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A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions

Recent research has shown that worry is associated with distressing paranoia. Therefore, the aim was to target worry in a therapeutic intervention for individuals with delusions. It was predicted that a worry intervention would reduce levels of worry and paranoia distress. Twenty-four individuals wi...

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Detalles Bibliográficos
Autores principales: Foster, Chloe, Startup, Helen, Potts, Laura, Freeman, Daniel
Formato: Texto
Lenguaje:English
Publicado: Elsevier 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2828542/
https://www.ncbi.nlm.nih.gov/pubmed/19818953
http://dx.doi.org/10.1016/j.jbtep.2009.09.001
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author Foster, Chloe
Startup, Helen
Potts, Laura
Freeman, Daniel
author_facet Foster, Chloe
Startup, Helen
Potts, Laura
Freeman, Daniel
author_sort Foster, Chloe
collection PubMed
description Recent research has shown that worry is associated with distressing paranoia. Therefore, the aim was to target worry in a therapeutic intervention for individuals with delusions. It was predicted that a worry intervention would reduce levels of worry and paranoia distress. Twenty-four individuals with persistent persecutory delusions and high levels of worry were randomly assigned to receive a four session cognitive-behavioural worry intervention (W-CBT) or treatment as usual (TAU). The worry intervention was specifically designed not to target the content of delusions. In this open-label evaluation, assessments of worry and paranoia were conducted at baseline, at one month (end of treatment) and at two months. The worry intervention achieved a statistically significant reduction in worry which was maintained at two month follow up. A significant reduction in delusional distress was also reported. There was an indication that the worry intervention may also reduce the frequency of paranoid thoughts but this was not statistically significant. In the first trial specifically for persecutory delusions, a brief worry intervention was shown to have benefits. The results support a causal role for worry in paranoid experience.
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spelling pubmed-28285422010-03-03 A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions Foster, Chloe Startup, Helen Potts, Laura Freeman, Daniel J Behav Ther Exp Psychiatry Article Recent research has shown that worry is associated with distressing paranoia. Therefore, the aim was to target worry in a therapeutic intervention for individuals with delusions. It was predicted that a worry intervention would reduce levels of worry and paranoia distress. Twenty-four individuals with persistent persecutory delusions and high levels of worry were randomly assigned to receive a four session cognitive-behavioural worry intervention (W-CBT) or treatment as usual (TAU). The worry intervention was specifically designed not to target the content of delusions. In this open-label evaluation, assessments of worry and paranoia were conducted at baseline, at one month (end of treatment) and at two months. The worry intervention achieved a statistically significant reduction in worry which was maintained at two month follow up. A significant reduction in delusional distress was also reported. There was an indication that the worry intervention may also reduce the frequency of paranoid thoughts but this was not statistically significant. In the first trial specifically for persecutory delusions, a brief worry intervention was shown to have benefits. The results support a causal role for worry in paranoid experience. Elsevier 2010-03 /pmc/articles/PMC2828542/ /pubmed/19818953 http://dx.doi.org/10.1016/j.jbtep.2009.09.001 Text en © 2010 Elsevier Ltd. https://creativecommons.org/licenses/by/3.0/ Open Access under CC BY 3.0 (https://creativecommons.org/licenses/by/3.0/) license
spellingShingle Article
Foster, Chloe
Startup, Helen
Potts, Laura
Freeman, Daniel
A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions
title A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions
title_full A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions
title_fullStr A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions
title_full_unstemmed A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions
title_short A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions
title_sort randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2828542/
https://www.ncbi.nlm.nih.gov/pubmed/19818953
http://dx.doi.org/10.1016/j.jbtep.2009.09.001
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