Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia
El presente es un estudio no experimental, transversal y correlacional, cuyo objetivo era determinar si existe relación entre estrés y deterioro cognitivo en personas con diagnóstico de esquizofrenia, confirmar si la depresión y las estrategias de afrontamiento del estrés se relacionan y si son fact...
- Autores:
-
Bedoya Cardona, Erika Yohanna
Ardila Rodríguez, William Alexander
Cañas Betancur, Dora Cristina
Vásquez Caballero, Diego Andrés
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2017
- Institución:
- Universidad Cooperativa de Colombia
- Repositorio:
- Repositorio UCC
- Idioma:
- OAI Identifier:
- oai:repository.ucc.edu.co:20.500.12494/17236
- Acceso en línea:
- https://hdl.handle.net/20.500.12494/17236
- Palabra clave:
- Esquizofrenia
Estres
Estrategias de afrontamiento
Depresión
Deterioro cognitivo
Schizophrenia
Stress
Coping strategies
Depression
Cognitive impairment
- Rights
- openAccess
- License
- Atribución – No comercial – Sin Derivar
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dc.title.spa.fl_str_mv |
Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia |
title |
Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia |
spellingShingle |
Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia Esquizofrenia Estres Estrategias de afrontamiento Depresión Deterioro cognitivo Schizophrenia Stress Coping strategies Depression Cognitive impairment |
title_short |
Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia |
title_full |
Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia |
title_fullStr |
Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia |
title_full_unstemmed |
Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia |
title_sort |
Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia |
dc.creator.fl_str_mv |
Bedoya Cardona, Erika Yohanna Ardila Rodríguez, William Alexander Cañas Betancur, Dora Cristina Vásquez Caballero, Diego Andrés |
dc.contributor.author.none.fl_str_mv |
Bedoya Cardona, Erika Yohanna Ardila Rodríguez, William Alexander Cañas Betancur, Dora Cristina Vásquez Caballero, Diego Andrés |
dc.subject.spa.fl_str_mv |
Esquizofrenia Estres Estrategias de afrontamiento Depresión Deterioro cognitivo |
topic |
Esquizofrenia Estres Estrategias de afrontamiento Depresión Deterioro cognitivo Schizophrenia Stress Coping strategies Depression Cognitive impairment |
dc.subject.other.spa.fl_str_mv |
Schizophrenia Stress Coping strategies Depression Cognitive impairment |
description |
El presente es un estudio no experimental, transversal y correlacional, cuyo objetivo era determinar si existe relación entre estrés y deterioro cognitivo en personas con diagnóstico de esquizofrenia, confirmar si la depresión y las estrategias de afrontamiento del estrés se relacionan y si son factores moderadores de la relación entre estrés y deterioro cognitivo, mediante la evaluación y descripción del estrés percibido (PSS), estrategias de afrontamiento del estrés (CSI), depresión (CDSS) y deterioro cognitivo (MoCA), en una muestra de 43 pacientes con diagnóstico de esquizofrenia (36 hombres y 7 mujeres) entre los 16 y 65 años, de Bucaramanga y Medellín (Colombia), seleccionados mediante muestreo no probabilístico por conveniencia. Se encontró que el grupo presenta niveles medios de estrés percibido y puntuaciones medias y bajas en estrategias de afrontamiento adecuadas e inadecuadas, casi la mitad presenta riesgo de comorbilidad con depresión y la mayoría presenta deterioro cognitivo. No se encontró relación entre deterioro cognitivo con las demás variables. Estrés se relaciona significativamente con depresión y con estrategias de afrontamiento expresión emocional, retirada social y autocrítica. Finalmente, depresión correlacionó significativamente con estrategias de afrontamiento expresión emocional y retirada social. Aunque estos hallazgos no pueden ser concluyentes ni generalizables debido a limitaciones metodológicas, pueden ser usados como antecedente para futuros estudios. |
