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Article: A qualitative study of the acceptability of cognitive bias modification for paranoia (CBM-pa) in patients with psychosis

TitleA qualitative study of the acceptability of cognitive bias modification for paranoia (CBM-pa) in patients with psychosis
Authors
KeywordsCognitive bias modification
Interpretation bias
Qualitative research
Psychosis
Paranoia
Issue Date2019
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpsychiatr/
Citation
BMC Psychiatry, 2019, v. 19, p. article no. 255 How to Cite?
AbstractBackground: Cognitive Bias Modification (CBM) has been used successfully as a computer-based intervention in disorders such as anxiety. However, CBM to modify interpretations of ambiguous information relevant to paranoia has not yet been tested. We conducted a qualitative investigation of a novel intervention called CBM for paranoia (CBM-pa) to examine its acceptability in patients with psychosis. Methods: Eight participants with psychosis who completed CBM-pa were identified by purposive sampling and invited for a semi-structured interview to explore the facilitators and barriers to participation, optimum form of delivery, perceived usefulness of CBM-pa and their opinions on applying CBM-pa as a computerised intervention. The interviews were transcribed and analysed using thematic analysis by researchers working in collaboration with service users. Results: Themes emerged relating to participants’ perception about delivery, engagement, programme understanding, factors influencing experience, perceived impact and application of CBM-pa. CBM-pa was regarded as easy, straightforward and enjoyable. It was well-accepted among those we interviewed, who understood the procedure as a psychological intervention. Patients reported that it increased their capacity for adopting alternative interpretations of emotionally ambiguous scenarios. Although participants all agreed on the test-like nature of the current CBM-pa format, they considered that taking part in sessions had improved their overall wellbeing. Most of them valued the computer-based interface of CBM-pa but favoured the idea of combining CBM-pa with some form of human interaction. Conclusions: CBM-pa is an acceptable intervention that was well-received by our sample of patients with paranoia. The current findings reflect positively on the acceptability and experience of CBM-pa in the target population. Patient opinion supports further development and testing of CBM-pa as a possible adjunct treatment for paranoia. Trial registration: Current Controlled Trials ISRCTN: 90749868. Retrospectively registered on 12 May 2016.
Persistent Identifierhttp://hdl.handle.net/10722/289612
ISSN
2023 Impact Factor: 3.4
2023 SCImago Journal Rankings: 1.301
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLEUNG, CJ-
dc.contributor.authorFosuaah, A-
dc.contributor.authorFrerichs, J-
dc.contributor.authorHeslin, M-
dc.contributor.authorKabir, T-
dc.contributor.authorLee, TMC-
dc.contributor.authorMcGuire, P-
dc.contributor.authorMeek, C-
dc.contributor.authorMouchlianitis, E-
dc.contributor.authorNath, AS-
dc.contributor.authorPeters, E-
dc.contributor.authorShergill, S-
dc.contributor.authorStahl, D-
dc.contributor.authorTrotta, A-
dc.contributor.authorYiend, J-
dc.date.accessioned2020-10-22T08:15:02Z-
dc.date.available2020-10-22T08:15:02Z-
dc.date.issued2019-
dc.identifier.citationBMC Psychiatry, 2019, v. 19, p. article no. 255-
dc.identifier.issn1471-244X-
dc.identifier.urihttp://hdl.handle.net/10722/289612-
dc.description.abstractBackground: Cognitive Bias Modification (CBM) has been used successfully as a computer-based intervention in disorders such as anxiety. However, CBM to modify interpretations of ambiguous information relevant to paranoia has not yet been tested. We conducted a qualitative investigation of a novel intervention called CBM for paranoia (CBM-pa) to examine its acceptability in patients with psychosis. Methods: Eight participants with psychosis who completed CBM-pa were identified by purposive sampling and invited for a semi-structured interview to explore the facilitators and barriers to participation, optimum form of delivery, perceived usefulness of CBM-pa and their opinions on applying CBM-pa as a computerised intervention. The interviews were transcribed and analysed using thematic analysis by researchers working in collaboration with service users. Results: Themes emerged relating to participants’ perception about delivery, engagement, programme understanding, factors influencing experience, perceived impact and application of CBM-pa. CBM-pa was regarded as easy, straightforward and enjoyable. It was well-accepted among those we interviewed, who understood the procedure as a psychological intervention. Patients reported that it increased their capacity for adopting alternative interpretations of emotionally ambiguous scenarios. Although participants all agreed on the test-like nature of the current CBM-pa format, they considered that taking part in sessions had improved their overall wellbeing. Most of them valued the computer-based interface of CBM-pa but favoured the idea of combining CBM-pa with some form of human interaction. Conclusions: CBM-pa is an acceptable intervention that was well-received by our sample of patients with paranoia. The current findings reflect positively on the acceptability and experience of CBM-pa in the target population. Patient opinion supports further development and testing of CBM-pa as a possible adjunct treatment for paranoia. Trial registration: Current Controlled Trials ISRCTN: 90749868. Retrospectively registered on 12 May 2016.-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpsychiatr/-
dc.relation.ispartofBMC Psychiatry-
dc.rightsBMC Psychiatry. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectCognitive bias modification-
dc.subjectInterpretation bias-
dc.subjectQualitative research-
dc.subjectPsychosis-
dc.subjectParanoia-
dc.titleA qualitative study of the acceptability of cognitive bias modification for paranoia (CBM-pa) in patients with psychosis-
dc.typeArticle-
dc.identifier.emailLee, TMC: tmclee@hku.hk-
dc.identifier.authorityLee, TMC=rp00564-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12888-019-2215-3-
dc.identifier.pmid31337373-
dc.identifier.pmcidPMC6651961-
dc.identifier.scopuseid_2-s2.0-85069789362-
dc.identifier.hkuros316435-
dc.identifier.volume19-
dc.identifier.spagearticle no. 255-
dc.identifier.epagearticle no. 255-
dc.identifier.isiWOS:000477043000001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl1471-244X-

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