Research Article

An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study

Volume: 12 Number: 1 September 28, 2026
TR EN

An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study

Abstract

Objective: Adverse life events are recognized as significant risk factors for various psychiatric symptoms. However, the relationship between paranoid ideation and somatization in individuals exposed to such experiences remains underexplored. This study aims to examine the association between these two symptom domains in a non-clinical adult sample reporting adverse life events. Material and Methods: A cross-sectional online survey was conducted with 200 adults who reported at least one significant adverse life event. Participants completed the Small ‘t’ Trauma Experiences Inventory and the Somatization and Paranoid Ideation subscales of the SCL-90-R. Robust regression analyses were performed to identify predictors of somatization and paranoid ideation. Results: Robust regression analyses revealed a strong association between somatization and paranoid ideation among individuals exposed to adverse life events. Additionally, different dimensions of these experiences, particularly the negative effects on bodily sensations and on emotions, thoughts, and behaviors, significantly predicted these symptom domains. Notably, female gender independently predicted both somatization and paranoid ideation. Conclusion: Somatization and paranoid ideation were strongly correlated and predicted by distinct dimensions of adverse life events. These findings highlight the importance of jointly assessing these symptoms in both research and clinical contexts.

Keywords

References

  1. 1. Hogg B, Gardoki-Souto I, Valiente-Gómez A, Rosa AR, Fortea L, Radua J, Amann BL, Moreno-Alcázar A. Psychological trauma as a transdiagnostic risk factor for mental disorder: an umbrella meta-analysis. Eur Arch Psychiatry Clin Neurosci. 2023;273(2):397-410.
  2. 2. Bremner JD, Wittbrodt MT. Stress, the brain, and trauma spectrum disorders. Int Rev Neurobiol. 2020;152:1-22.
  3. 3. Benjet C, Bromet E, Karam EG, Kessler RC, McLaughlin KA, Ruscio AM, Shahly V, Stein DJ, Petukhova M, Hill E, Alonso J, Atwoli L, Bunting B, Bruffaerts R, Caldas-de-Almeida JM, de Girolamo G, Florescu S, Gureje O, Huang Y, Lepine JP, Kawakami N, Kovess-Masfety V, Medina-Mora ME, Navarro-Mateu F, Piazza M, Posada-Villa J, Scott KM, Shalev A, Slade T, ten Have M, Torres Y, Viana MC, Zarkov Z, Koenen KC. The epidemiology of traumatic event exposure worldwide: results from the World Mental Health Survey Consortium. Psychol Med. 2016;46(2):327-43.
  4. 4. Soyer MK, Şekerci Ş, Tonğuç G. Küçük travma yaşantılarının psikolojik belirtileri yordama gücü. İstanbul Gelişim Üniversitesi Sosyal Bilimler Derg. 2025;12(1):230-44.
  5. 5. Thongrakyoo K, Laurujisawat P, Chandarasiri P. Prevalence of small t trauma in depressed adolescent and early adulthood patient in King Chulalongkorn Memorial Hospital. Chula Med J. 2024;67(3):Article 2.
  6. 6. Hassanzadeh A, Heidari Z, Feizi A, Hassanzadeh Keshteli A, Roohafza H, Afshar H, Adibi P. Association of stressful life events with psychological problems: A large-scale community-based study using grouped outcomes latent factor regression with latent predictors. Comput Math Methods Med. 2017;2017:3457103.
  7. 7. Sayar K, Ak I. The predictors of somatization: A review. Bull Clin Psychopharmacol. 2001;11(4):266-71.
  8. 8. Humphrey C, Bucci S, Varese F, Degnan A, Berry K. Paranoia and negative schema about the self and others: A systematic review and meta-analysis. Clin Psychol Rev. 2021;90:102081.

Details

Primary Language

English

Subjects

Psychiatry, Mental Health Services

Journal Section

Research Article

Publication Date

September 28, 2026

Submission Date

August 7, 2025

Acceptance Date

February 13, 2026

Published in Issue

Year 2026 Volume: 12 Number: 1

APA
Kirazoğlu, M. İ., Bıçkıcı, M. M., Koç, A. E., Selçuk Özmen, E., & Sarı, Y. (2026). An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study. Akdeniz Tıp Dergisi, 12(1). https://doi.org/10.53394/akd.1760526
AMA
1.Kirazoğlu Mİ, Bıçkıcı MM, Koç AE, Selçuk Özmen E, Sarı Y. An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study. Akd Med J. 2026;12(1). doi:10.53394/akd.1760526
Chicago
Kirazoğlu, Mehmet İsmail, Merve Medine Bıçkıcı, Aslı Enzel Koç, Ezgi Selçuk Özmen, and Yavuz Sarı. 2026. “An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study”. Akdeniz Tıp Dergisi 12 (1). https://doi.org/10.53394/akd.1760526.
EndNote
Kirazoğlu Mİ, Bıçkıcı MM, Koç AE, Selçuk Özmen E, Sarı Y (September 1, 2026) An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study. Akdeniz Tıp Dergisi 12 1
IEEE
[1]M. İ. Kirazoğlu, M. M. Bıçkıcı, A. E. Koç, E. Selçuk Özmen, and Y. Sarı, “An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study”, Akd Med J, vol. 12, no. 1, Sept. 2026, doi: 10.53394/akd.1760526.
ISNAD
Kirazoğlu, Mehmet İsmail - Bıçkıcı, Merve Medine - Koç, Aslı Enzel - Selçuk Özmen, Ezgi - Sarı, Yavuz. “An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study”. Akdeniz Tıp Dergisi 12/1 (September 1, 2026). https://doi.org/10.53394/akd.1760526.
JAMA
1.Kirazoğlu Mİ, Bıçkıcı MM, Koç AE, Selçuk Özmen E, Sarı Y. An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study. Akd Med J. 2026;12. doi:10.53394/akd.1760526.
MLA
Kirazoğlu, Mehmet İsmail, et al. “An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study”. Akdeniz Tıp Dergisi, vol. 12, no. 1, Sept. 2026, doi:10.53394/akd.1760526.
Vancouver
1.Mehmet İsmail Kirazoğlu, Merve Medine Bıçkıcı, Aslı Enzel Koç, Ezgi Selçuk Özmen, Yavuz Sarı. An Examination of Somatization and Paranoia in the Context of Adverse Life Events: A Cross-Sectional Study. Akd Med J. 2026 Sep. 1;12(1). doi:10.53394/akd.1760526