Jumping to conclusions and the persistence of delusional beliefs in first episode psychosis

被引：23

作者：

Falcone, M. Aurora ^{[1
,2
]}

Murray, Robin M. ^{[2
]}

O'Connor, Jennifer A. ^{[2
]}

Hockey, Leanne N. ^{[2
]}

Gardner-Sood, Poonam ^{[2
]}

Di Forti, Marta ^{[2
]}

Freeman, Daniel ^{[3
]}

Jolley, Suzanne ^{[1
]}

机构：

[1] Kings Coll London, Dept Psychol, Inst Psychiat Psychol & Neurosci, London WC2R 2LS, England

[2] Kings Coll London, Dept Psychosis Studies, Inst Psychiat Psychol & Neurosci, London WC2R 2LS, England

[3] Univ Oxford, Warneford Hosp, Dept Psychiat, Oxford, England

来源：

SCHIZOPHRENIA RESEARCH | 2015年 / 165卷 / 2-3期

基金：

英国医学研究理事会;

关键词：

Psychosis; Delusions; Reasoning; Jumping to conclusions; Neuropsychology; CONVICTION; SCHIZOPHRENIA; ERRORS;

D O I：

10.1016/j.schres.2015.04.019

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: Cognitive biases may contribute to delusion persistence. We tested this in a longitudinal study of first episode psychosis (FEP). Methods: 34 FEP patients completed assessments of delusions and Jumping to Conclusions (JTC) at baseline and 12-month follow-up. Results: JTC was associated with baseline delusion severity (t(32)=2.7, p=0.01). Baseline delusions persisted at follow-up for 8/20 participants (40%), who all jumped to conclusions (8/8, 100%), compared to half of those with no or changeable delusions (14/26, 54%; chi(2) (df=1)=5.7, p=0.03; Phi=0.4). Conclusion: Findings implicate cognitive biases in delusion persistence, and support the potential to reduce delusions through reasoning-focused interventions. (C) 2015 Elsevier B.V. All rights reserved.

引用

页码：243 / 246

页数：4

共 29 条

[1] Dopaminergic Modulation of Probabilistic Reasoning and Overconfidence in Errors: A Double-Blind Study [J].

Andreou, Christina ;

Moritz, Steffen ;

Veith, Kristina ;

Veckenstedt, Ruth ;

Naber, Dieter .

SCHIZOPHRENIA BULLETIN, 2014, 40 (03) :558-565

[2]

[Anonymous], SCHIZOPHR B

[3] Confirmation that the AKT1 (rs2494732) Genotype Influences the Risk of Psychosis in Cannabis Users [J].

Di Forti, Marta ;

Iyegbe, Conrad ;

Sallis, Hannah ;

Kolliakou, Anna ;

Falcone, M. Aurora ;

Paparelli, Alessandra ;

Sirianni, Miriam ;

La Cascia, Caterina ;

Stilo, Simona A. ;

Marques, Tiago Reis ;

Handley, Rowena ;

Mondelli, Valeria ;

Dazzan, Paola ;

Pariante, Carmine ;

David, Anthony S. ;

Morgan, Craig ;

Powell, John ;

Murray, Robin M. .

BIOLOGICAL PSYCHIATRY, 2012, 72 (10) :811-816

[4] 'Jumping to conclusions' in first-episode psychosis: A longitudinal study [J].

Dudley, Robert ;

Daley, Kate ;

Nicholson, Marsha ;

Shaftoe, Debra ;

Spencer, Helen ;

Cavanagh, Kate ;

Freeston, Mark .

BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 2013, 52 (04) :380-393

[5]

Fine Cordelia, 2007, Cogn Neuropsychiatry, V12, P46, DOI 10.1080/13546800600750597

[6]

Garety P., 2011, Advances in Psychiatric Treatment, V17, P332, DOI [10.1037/0021-843X.114.3.373, DOI 10.1192/APT.BP.109.007104]

[7]

Garety P., 2014, SCHIZOPHR B, V41, P400, DOI DOI 10.1093/SCHBUL/SBU103

[8] The past and future of delusions research: from the inexplicable to the treatable [J].

Garety, P. A. ;

Freeman, D. .

BRITISH JOURNAL OF PSYCHIATRY, 2013, 203 (05) :327-333

[9] Reasoning, emotions, and delusional conviction in psychosis [J].

Garety, PA ;

Freeman, D ;

Jolley, S ;

Dunn, G ;

Bebbington, PE ;

Fowler, DG ;

Kuipers, E ;

Dudley, R .

JOURNAL OF ABNORMAL PSYCHOLOGY, 2005, 114 (03) :373-384

[10]

IBM Corporation, 2011, IBM SPSS Statistics for Windows, Version 20.0

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