publishDate |
2017 |
dc.date.issued.none.fl_str_mv |
2017-12-31 |
dc.date.accessioned.none.fl_str_mv |
2020-03-24T20:31:13Z |
dc.date.available.none.fl_str_mv |
2020-03-24T20:31:13Z |
dc.type.none.fl_str_mv |
Artículo |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.hasVersion.none.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.coar.none.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.coarversion.none.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/article |
format |
http://purl.org/coar/resource_type/c_6501 |
status_str |
publishedVersion |
dc.identifier.issn.spa.fl_str_mv |
0718-4913 |
dc.identifier.uri.spa.fl_str_mv |
10.5839/rcnp.2017.12.02.02 |
dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/20.500.12494/17236 |
dc.identifier.bibliographicCitation.spa.fl_str_mv |
Bedoya, E., Ardila, W., Cañas, D., Vásquez, D. (2017). Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia. Revista Chilena de Neuropsicología, 12(2), 08-13. |
identifier_str_mv |
0718-4913 10.5839/rcnp.2017.12.02.02 Bedoya, E., Ardila, W., Cañas, D., Vásquez, D. (2017). Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia. Revista Chilena de Neuropsicología, 12(2), 08-13. |
url |
https://hdl.handle.net/20.500.12494/17236 |
dc.relation.isversionof.spa.fl_str_mv |
http://www.rcnp.cl/articulos.php?idnumero=26 |
dc.relation.ispartofjournal.spa.fl_str_mv |
Revista Chilena de Neuropsicología |
dc.relation.references.spa.fl_str_mv |
Addington, D., Addington, J., & Schissel, B. (1990). A depression rating scale for schizophrenics. Schizophr Res, 3(4), 247-251. Bebbington, P. E., Wilkins, S., Sham, P., Jones, P., van Os, J., Murray, R., Toone, B., & Lewis, S. (1996). Life events before psychotic episodes: do clinical and social variables affect the relationship? Social Psychiatry and Psychiatric Epidemiology 31, 122-128 Bendall, S., Jackson, H., Hulbert, C., & McGorry, P. (2007). Childhood Trauma and Psychotic Disorders: A Systematic, Critical Review of the Evidence. Schizophrenia Bulletin, 13, 1-12 Betensky, J. D., Robinson, D. G., Gunduz-Bruce, H., Sevy, S., Lencz, T., Kane, J. M., et al. (2008). Patterns of stress in schizophrenia. Psychiatry Res, 160(1), 38–46. Campo, A. Bustos, G., & Romero, A. (2009). Consistencia interna y dimensionalidad de la Escala de Estrés Percibido (EEP-10 y EEP-14) en una muestra de universitarias de Bogotá, Colombia. Aquichán, 9(3), 271-280. Cano, F. J., Rodríguez, L., & García, J. (2007). Adaptación española del Inventario de Estrategias de Afrontamiento. Actas Esp Psiquiatr, 35(1), 29-39 Cohen, S., Kamarck, T., & Mermelstein, J. (1983). A global measure of perceived stress. Journal of Health and Social Behaviour, 24, 385-396. Corcoran, C., Walker, E., Huot, R., Mittal, V., Tessner, K., Kestler, L., & Malaspina, D. (2003). The Stress Cascade and Schizophrenia: Etiology and Onset. Schizophrenia Bulletin, 29(4), 671-692 Declerck, C. H., Boone, C., & De Brabander, B. (2006). On feeling in control: a biological theory for individual differences in control perception. Brain Cogn, 62(2), 143-176. Díaz Camargo, E. A., Delgado Sierra, G. A., Riaño Garzón, M. E., Caballero Vargas, A. Y., & Moros Hernández, J. P. (2017). Rev. Chil. Neuropsicol, 12(1), 34-39. Dohrenwend, B. P., Shrout, P. E., Link, B. G., Skodol, A. E., & Stueve, A. (1998). Life