Evidence map›Paper›PMID 31338790›Full record

Trial reportThe Psychiatric quarterly2019

Does Change over Time in Delusional Beliefs as Measured with PDI Predict Change over Time in Belief Flexibility Measured with MADS?

Louise Penzenstadler, Anne Chatton, Philippe Huguelet, Laurent Lecardeur, Javier Bartolomei, Perrine Brazo, Elodie Murys, Florent Poupart, Serge Rouvière, Mohamed Saoud and 2 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The Psychiatric quarterly, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Cognitive behavioural therapy (group) for schizophrenia.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. 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.

Louise PenzenstadlerGeneva University Hospitals, Ch, du Petit Bel-Air 2, 1225, Chêne-Bourg, Switzerland. Louise.E.Penzenstadler@hcuge.ch.ORCID 0000-0003-1379-0243
Anne ChattonGeneva University Hospitals, Ch, du Petit Bel-Air 2, 1225, Chêne-Bourg, Switzerland.
Philippe HugueletGeneva University Hospitals, Ch, du Petit Bel-Air 2, 1225, Chêne-Bourg, Switzerland.
Laurent LecardeurUNICAEN, Imagerie et Strategies Therapeutiques de la schizophrenie (ISTS), Normandie University, EA4766, 14000, Caen, France.
Javier BartolomeiGeneva University Hospitals, Ch, du Petit Bel-Air 2, 1225, Chêne-Bourg, Switzerland.
Perrine BrazoUNICAEN, Imagerie et Strategies Therapeutiques de la schizophrenie (ISTS), Normandie University, EA4766, 14000, Caen, France.
Elodie MurysUnité Mobile de Psychiatrie, Centre Hospitalier Princesse Grace, Monaco, Monaco.
Florent PoupartLaboratoire Clinique Psychopathologique et Interculturelle, Université de Toulouse, Toulouse, France.
Serge RouvièreCRESOP, Centre Hospitalier le Vinatier, Bron, France.
Mohamed SaoudPsyR2, INSERM U1028, CNRS UMR5292, PSYR2 Team, Lyon Neuroscience Research Center, Lyon, France Department of Consultation-Liaison Psychiatry, Université Claude Bernard Lyon 1, Lyon, France.
Jérôme FavrodLa Source, School of Nursing Sciences, HES-SO University of Applied Sciences and Arts of Western Switzerland, Lausanne, Switzerland.
Yasser KhazaalAddiction Medicine, Department of Psychiatry, Lausanne University Hospitals, Lausanne, Switzerland.

Funding

Swiss National Science Foundation 32003B-121038.
6 · The paper itself

Abstract

Delusional beliefs and their behavioral consequences are predominant symptoms in patients with psychosis and play an important role in the treatment. Delusional beliefs are a multidimensional concept which can be divided into three components: distress, preoccupation and conviction of delusions. These can be measured using Peters delusions inventory (PDI-21). We question, whether changes in delusional beliefs over time during treatment measured with the PDI-21 can predict changes in belief flexibility measured with the Maudsley assessment of delusions schedule (MADS). We used a group of patients from a randomized controlled trial for a cognitive intervention for psychosis or psychotic symptoms. Aside standard treatment for psychosis, half of the patients took part in a group treatment "Michael's game". Patients were assessed at baseline (T1), at 3 months (T2), and at 9 months (T3). We measured delusional beliefs using PDI-21 and belief flexibility with the MADS. One hundred seventy-two patients were included in the analysis. We measured a main effect of PDI-21scores on belief flexibility measured with MADS. PDI-21 Conviction scores predicted outcomes for all measured MADS items. Increasing PDI Distress and Preoccupation scores were predictors for being more likely to dismiss beliefs and change conviction. Time itself was a predictor for changing conviction and being able to plan a behavioral experiment. Overall the changes in PDI scores predicted outcomes for belief flexibility measured with MADS items. The PDI-21 could be a simple and effective way to measure progress in treatment on delusional beliefs.

Indexed as

Outcome Assessment, Health CarePsychiatric Status Rating ScalesAdultCognitive Behavioral TherapyDelusionsFemaleHumansMaleMiddle AgedPsychotic DisordersThinkingTime FactorsBelief flexibilityCognitive behavior therapyDelusional beliefsPsychosisSchizophrenia

Identifiers

What OpenQuestion holds

Textmetadata
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.