Recovery from daily-life stressors in early and chronic psychosis

Thomas Vaessen*, Wolfgang Viechtbauer, Yori van der Steen, Charlotte Gayer-Anderson, Matthew J Kempton, Lucia Valmaggia, Philip McGuire, Robin Murray, Philippa Garety, Til Wykes, Craig Morgan, Tineke Lataster, J.J.E. Lataster, Dina Collip, Dennis Hernaus, Zuzana Kasanova, Philippe AEG Delespaul, Margreet Oorschot, Stephan Claes, Ulrich ReininghausInez Myin-Germeys

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Initial affective and psychotic reactivity to daily stressors is altered in psychosis, and most notably in early psychosis. In addition to altered initial stress reactivity, results from studies using Experience Sampling Methodology (ESM) and psychophysiological measures indicate that impaired recovery from mild stressors may also be a risk factor for mental illness. The current ESM study investigated affective recovery from daily stressors in chronic psychosis patients (CP; n = 162), individuals at early stages of psychosis (EP; n = 127), and healthy volunteers (HV; n = 220) assessing fluctuations in negative affect (NA), tension, and suspiciousness ten times a day on six consecutive days. Recovery was operationalized for all three variables as the return to baseline (i.e., level at t−1) following the first stressful event of a day (i.e., t0). The EP group showed a delayed recovery of NA (t1-t3: B = 0.185; p = .007 and B = 0.228; p = .002) and suspiciousness (t1: B = 0.223; p = .010 and B = 0.291; p = .002) compared to HV and CP, respectively. Delayed recovery was detected for tension as well (t1-t2: EP > HV: B = 0.242; p = .040 and EP > CP: B = 0.284; p = .023), but contrary to both other momentary states, this effect disappeared when controlling for subsequent stressful events. There were no significant differences in recovery between HV and CP. These results suggest that in EP, stressful daily events have longer-lasting effects on overall negative affect and subclinical psychotic-like experiences. Future studies should incorporate physiological and endocrine measures in order to integrate recovery patterns of the different stress systems.
Original languageEnglish
Pages (from-to)32-39
Number of pages8
JournalSchizophrenia Research
Volume213
DOIs
Publication statusPublished - Nov 2019

Fingerprint

Psychotic Disorders
Sampling Studies
Healthy Volunteers
Ecological Momentary Assessment

Cite this

Vaessen, T., Viechtbauer, W., van der Steen, Y., Gayer-Anderson, C., Kempton, M. J., Valmaggia, L., ... Myin-Germeys, I. (2019). Recovery from daily-life stressors in early and chronic psychosis. Schizophrenia Research, 213, 32-39. https://doi.org/10.1016/j.schres.2019.03.011
Vaessen, Thomas ; Viechtbauer, Wolfgang ; van der Steen, Yori ; Gayer-Anderson, Charlotte ; Kempton, Matthew J ; Valmaggia, Lucia ; McGuire, Philip ; Murray, Robin ; Garety, Philippa ; Wykes, Til ; Morgan, Craig ; Lataster, Tineke ; Lataster, J.J.E. ; Collip, Dina ; Hernaus, Dennis ; Kasanova, Zuzana ; Delespaul, Philippe AEG ; Oorschot, Margreet ; Claes, Stephan ; Reininghaus, Ulrich ; Myin-Germeys, Inez. / Recovery from daily-life stressors in early and chronic psychosis. In: Schizophrenia Research. 2019 ; Vol. 213. pp. 32-39.
@article{3736e1ca89e04092bbb2bcdc612d7bdc,
title = "Recovery from daily-life stressors in early and chronic psychosis",
abstract = "Initial affective and psychotic reactivity to daily stressors is altered in psychosis, and most notably in early psychosis. In addition to altered initial stress reactivity, results from studies using Experience Sampling Methodology (ESM) and psychophysiological measures indicate that impaired recovery from mild stressors may also be a risk factor for mental illness. The current ESM study investigated affective recovery from daily stressors in chronic psychosis patients (CP; n = 162), individuals at early stages of psychosis (EP; n = 127), and healthy volunteers (HV; n = 220) assessing fluctuations in negative affect (NA), tension, and suspiciousness ten times a day on six consecutive days. Recovery was operationalized for all three variables as the return to baseline (i.e., level at t−1) following the first stressful event of a day (i.e., t0). The EP group showed a delayed recovery of NA (t1-t3: B = 0.185; p = .007 and B = 0.228; p = .002) and suspiciousness (t1: B = 0.223; p = .010 and B = 0.291; p = .002) compared to HV and CP, respectively. Delayed recovery was detected for tension as well (t1-t2: EP > HV: B = 0.242; p = .040 and EP > CP: B = 0.284; p = .023), but contrary to both other momentary states, this effect disappeared when controlling for subsequent stressful events. There were no significant differences in recovery between HV and CP. These results suggest that in EP, stressful daily events have longer-lasting effects on overall negative affect and subclinical psychotic-like experiences. Future studies should incorporate physiological and endocrine measures in order to integrate recovery patterns of the different stress systems.",
author = "Thomas Vaessen and Wolfgang Viechtbauer and {van der Steen}, Yori and Charlotte Gayer-Anderson and Kempton, {Matthew J} and Lucia Valmaggia and Philip McGuire and Robin Murray and Philippa Garety and Til Wykes and Craig Morgan and Tineke Lataster and J.J.E. Lataster and Dina Collip and Dennis Hernaus and Zuzana Kasanova and Delespaul, {Philippe AEG} and Margreet Oorschot and Stephan Claes and Ulrich Reininghaus and Inez Myin-Germeys",
year = "2019",
month = "11",
doi = "10.1016/j.schres.2019.03.011",
language = "English",
volume = "213",
pages = "32--39",
journal = "Schizophrenia Research",
issn = "0920-9964",
publisher = "Elsevier BV",