events and other possible psychosocial risk factors for episodes of schizophrenia and major depression: a case control study. In: C.M. Mazure (Ed.) Does Stress Cause Psychiatric Illness? American Psychiatric Press, Washington, DC, pp. 43– 65. Freeman, D., & Garety, P. A. (2003). Connecting neurosis and psychosis: the direct influence of emotion on delusions and hallucinations. Behav Res Ther, 41(8), 923-947 Galaverna, F., Bueno, A., & Morra, C. (2011). Perfil Neurocognitivo en la Esquizofrenia. Revista Neuropsicología, Neuropsiquiatría y Neurociencias, 2(11), 103-113 Gavillán, J., & García, J. (2015). Executive dysfunction in schizophrenia and its association with mentalizing abilities. Revista de Psiquiatría y Sa Glaser, J. P., van Os, J., Portegijs, P. J. M., & Myin-Germeys, I. (2006). Childhood trauma and emotional reactivity to daily life stress in adult frequent attenders of general practitioners. Journal of Psychosomatic Research, 61, 229– 236. Hammen, C. (2005). Stress and depression. Annual Review of Clinical Psychology, 1, 293–319 Horan, W., & Blanchard, J. (2003). Emotional responses to psychosocial stress in schizophrenia: the role of individual differences in affective traits and coping. Schizophrenia Research, 60(2–3), 271-283. Ilgen, M.A., & Hutchison, K.E. (2005). A history of major depressive disorder and the response to stress. Journal of Affective Disorders, 86, 143–150. Jansen, L. M., Gispen-de Wied, C. C., Gademan, P. J., De Jonge, R. C., van der Linden, J. A., & Kahn, R. S. (1998). Blunted cortisol response to a psychosocial stressor in schizophrenia. Schizophrenia Research, 33, 87– 94. Jones, S. R., & Fernyhough, C. (2007). A new look at the neural diathesisstress model of schizophrenia: The primacy of social-evaluative and uncontrollable situations. Schiphr Bull, 33(5), 1171 – 1177. Khouly, G., Mahmoud, A., Sadek, H., & AlGafary, M. (2012). A study compared Hamilton and Calgary depressive scales in assessing depression in schizophrenia. European Psychiatry, 27(1), 1. Krabbendam, L., & van Os, J. (2005). Schizophrenia and urbanicity: a major environmental influence--conditional on genetic risk. Schizophr Bull, 31(4), 795-799 Lameda, K., & Rodríguez, G. (2013). Funciones ejecutivas en un grupo de pacientes con esquizofrenia/Prompt functions in a group of patients suffering from schizophrenia. Rev. Hosp. Psiquiátrico de la Habana, 10(2). Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer. Lazarus, R. S., & Folkman, S. (1986). Estrés y procesos cognitivos [Stress and cognitive processes]. Barcelona: Martínez Roca. Llanes Basulto, Y., Barrios Hernández, Y., Oliva Hernández, I., Pimentel Noda, S. C., & Calvo Guerra, E. (2015). Depresión en pacientes con esquizofrenia ingresados en servicios de agudos del Hospital Psiquiátrico de La Habana. Revista de Psicología, 33(1), 129-149. Loubat O., M., Gárate M., R., & Cuturrufo A., N. (2014). Investigaciones en rehabilitación cognitiva para pacientes con esquizofrenia (2004- 2013): una revisión temática en beneficio de propuestas para etapas iniciales del trastorno. Rev Chil Neuro-Psiquiat, 52(3), 213-227. Lysaker, P. H., Bryson, G. J., Lancaster, R. S., Evans, J. D., & Bell, M. D. (2003). Insight in schizophrenia: associations with executive function and coping style. Schizophr Res, 59(1), 41-47. Lysaker, P. H., Campbell, K., & Johannesen, J. K. (2005). Hope, awareness of illness, and coping in schizophrenia spectrum disorders: evidence of an interaction. J Nerv Ment Dis., 193(5), 287-292. Majadas, S., Olivares, J., Galan, J., & Diez, T. (2012). Prevalence of depression and its relationship with other clinical characteristics in a sample of