Evidence map›Paper›PMID 31337373›Full record

ArticleBMC psychiatry2019

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

C J Leung, A Fosuaah, J Frerichs, M Heslin, T Kabir, T M C Lee, P McGuire, C Meek, E Mouchlianitis, A S Nath and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
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

8 citing papers in PubMed, 21 citations in OpenAlex.

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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

15 authors at 3 institutions in 2 countries.

C J LeungDepartment of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
A FosuaahDepartment of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
J FrerichsThe McPin Foundation, London, UK.
M HeslinHealth Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
T KabirThe McPin Foundation, London, UK.
T M C LeeLaboratory of Neuropsychology, The University of Hong Kong, Hongkong, Hong Kong.
P McGuireDepartment of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
C MeekDepartment of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
E MouchlianitisDepartment of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
A S NathDepartment of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
E PetersSouth London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Monks Orchard Road, Beckenham, Kent, BR3 3BX, UK.
S ShergillDepartment of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
D StahlDepartment of Biostatistics, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
A TrottaDepartment of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
J YiendDepartment of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK. jenny.yiend@kcl.ac.uk.ORCID 0000-0002-1967-6292
King's College London · GBMcPin Foundation · GBUniversity of Hong Kong · HK

Funding

Department of Health PB-PG-0214-33007
6 · The paper itself

Abstract

backgroundCognitive 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.

methodsEight 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.

resultsThemes 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.

conclusionsCBM-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 registrationCurrent Controlled Trials ISRCTN: 90749868 . Retrospectively registered on 12 May 2016.

Indexed as

AdultCognitive Behavioral TherapyFemaleHumansMaleParanoid DisordersPatient Acceptance of Health CarePsychotic DisordersQualitative ResearchUser-Computer InterfaceCognitive bias modificationInterpretation biasParanoiaPsychosisQualitative research

Identifiers

PMID31337373
PMCPMC6651961
OpenAlexW2963839319

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.