Differences in cognitive and emotional processes between persecutory and grandiose delusions

Schizophrenia Bulletin

Volumn 39, Issue 3, 2013, Pages 629-639

  Garety, Philippa A ^a   Gittins, Matthew ^b   Jolley, Suzanne ^a   Bebbington, Paul ^c   Dunn, Graham ^b   Kuipers, Elizabeth ^a   Fowler, David ^d   Freeman, Daniel ^e  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

^c ROYAL FREE AND UNIVERSITY COLLEGE MEDICAL SCHOOL   (United Kingdom)

^d UNIVERSITY OF EAST ANGLIA   (United Kingdom)

^e UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

affect; belief flexibility; jumping to conclusions; psychosis; reasoning; schemas

Indexed keywords

ADULT; ANXIETY; ARTICLE; AUDITORY HALLUCINATION; BECK DEPRESSION INVENTORY; COGNITION; DEPRESSION; EMOTION; ETHNICITY; FEMALE; GRANDIOSE DELUSION; HUMAN; INTERNAL CONSISTENCY; INTERRATER RELIABILITY; MAJOR CLINICAL STUDY; MALE; NEGATIVE SYNDROME; PERSECUTORY DELUSION; POSITIVE SYNDROME; PRINCIPAL COMPONENT ANALYSIS; PRIORITY JOURNAL; RELAPSE; SELF ESTEEM; SELF EVALUATION; SELF REPORT;

ADULT; ANXIETY; COGNITION; DELUSIONS; DEPRESSION; EMOTIONS; FEMALE; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; MODELS, PSYCHOLOGICAL; SCHIZOPHRENIA; SCHIZOPHRENIC PSYCHOLOGY; SELF CONCEPT;

EID: 84876574910     PISSN: 05867614     EISSN: 17451701     Source Type: Journal    
DOI: 10.1093/schbul/sbs059     Document Type: Article

References (40)