patients with stable schizophrenia. Comprehensive Psychiatry, 53(2), 145-151. Medina, L. (2012). Relación entre funcionamiento neurocognitivo y aspectos sociodemográficos en pacientes con esquizofrenia. Revista electrónica de terapia ocupacional Galicia, 16(9), 1-35. Myin-Germeys, I., Krabbendam, L., Delespaul, P. A., & Van Os, J. (2003). Do life events have their effect on psychosis by influencing the emotional reactivity to daily life stress? Psychol Med, 33(2), 327- 333. Myin-Germeys, I., Krabbendam, L., Jolles, J., Delespaul, P. A., & van Os, J. (2002). Are cognitive impairments associated with sensitivity to stress in schizophrenia? An experience sampling study. Am J Psychiatry, 159(3), 443-449 Myin-Germeys, I., & van, Os J. (2007). Stress-reactivity in psychosis: Evidence for an affective pathway to psychosis. Clinical Psychology Review, 27, 409–424. Myin-Germeys, I., van Os, J., Schwartz, J. E., Stone, A. A., & Delespaul, P. A. (2001). Emotional reactivity to daily life stress in psychosis. Arch Gen Psychiatry, 58(12), 1137– 1144. Nasreddine, Z. S., Phillips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I. et al. (2005). The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J. Am. Geriatr. Soc., 53, 695-699 Norman, R. M. G., & Malla, A. K. (1993). Stressful life events and schizophrenia: I: A review of the research. British Journal of Psychiatry, 162, 161−166 Norman, R. M. G., & Malla, A. K. (1994). A prospective study of daily stressors and symptomatology in schizophrenic patients. Social Psychiatry and Psychiatric Epidemiology, 29, 244−249. Ponizovsky, A., Finkelstein, I., Poliakova, I., Mostovoy, D., Goldberger, N., & Rosca, P. (2013). Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia. World J Psychiatr, 3(3), 74-84. Ponizovsky, A., Grinshpoon, A., Sasson, R., & Levav, I. (2004). Stress in adult students with schizophrenia in a supported education program. Comprehensive Psychiatry, 45, 401–407. Remor, E. (2006). Psychometric Properties of a European Spanish Version of the Perceived Stress Scale (PSS). Span J Psychol, 9, 86-93. Remor, E. (2006). Psychometric Properties of a European Spanish Version of the Perceived Stress Scale (PSS). Span J Psychol, 9, 86-93. Sarró, S., Dueñas, R. M., Ramírez, N., Arranz, B., Martínez, R., Sánchez, J. M., et al. (2004). Cross-cultural adaptation and validation of the Spanish version of the Calgary Depression Scale for Schizophrenia. Schizophr Res., 68(2-3), 349-56. Schaefer, J., Giangrande, E., Weinberger, D. R., & Dickinson, D. (2013). The global cognitive impairment in schizophrenia: consistent over decades and around the world. Schizophr Res, 150(1), 42-50. doi: 10.1016/j.schres.2013.07.009. Seghers, J. P., &. Docherty, N. M. (2009). Cognitive impairments, emotion, stress, and language in schizophrenia. Psychiatry Research, 170, 97– 102. Selma, H. (2008). Neuropsicología de la Esquizofrenia. Cuadernos de neuropsicología, 2(2), 79-134 Shevlin, M., Houston, J., Dorahy, M., & Adamson, G. (2007). Cumulative Traumas and Psychosis: An Analysis of the National Comorbidity Survey and the British Psychiatric Morbidity Survey. Schizophrenia Bulletin, 22, 1-7. Smith, B., Fowler, D.G., Freeman, D., Bebbington, P., Bashforth, H., Garety, P., et al., (2006). Emotion and psychosis: links between depression, self-esteem, negative schematic beliefs and delusions and hallucinations. Schizophrenia Research, 86, 181–188 Straussa, G., Sandtb, A., Catalanoa, L., & Allenc, D. (2012). Negative symptoms and depression predict lower psychological well-being in individuals with schizophrenia. Comprehensive Psychiatry, 53(8), 1137-1144 Tobin, D. L., Holroyd, K. A., Reynolds, R. V., & Kigal, J. K. (1989).The