., Johnson, T., Winters, A., & Laquidara, J. (2021). Social exclusion and rejection across the psychosis spectrum: A systematic review of empirical research. Schizophrenia Research, 228, 43–50.

    Article  PubMed  Google Scholar 

  • Muthén, M., & Muthén, B. O. (2015). Mplus user’s guide (7th ed.). Muthén & Muthén.

    Google Scholar 

  • Newman-Taylor, K., Richardson, T., Sood, M., Sopp, M., Perry, E., & Bolderston, H. (2020). Cognitive mechanisms in cannabis-related paranoia. Part 1: Initial testing in a general population sample. Psychosis, 12(4), 314–327.

    Article  Google Scholar 

  • Nezlek, J. B., Wesselmann, E. D., Wheeler, L., & Williams, K. D. (2012). Ostracism in everyday life. Group Dynamics: Theory, Research, & Practice, 16, 91–104.

    Article  Google Scholar 

  • Niu, G. F., Sun, X. T., Tian, Y., Fan, C. Y., & Zhou, Z. K. (2016). Resilience moderates the relationship between ostracism and depression among Chinese adolescents. Personality and Individual Differences, 99, 77–80.

    Article  Google Scholar 

  • Nunez, D., Ordonez-Carrasco, J. L., Fuentes, R., & Langer, A. I. (2021). Experiential avoidance mediates the association between paranoid ideation and depressive symptoms in a sample from the general population. Journal of Psychiatric Research, 139, 120–124.

    Article  PubMed  Google Scholar 

  • Pitman, A., Osborn, D. P., & King, M. B. (2015). The use of internet-mediated cross-sectional studies in mental health research. Bjpsych Advances, 21(3), 175–184.

    Article  Google Scholar 

  • Poon, K. T. (2018). Unpacking the relation between ostracism and Internet addiction. Psychiatry Research, 270, 724–730.

    Article  PubMed  Google Scholar 

  • Poon, K. T., Chen, Z., & Wong, W. Y. (2020). Beliefs in conspiracy theories following ostracism. Personality and Social Psychology Bulletin, 46(8), 1234–1246.

    Article  PubMed  Google Scholar 

  • Pot-Kolder, R., Veling, W., Counotte, J., & Van Der Gaag, M. (2018). Self-reported cognitive biases moderate the associations between social stress and paranoid ideation in a virtual reality experimental study. Schizophrenia Bulletin, 44(4), 749–756.

    PubMed  Google Scholar 

  • Riva, P., Montali, L., Wirth, J. H., Curioni, S., & Williams, K. D. (2017). Chronic social exclusion and evidence for the resignation stage: An empirical investigation. Journal of Social and Personal Relationships, 34(4), 541–564.

    Article  Google Scholar 

  • Rochefort, C., Baldwin, A., & Chmielewski, M. (2018). Experiential avoidance: An examination of the construct validity of the AAQ-II and MEAQ. Behavior Therapy, 49, 435–449.

    Article  PubMed  Google Scholar 

  • Rolffs, J. L., Rogge, R. D., & Wilson, K. G. (2018). Disentangling components of flexibility via the hexaflex model: Development and validation of the Multidimensional Psychological Flexibility Inventory (MPFI). Assessment, 25, 458–482.

    Article  PubMed  Google Scholar 

  • Sebastian, C., Viding, E., Williams, K. D., & Blakemore, S. J. (2010). Social brain development and the affective consequences of ostracism in adloescence. Clinical Psychology Review, 50, 108–137.

  • Schotanus-Dijkstra, M., Ten Klooster, P. M., Drossaert, C. H., Pieterse, M. E., Bolier, L., Walburg, J. A., & Bohlmeijer, E. T. (2016). Validation of the Flourishing Scale in a sample of people with suboptimal levels of mental well-being. BMC Psychology, 4(1), 1–10.

    Article  Google Scholar 

  • Seidler, D., Stone, B., Clark, B. E., Koran, J., & Drake, C. E. (2020). Evaluating the factor structure of the Multidimensional Psychological Flexibility Inventory: An independent replication and extension. Journal of Contextual Behavioral Science, 17, 23–31.

    Article  Google Scholar 

  • Shawyer, F., Farhall, J., Thomas, N., Hayes, S. C., Gallop, R., Copolov, D., & Castle, D. J. (2018). Acceptance and commitment therapy for psychosis: Randomised controlled trial. British Journal of Psychiatry, 210(2), 140–148.

    Article  Google Scholar 

  • Sood, M., Carnelly, K., & Newman-Taylor, K. (2021). How does attachment imagery for paranoia work? Cognitive fusion and beliefs about self and others mediate the impact of paranoia and anxiety. Psychology and Psychotherapy: Theory, Research and Practice, 94(4), 973–993.

  • Sood, M., & Newman-Taylor, K. (2020). Cognitive fusion mediates the impact of attachment imagery on paranoia and anxiety. Cognitive Therapy and Research, 44(6), 1150–1161.

    Article  Google Scholar 

  • Stabbe, O. K., Rolffs, J. L., & Rogge, R. D. (2019). Flexibly and/or inflexibly embracing life: Identifying fundamental approaches to life with latent profile analyses on the dimensions of the Hexaflex model. Journal of Contextual Behavioural Science, 12, 106–118.

    Article  Google Scholar 

  • Tyberg, M. J., Carbring, P., & Lundgren, T. (2017). Brief Acceptance and Commitment Therapy for psychotic inpatients: A randomised controlled feasibility trial in Sweden. Nordic Psychology, 69(2), 110–125.