1. Garety PA, Bebbington P, Fowler D, Freeman D, Kuipers E. Implications for neurobiological research of cognitive models of psychosis: a theoretical paper. Psychol Med. 2007; 37:1377-1391. (Pubitemid 47581413)
2. Garety PA, Kuipers E, Fowler D, Freeman D, Bebbington PE. A cognitive model of the positive symptoms of psychosis. Psychol Med. 2001;31:189-195. (Pubitemid 32166387)
3. Freeman D, Garety PA, Kuipers E, Fowler D, Bebbington PE. A cognitive model of persecutory delusions. Br J Clin Psychol. 2002;41:331-347. (Pubitemid 35439327)
4. Bentall RP, Rowse G, Shryane N, et al. The cognitive and affective structure of paranoid delusions: a transdiagnostic investigation of patients with schizophrenia spectrum disorders and depression. Arch Gen Psychiatry. 2009;66:236-247.
5. Kimhy D, Goetz R, Yale S, Corcoran C, Malaspina D. Delusions in individuals with schizophrenia: factor structure, clinical correlates, and putative neurobiology. Psychopathology. 2005;38:338-344. (Pubitemid 43074274)
6. Peralta V, Cuesta MJ. Dimensional structure of psychotic symptoms: an item-level analysis of SAPS and SANS symptoms in psychotic disorders. Schizophr Res. 1999;38:13-26. (Pubitemid 29333597)
7. Appelbaum PS, Robbins PC, Roth LH. A dimensional approach to delusions: comparison across delusion types and diagnoses. Am J Psychiatry. 1999;156:1938-1943.
8. Freeman D. Suspicious minds: the psychology of persecutory delusions. Clin Psychol Rev. 2007;27:425-457. (Pubitemid 46414047)
9. Knowles R, McCarthy-Jones S, Rowse G. Grandiose delusions: a review and theoretical integration of cognitive and affective perspectives. Clin Psychol Rev. 2011;31:684-696.
10. Menon M, Addington J, Remington G. Examining cognitive biases in patients with delusions of reference [published online ahead of print June 07, 2011]. Eur Psychia. doi: 10.1016/j.eurpsy.2011.03.005.
11. Fowler D, Hodgekins J, Garety PA, et al. Negative cognition, depressed mood, and paranoia: a longitudinal pathway analysis using structural equation modelling [published online ahead of print April 7, 2011]. Schizophr Bull. doi:10.1093/schbul/sbr019.
12. Startup H, Freeman D, Garety P. Jumping to conclusions and persecutory delusions. Eur. Psychia. 2008;23:457-459.
13. So SH, Freeman D, Dunn G, et al. Jumping to conclusions, a lack of belief flexibility and delusional conviction is psychosis: A longitudinal investigation of the structure, frequency, and relatedness of reasoning biases. J Abnorm Psychol. 2012;121:129-139.
14. Garety PA, Freeman D, Jolley S, et al. Reasoning, emotions and delusional conviction in psychosis. J Abnorm Psychol. 2005;114:373-384. (Pubitemid 41233184)
15. Waller H, Dunn G, Freeman D, Jolley S, Garety P. Targeting reasoning biases in delusions: a case series study of the Maudsley Review Training Programme for individuals with persistent, high conviction delusions. Behav Ther Exp Psychiatry. 2011;42:414-421.
16. Freeman D, Garety PA, Fowler D, Kuipers E, Bebbington P, Dunn G. Why do people with delusions fail to choose more realistic explanations for their experiences? An empirical investigation. J Consult Clin Psychol. 2004;72:671-680. (Pubitemid 38988844)
17. Smith N, Freeman D, Kuipers E. Grandiose delusions: an experimental investigation of the delusion-as-defence hypothesis. J Nerv Ment Dis. 2005;193:480-487. (Pubitemid 40967753)
18. Lake CR. Hypothesis: grandiosity and guilt cause paranoia; paranoid schizophrenia is a psychotic mood disorder; A review. Schizophr Bull. 2008;34:1151-1162.
19. Neale JM. Defensive functions to manic episodes. In: Oltmanns T, Maher B, eds. Delusional Beliefs. New York, NY: John Wiley & Sons; 1998:138-156.
20. Raune D, Bebbington P, Dunn G, Kuipers E. Event attributes and the content of psychotic experiences in first-episode psychosis. Psychol Med. 2006;36:221-230. (Pubitemid 43126146)
21. Moritz S, Vecjenstedt R, Randjbar S, Vitzthum F, Karow A, Lincoln TM. Course and determinants of self-esteem in people diagnosed with schizophrenia during psychiatric treatment. Psychosis. 2010;2:144-153.
22. Smith B, Fowler D, Freeman D, et al. Emotion and psychosis: direct links between schematic beliefs, emotion and delusions and hallucinations. Schizophr Res. 2006;86:181-188. (Pubitemid 44255820)
23. Ben-Zeev D, Ellington K, Swendsen J, Granholm E. Examining a cognitive model of persecutory ideation in the daily life of people with schizophrenia: a computerised experience sampling study [published online ahead of print April 28, 2010]. Schizophr Bull. doi: 10.1093/schbul/sbq041.
24. Ben-Zeev D, Morris S, Swendsen J, Granholm E. Predicting the occurrence, conviction, distress, and disruption of difference delusional experiences in the daily life of people with schizophrenia [published online ahead of print June 19, 2011]. Schizophr Bull. doi:10.1093/schbul/sbq167.
25. Jolley S, Garety PA, Bebbington P, et al. Attributional style in psychosis- The role of affect and belief type. Behav Res Ther. 2006;44:1597-1607. (Pubitemid 44468210)
26. Jolley S. Reasoning attribution and illness appraisal in psychosis. PhD thesis, London, UK: Institute of Psychiatry, King's College; 2010.
27. Garety PA, Fowler D, Freeman D, Bebbington P, Dunn G, Kuipers E. A randomised controlled trial of cognitive behavioural therapy and family intervention for the prevention of relapse and reduction of symptoms in psychosis. Br J Psychiatry. 2008;192:412-423. (Pubitemid 351809893)
28. Fowler D, Freeman D, Smith B, et al. The Brief Core Schema Scales (BCSS): psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychol Med. 2006;36:749-759. (Pubitemid 43744768)
29. Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13:261-276. (Pubitemid 18039085)
30. World Health Organisation. SCAN Schedules for Clinical Assessment in Neuropsychiatry. Geneva, Switzerland: World Health Organization; 1992.
31. Andreasen NC. Scale for the Assessment of Positive Symptoms (SAPS). Iowa City; IA: University of Iowa; 1984.
32. Haddock G, McCarron J, Tarrier N, et al. Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS). Psychol Med. 1999;29:879-889. (Pubitemid 29381048)
33. Beck AT, Steer RA, Brown GK. BDI-II Manual. The Psychological Corporation. San Antonia, TX: Psychological Corporation; 1996.
34. Rosenberg M. Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press; 1965.
35. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 2008;56:893-897.
36. Wessely S, Buchanan A, Reed A, et al. Acting on delusions (1): prevalence. Br J Psychiatry. 1993;163:69-76.
37. StataCorp. Stata Statistical Software: Release 11. College Station, TX: StataCorp LP; 2009.
38. Dunn G. Statistics in Psychiatry. London, UK: Arnold; 2000.
39. Foster C, Startup H, Potts L, Freeman D. A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions. Behav Ther Exp Psychiatry. 2010;41:45-51.
40. Moritz S, Woodward TS. Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Curr Opin Psychiatry. 2007;20: 619-625.