hierarchical factor structure of the Coping Strategies Inventory. Cognit Ther Res, 13:343-61. van den Bosch, R. J., van Asma, M. J., Rombouts, R., & Louwerens, J. W. (1992). Coping style and cognitive dysfunction in schizophrenic patients. British Journal of Psychiatry, 18S, 123–128. Yan Xu, Z., Zu, S., TaoXiang, Y., Wang, N., HuaGuo, Z., Kilbourne, A., et al. (2013). Associations of self-esteem, dysfunctional beliefs and coping style with depression in patients with schizophrenia: A preliminary survey. Psychiatry Research, 209(3), 340-345. Zaragoza, S., Bobes, J., García-Portilla, M.-P., & Morralla, C. (2015). Cognitive Performance associated to functional outcomes in stable outpatients with schizophrenia. Schizophrenia Research: Cognition, 2(3), 146–158. http://doi.org/10.1016/j.scog.2015.03.002. Zubin, J., Magaziner, J., & Steinhauer, S. R. (1983). The metamorphosis of schizophrenia: from chronicity to vulnerability. Psychol Med, 13(3), 551-571 Zubin, J. & Spring, B. (1977). Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology, 86, 103-126. |
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Bedoya Cardona, Erika YohannaArdila Rodríguez, William AlexanderCañas Betancur, Dora CristinaVásquez Caballero, Diego Andrés12(2)2020-03-24T20:31:13Z2020-03-24T20:31:13Z2017-12-310718-491310.5839/rcnp.2017.12.02.02https://hdl.handle.net/20.500.12494/17236Bedoya, E., Ardila, W., Cañas, D., Vásquez, D. (2017). Estrés y deterioro cognitivo en pacientes con diagnóstico de esquizofrenia. Revista Chilena de Neuropsicología, 12(2), 08-13.El presente es un estudio no experimental, transversal y correlacional, cuyo objetivo era determinar si existe relación entre estrés y deterioro cognitivo en personas con diagnóstico de esquizofrenia, confirmar si la depresión y las estrategias de afrontamiento del estrés se relacionan y si son factores moderadores de la relación entre estrés y deterioro cognitivo, mediante la evaluación y descripción del estrés percibido (PSS), estrategias de afrontamiento del estrés (CSI), depresión (CDSS) y deterioro cognitivo (MoCA), en una muestra de 43 pacientes con diagnóstico de esquizofrenia (36 hombres y 7 mujeres) entre los 16 y 65 años, de Bucaramanga y Medellín (Colombia), seleccionados mediante muestreo no probabilístico por conveniencia. Se encontró que el grupo presenta niveles medios de estrés percibido y puntuaciones medias y bajas en estrategias de afrontamiento adecuadas e inadecuadas, casi la mitad presenta riesgo de comorbilidad con depresión y la mayoría presenta deterioro cognitivo. No se encontró relación entre deterioro cognitivo con las demás variables. Estrés se relaciona significativamente con depresión y con estrategias de afrontamiento expresión emocional, retirada social y autocrítica. Finalmente, depresión correlacionó significativamente con estrategias de afrontamiento expresión emocional y retirada social. Aunque estos hallazgos no pueden ser concluyentes ni generalizables debido a limitaciones metodológicas, pueden ser usados como antecedente para futuros estudios.The present is a non-experimental, cross-sectional and correlational study, whose objective was to determine if there is a relationship between stress and cognitive impairment in people diagnosed with schizophrenia, to confirm whether depression and coping strategies are related and if they are moderating factors of the relationship between stress and cognitive impairment, through the evaluation and description of perceived stress (PSS), stress coping strategies (CSI), depression (CDSS) and cognitive impairment (MoCA), in a sample of 43 patients diagnosed with schizophrenia (36 men and 7 