Evidence map›Paper›PMID 41254569›Full record

ArticleBMC psychiatry2025

A psychometric evaluation of the German Revised-Green et al. Paranoid Thoughts Scale (R-GPTS) in clinical and non-clinical groups.

Stephanie Rek, Matthias A Reinhard, Daniel Freeman, Peter Falkai, Frank Padberg

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Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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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

5 authors.

Stephanie RekDepartment of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany. s.rek@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-7375-9489
Matthias A ReinhardDepartment of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-8374-5467
Daniel FreemanDepartment of Experimental Psychology, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-2541-2197
Peter FalkaiDepartment of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany.ORCID http://orcid.org/0000-0003-2873-8667
Frank PadbergDepartment of Psychiatry and Psychotherapy, LMU University Hospital Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParanoia, characterised by inaccurate fears that others intend to cause harm, can significantly affect social functioning. Research has demonstrated that paranoia exists on a spectrum of severity, with milder forms prevalent in the general population. The Revised-Green et al. Paranoid Thoughts Scale (R-GPTS) is the most commonly used measure of paranoia comprising a scale to assess ideas of reference and a scale to assess ideas of persecution. The aim of the study was to validate a German version of the R-GPTS and assess its psychometric properties in non-clinical and clinical groups.

methodsThis longitudinal study was conducted in Germany, including a non-clinical group (n = 601) recruited online and a clinical group of inpatients diagnosed with persistent depressive disorder (n = 102). Participants completed an online survey assessing paranoia, other psychotic experiences, depression, and anxiety. Statistical analyses included confirmatory factor analysis to evaluate the factor structure and measurement invariance across sex, time, and patient status. McDonald’s omega was estimated for internal consistency, and Spearman correlations for test-retest reliability, and convergent and discriminant validity.

resultsConfirmatory factor analysis supported the two-factor structure, solid evidence in favour of metric invariance for the R-GPTS A subscale and more mixed measurement invariance evidence for the R-GPTS B subscale. The German R-GPTS exhibited good-to-excellent internal consistency (McDonald’s omega : 0.87 to 0.92), test-retest reliability analyses showed moderate-to-strong stability over a 10-week period, and we observed evidence for convergent and discriminant validity. DISCUSSION: These findings suggest that the German version of the R-GPTS is a reliable and valid tool for assessing paranoid thoughts across various populations. However, caution is warranted when interpreting score differences, as measurement non-invariance may impact the comparability of results for the Persecutory Ideations subscale. Limitations include potential selection bias in the non-clinical group and a focus solely on persistent depressive disorder in the clinical group.

conclusionsThis study confirms the psychometric robustness of the German R-GPTS and contributes to the understanding of paranoia assessment in diverse populations, highlighting the need for further research to explore its applicability across different psychiatric conditions.

Indexed as

Paranoid DisordersPsychiatric Status Rating ScalesAdultFactor Analysis, StatisticalFemaleGermanyHumansLongitudinal StudiesMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and QuestionnairesMeasurement invarianceParanoiaPsychometric evaluationR-GPTS

Identifiers

PMID41254569
PMCPMC12625113

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