Evidence map›Paper›PMID 25011076›Full record

ArticleJournal of behavior therapy and experimental psychiatry2014

A pilot validation of a modified Illness Perceptions Questionnaire designed to predict response to cognitive therapy for psychosis.

Elena Marcus, Philippa Garety, John Weinman, Richard Emsley, Graham Dunn, Paul Bebbington, Daniel Freeman, Elizabeth Kuipers, David Fowler, Amy Hardy and 2 more

Abstract read
In one paragraph

Article in Journal of behavior therapy and experimental psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Elena MarcusKing's College London, Institute of Psychiatry, Department of Psychology, PO77, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. Electronic address: Elena.marcus@kcl.ac.uk.
Philippa GaretyKing's College London, Institute of Psychiatry, Department of Psychology, PO77, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. Electronic address: philippa.garety@kcl.ac.uk.
John WeinmanKing's College London, Institute of Pharmaceutical Science, 5th Floor Franklin Wilkins Building, 150 Stamford Street, London SE1 9NH, UK. Electronic address: John.weinman@kcl.ac.uk.
Richard EmsleyCentre for Biostatistics, Institute of Population Health, The University of Manchester, Manchester Academic Health Science Centre, 4.304 Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK. Electronic address: Richard.emsley@manchester.ac.uk.
Graham DunnCentre for Biostatistics, Institute of Population Health, The University of Manchester, Manchester Academic Health Science Centre, 4.304 Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK. Electronic address: graham.dunn@manchester.ac.uk.
Paul BebbingtonDivision of Psychiatry, University College, London, 67-73 Riding House Street, London W1W 7EJ, UK. Electronic address: P.bebbington@ucl.ac.uk.
Daniel FreemanUniversity of Oxford, Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK. Electronic address: Daniel.freeman@psych.ox.ac.uk.
Elizabeth KuipersKing's College London, Institute of Psychiatry, Department of Psychology, PO77, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. Electronic address: Elizabeth.kuipers@kcl.ac.uk.
David FowlerSchool of Psychology, University of Sussex, Pevensey Building, Falmer BN1 9QH, UK. Electronic address: D.Fowler@sussex.ac.uk.
Amy HardyKing's College London, Institute of Psychiatry, Department of Psychology, PO77, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. Electronic address: Amy.hard@kcl.ac.uk.
Helen WallerKing's College London, Institute of Psychiatry, Department of Psychology, PO77, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. Electronic address: Helen.waller@kcl.ac.uk.
Suzanne JolleyKing's College London, Institute of Psychiatry, Department of Psychology, PO77, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. Electronic address: Suzanne.Jolley@kcl.ac.uk.

Funding

Department of HealthMedical Research Council G0902308Wellcome Trust 085396
6 · The paper itself

Abstract

BACKGROUND AND

objectivesClinical responsiveness to cognitive behavioural therapy for psychosis (CBTp) varies. Recent research has demonstrated that illness perceptions predict active engagement in therapy, and, thereby, better outcomes. In this study, we aimed to investigate the psychometric properties of a modification of the Illness Perceptions Questionnaire (M-IPQ) designed to predict response following CBTp.

methodsFifty-six participants with persistent, distressing delusions completed the M-IPQ; forty before a brief CBT intervention targeting persecutory ideation and sixteen before and after a control condition. Additional predictors of outcome (delusional conviction, symptom severity and belief inflexibility) were assessed at baseline. Outcomes were assessed at baseline and at follow-up four to eight weeks later.

resultsThe M-IPQ comprised two factors measuring problem duration and therapy-specific perceptions of Cure/Control. Associated subscales, formed by summing the relevant items for each factor, were reliable in their structure. The Cure/Control subscale was also reliable over time; showed convergent validity with other predictors of outcome; predicted therapy outcomes; and differentially predicted treatment effects. LIMITATIONS: We measured outcome without an associated measure of engagement, in a small sample. Findings are consistent with hypothesis and existing research, but require replication in a larger, purposively recruited sample.

conclusionsThe Cure/Control subscale of the M-IPQ shows promise as a predictor of response to therapy. Specifically targeting these illness perceptions in the early stages of cognitive behavioural therapy may improve engagement and, consequently, outcomes.

Indexed as

Surveys and QuestionnairesAdultCatastrophic IllnessCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedPerceptionPilot ProjectsPredictive Value of TestsPsychiatric Status Rating ScalesPsychotic DisordersReproducibility of ResultsTreatment OutcomeCBTEngagementIPQSchizophreniaTherapy outcome

Identifiers

PMID25011076
PMCPMC4157321

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.