women) between 16 and 65 years old, from Bucaramanga and Medellín (Colombia), selected by non-probabilistic for convenience sampling. It was found that the group in average presents a medium level of perceived stress, and average and low scores in appropriate and inadequate coping strategies, almost half presents risk of comorbidity with depression, and most of them present cognitive impairment. No relationship was found between cognitive impairment with the other variables. Stress is significantly related to depression and coping strategies as emotional expression, social withdrawal and self-criticism. Finally, depression correlated significantly with coping strategies as emotional expression and social withdrawal. Although these findings cannot be conclusive or generalizable due to methodological limitations, they can be used as a precedent for future studies.https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000565822https://orcid.org/0000-0002-3398-8188https://scienti.minciencias.gov.co/gruplac/jsp/visualiza/visualizagr.jsp?nro=00000000011621erika.bedoyac@campusucc.edu.co6Universidad del DesarrolloUniversidad Cooperativa de Colombia, Facultad de Ciencias Sociales, Psicología, BucaramangaPsicologíaBucaramangahttp://www.rcnp.cl/articulos.php?idnumero=26Revista Chilena de NeuropsicologíaAddington, D., Addington, J., & Schissel, B. (1990). A depression rating scale for schizophrenics. Schizophr Res, 3(4), 247-251.Bebbington, P. E., Wilkins, S., Sham, P., Jones, P., van Os, J., Murray, R., Toone, B., & Lewis, S. (1996). Life events before psychotic episodes: do clinical and social variables affect the relationship? Social Psychiatry and Psychiatric Epidemiology 31, 122-128Bendall, S., Jackson, H., Hulbert, C., & McGorry, P. (2007). Childhood Trauma and Psychotic Disorders: A Systematic, Critical Review of the Evidence. Schizophrenia Bulletin, 13, 1-12Betensky, J. D., Robinson, D. G., Gunduz-Bruce, H., Sevy, S., Lencz, T., Kane, J. M., et al. (2008). Patterns of stress in schizophrenia. Psychiatry Res, 160(1), 38–46.Campo, A. Bustos, G., & Romero, A. (2009). Consistencia interna y dimensionalidad de la Escala de Estrés Percibido (EEP-10 y EEP-14) en una muestra de universitarias de Bogotá, Colombia. Aquichán, 9(3), 271-280.Cano, F. J., Rodríguez, L., & García, J. (2007). Adaptación española del Inventario de Estrategias de Afrontamiento. Actas Esp Psiquiatr, 35(1), 29-39Cohen, S., Kamarck, T., & Mermelstein, J. (1983). A global measure of perceived stress. Journal of Health and Social Behaviour, 24, 385-396.Corcoran, C., Walker, E., Huot, R., Mittal, V., Tessner, K., Kestler, L., & Malaspina, D. (2003). The Stress Cascade and Schizophrenia: Etiology and Onset. Schizophrenia Bulletin, 29(4), 671-692Declerck, C. H., Boone, C., & De Brabander, B. (2006). On feeling in control: a biological theory for individual differences in control perception. Brain Cogn, 62(2), 143-176.Díaz Camargo, E. A., Delgado Sierra, G. A., Riaño Garzón, M. E., Caballero Vargas, A. Y., & Moros Hernández, J. P. (2017). Rev. Chil. Neuropsicol, 12(1), 34-39.Dohrenwend, B. P., Shrout, P. E., Link, B. G., Skodol, A. E., & Stueve, A. (1998). Life events and other possible psychosocial risk factors for episodes of schizophrenia and major depression: a case control study. In: C.M. Mazure (Ed.) Does Stress Cause Psychiatric Illness? American Psychiatric Press, Washington, DC, pp. 43– 65.Freeman, D., & Garety, P. A. (2003). Connecting neurosis and psychosis: the direct influence of emotion on delusions and hallucinations. Behav Res Ther, 41(8), 923-947Galaverna, F., Bueno, A., & Morra, C. (2011). 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