    Article  Google Scholar 

  • Tyndall, I., Waldeck, D., Riva, P., Wesselmann, E. D., & Pancani, L. (2018). Psychological flexibility and ostracism: Experiential avoidance rather than cognitive fusion moderates distress from perceived ostracism over time. Journal of Contextual Behavioural Science, 7, 72–80.

    Article  Google Scholar 

  • Tyndall, I., Waldeck, D., Pancani, L., Whelan, R., Roche, B., & Dawson, D. L. (2019). The Acceptance and Acton Questionnaire-II (AAQ-II) as a measure of experiential avoidance: Concerns over discriminant validity. Journal of Contextual Behavioural Science, 12, 278–284.

    Article  Google Scholar 

  • Tyndall, I., Waldeck, D., Pancani, L., Whelan, R., Roche, B., & Pereira, A. (2020). Profiles of psychological flexibility: A latent class analysis of the Acceptance and Commitment Therapy model. Behaviour Modification, 44(3), 365–393.

    Article  Google Scholar 

  • Udachina, A., Thewissen, V., Myin-Germeys, I., Fitzpatrick, S., O’Kane, A., & Bentall, R. P. (2009). Understanding the relationships between self-esteem, experiential avoidance, and paranoia: Structural equation modelling and experience sampling studies. The Journal of Nervous and Mental Disease, 197(9), 661–668.

    Article  PubMed  Google Scholar 

  • Udachina, A., Varese, F., Myin-Germeys, I., & Bentall, R. P. (2014). The role of experiential avoidance in paranoid delusions: An experience sampling study. British Journal of Clinical Psychology, 53(4), 422–432.

    Article  PubMed  Google Scholar 

  • Uskul, A. K., & Over, H. (2017). Culture, social interdependence, and ostracism. Current Directions in Psychological Science, 26(4), 371–376.

    Article  Google Scholar 

  • Van Os, J., Hanssen, R., Bijl, W., & Vollenbergh, W. (2001). Prevalence of psychotic disorder and community level of psychotic symptoms: An urban-rural comparison. Archives of General Psychiatry, 58, 663–668.

    Article  PubMed  Google Scholar 

  • Waldeck, D. (2017). Qualitative research with participants suffering from ostracism: A practical guide for the novice researcher. The Qualitative Report, 22(7), 1744–1758.

    Google Scholar 

  • Waldeck, D., Tyndall, I., Riva, P., & Chmiel, N. (2017). How do we cope with ostracism? Psychological flexibility moderates the relationship between everyday ostracism experiences and psychological distress. Journal of Contextual Behavioural Science, 6, 425–432.

    Article  Google Scholar 

  • Waldeck, D., Banerjee, M., Jenks, R., & Tyndall, I. (2020a). Cognitive arousal mediates the relationship between perceived ostracism and sleep quality but it is not moderated by experiential avoidance. Stress & Health, 36(4), 487–495.

    Article  Google Scholar 

  • Waldeck, D., Bissell, G., & Tyndall, I. (2020b). Experiential avoidance as a moderator for coping with a brief episode of ostracism: A pilot study. Journal of Contextual Behavioural Science, 17, 68–72.

    Article  Google Scholar 

  • Wesselmann, E. D., & Williams, K. D. (2017). Social life and social death: Inclusion, ostracism, and rejection in groups. Group Processes & Intergroup Relations, 20, 693–706.

    Article  Google Scholar 

  • Williams, K. D. (2009). Ostracism: A temporal need-threat model. Advances in Experimental Social Psychology, 41, 275–314.

    Article  Google Scholar 

  • White, R., Gumley, A., McTaggart, J., Rattrie, L., McConville, D., Cleare, S., Mitchell, G. (2011) A feasibility study of Acceptance and Commitment Therapy for emotional dysfunction following psychosis. Behavior Research and Therapyy, 49(12), 901–907.  https://doi.org/10.1016/j.brat.2011.09.003

  • Yaakobi, E., & Williams, K. D. (2016). Ostracism and attachment orientation: Avoidants are less affected in both individualistic and collectivistic cultures. British Journal of Social Psychology, 55(1), 162–181.

    Article  PubMed  Google Scholar 

  • Yaakobi, E. (2022). Avoidant individuals are more affected by ostracism attribution. Journal of Research in Personality96, https://doi.org/10.1016/j.jrp.2021.104184

  • Zadro, L., Williams, K. D., & Richardson, R. (2004). How low can you go? Ostracism by a computer lowers belonging, control, self-esteem, and meaningful existence. Journal of Experimental Social Psychology, 40, 560–567.

    Article  Google Scholar 

  • Zhang, Q., Li, X., Wang, K., Zhou, X., Dong, Y., Zhang, L., Xie, W., Mu, J., Li, H., Zhu, C., & Yu, F. (2017). Dull to social acceptance rather than sensitivity to social ostracism in interpersonal interaction for depression: Behavioral and electrophysiological evidence from Cyberball tasks. Frontiers in Human Neuroscience, 11, 162. https://doi.org/10.3389/fnhum.2017.00162

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhang, S., & Shi, Q. (2017). The relationship between subjective well-being and workplace ostracism: The moderating role of emotional intelligence. Journal of Organizational Change Management, 30(6), 978–988.

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Waldeck, D., Pancani, L., Morris, E.M.J. et al. Perceived ostracism and paranoia: A test of potential moderating effects of psychological flexibility and inflexibility. Curr Psychol 42, 29138–29148 (2023). https://doi.org/10.1007/s12144-022-04008-8

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