Author Identifier (ORCID)

Joseph M. Barnby: https://orcid.org/0000-0001-6002-1362

Abstract

Adolescent social adversity (discrimination, bullying) enhances paranoia—the perception others want to harm or upset you. In this preregistered study (AsPredicted No. 154322), we tested the impact of prior social adversity and current social exclusion on paranoia, self/other beliefs, and latent social-learning processes in UK mid-adolescents (15-17 years, N = 502). In an experimental design, participants completed baseline social-adversity measures before random allocation to a social inclusion/exclusion manipulation (Cyberball), after which the Intentions Game assessed cognitive flexibility. We tested (a) whether adversity and exclusion interact to increase paranoia (b) via (mediated) negative self/other beliefs and (c) if this was moderated by cognitive flexibility. Social exclusion increased paranoia, which was intensified by prior social adversity and restricted learning rate in the Intentions Game. Negative self- and other beliefs mediated the link from social adversity to paranoia, but cognitive flexibility did not moderate. Three distinct discrimination-to-paranoia routes emerged. Findings highlight possible explanatory and intervention targets for reducing adolescent paranoia.

Keywords

Adolescence, cognitive flexibility, exclusion, open data, paranoia, preregistration, social adversity, social learning

Document Type

Journal Article

Date of Publication

1-1-2026

Publication Title

Clinical Psychological Science

Publisher

Sage

School

Centre for Artificial Intelligence and Machine Learning (CAIML)

Funders

This study was funded by British Academy and Leverhulme Small Grant awarded to J. Kingston (principal investigator) and L. Ellett and J. M. Barnby (coinvestigators): SRG23\231240.

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Comments

Kingston, J. L., Ellett, L., Richards, L., Burgess, H., & Barnby, J. M. (2026). Social threat, negative beliefs, and altered social learning underpin paranoia in adolescents. Clinical Psychological Science. Advance online publication. https://doi.org/10.1177/21677026261429948

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Link to publisher version (DOI)

10.1177/21677026261429948