}

Vaessen, T, Viechtbauer, W, van der Steen, Y, Gayer-Anderson, C, Kempton, MJ, Valmaggia, L, McGuire, P, Murray, R, Garety, P, Wykes, T, Morgan, C, Lataster, T, Lataster, JJE, Collip, D, Hernaus, D, Kasanova, Z, Delespaul, PAEG, Oorschot, M, Claes, S, Reininghaus, U & Myin-Germeys, I 2019, 'Recovery from daily-life stressors in early and chronic psychosis', Schizophrenia Research, vol. 213, pp. 32-39. https://doi.org/10.1016/j.schres.2019.03.011

Recovery from daily-life stressors in early and chronic psychosis. / Vaessen, Thomas; Viechtbauer, Wolfgang; van der Steen, Yori; Gayer-Anderson, Charlotte; Kempton, Matthew J; Valmaggia, Lucia; McGuire, Philip; Murray, Robin; Garety, Philippa; Wykes, Til; Morgan, Craig; Lataster, Tineke; Lataster, J.J.E.; Collip, Dina; Hernaus, Dennis; Kasanova, Zuzana; Delespaul, Philippe AEG; Oorschot, Margreet; Claes, Stephan; Reininghaus, Ulrich; Myin-Germeys, Inez.

In: Schizophrenia Research, Vol. 213, 11.2019, p. 32-39.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Recovery from daily-life stressors in early and chronic psychosis

AU - Vaessen, Thomas

AU - Viechtbauer, Wolfgang

AU - van der Steen, Yori

AU - Gayer-Anderson, Charlotte

AU - Kempton, Matthew J

AU - Valmaggia, Lucia

AU - McGuire, Philip

AU - Murray, Robin

AU - Garety, Philippa

AU - Wykes, Til

AU - Morgan, Craig

AU - Lataster, Tineke

AU - Lataster, J.J.E.

AU - Collip, Dina

AU - Hernaus, Dennis

AU - Kasanova, Zuzana

AU - Delespaul, Philippe AEG

AU - Oorschot, Margreet

AU - Claes, Stephan

AU - Reininghaus, Ulrich

AU - Myin-Germeys, Inez

PY - 2019/11

Y1 - 2019/11

N2 - Initial affective and psychotic reactivity to daily stressors is altered in psychosis, and most notably in early psychosis. In addition to altered initial stress reactivity, results from studies using Experience Sampling Methodology (ESM) and psychophysiological measures indicate that impaired recovery from mild stressors may also be a risk factor for mental illness. The current ESM study investigated affective recovery from daily stressors in chronic psychosis patients (CP; n = 162), individuals at early stages of psychosis (EP; n = 127), and healthy volunteers (HV; n = 220) assessing fluctuations in negative affect (NA), tension, and suspiciousness ten times a day on six consecutive days. Recovery was operationalized for all three variables as the return to baseline (i.e., level at t−1) following the first stressful event of a day (i.e., t0). The EP group showed a delayed recovery of NA (t1-t3: B = 0.185; p = .007 and B = 0.228; p = .002) and suspiciousness (t1: B = 0.223; p = .010 and B = 0.291; p = .002) compared to HV and CP, respectively. Delayed recovery was detected for tension as well (t1-t2: EP > HV: B = 0.242; p = .040 and EP > CP: B = 0.284; p = .023), but contrary to both other momentary states, this effect disappeared when controlling for subsequent stressful events. There were no significant differences in recovery between HV and CP. These results suggest that in EP, stressful daily events have longer-lasting effects on overall negative affect and subclinical psychotic-like experiences. Future studies should incorporate physiological and endocrine measures in order to integrate recovery patterns of the different stress systems.

AB - Initial affective and psychotic reactivity to daily stressors is altered in psychosis, and most notably in early psychosis. In addition to altered initial stress reactivity, results from studies using Experience Sampling Methodology (ESM) and psychophysiological measures indicate that impaired recovery from mild stressors may also be a risk factor for mental illness. The current ESM study investigated affective recovery from daily stressors in chronic psychosis patients (CP; n = 162), individuals at early stages of psychosis (EP; n = 127), and healthy volunteers (HV; n = 220) assessing fluctuations in negative affect (NA), tension, and suspiciousness ten times a day on six consecutive days. Recovery was operationalized for all three variables as the return to baseline (i.e., level at t−1) following the first stressful event of a day (i.e., t0). The EP group showed a delayed recovery of NA (t1-t3: B = 0.185; p = .007 and B = 0.228; p = .002) and suspiciousness (t1: B = 0.223; p = .010 and B = 0.291; p = .002) compared to HV and CP, respectively. Delayed recovery was detected for tension as well (t1-t2: EP > HV: B = 0.242; p = .040 and EP > CP: B = 0.284; p = .023), but contrary to both other momentary states, this effect disappeared when controlling for subsequent stressful events. There were no significant differences in recovery between HV and CP. These results suggest that in EP, stressful daily events have longer-lasting effects on overall negative affect and subclinical psychotic-like experiences. Future studies should incorporate physiological and endocrine measures in order to integrate recovery patterns of the different stress systems.

U2 - 10.1016/j.schres.2019.03.011

DO - 10.1016/j.schres.2019.03.011

M3 - Article

VL - 213

SP - 32

EP - 39

JO - Schizophrenia Research

JF - Schizophrenia Research

SN - 0920-9964

ER -

Vaessen T, Viechtbauer W, van der Steen Y, Gayer-Anderson C, Kempton MJ, Valmaggia L et al. Recovery from daily-life stressors in early and chronic psychosis. Schizophrenia Research. 2019 Nov;213:32-39. https://doi.org/10.1016/j.schres.2019.03.011