Developing treatments of persistent persecutory delusions: the impact of an emotional processing and metacognitive awareness intervention.
Worry has been implicated in increasing the levels of distress associated with persecutory delusions. It may partly cause this distress via the impediment of emotional processing of upsetting experiences. The clinical implication is that enhancing emotional processing of paranoid experiences will re...
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| Format: | Journal article |
| Language: | English |
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2011
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| _version_ | 1826271061916778496 |
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| author | Hepworth, C Startup, H Freeman, D |
| author_facet | Hepworth, C Startup, H Freeman, D |
| author_sort | Hepworth, C |
| collection | OXFORD |
| description | Worry has been implicated in increasing the levels of distress associated with persecutory delusions. It may partly cause this distress via the impediment of emotional processing of upsetting experiences. The clinical implication is that enhancing emotional processing of paranoid experiences will reduce distress. We therefore piloted a new brief intervention-the Emotional Processing and Metacognitive Awareness (EPMA)-on 12 patients with persistent persecutory delusions. The intervention was predominately influenced by written emotional disclosure and lasted for three sessions. The delusions were assessed at baseline, preintervention and postintervention and during a one-month follow-up. It was found that EPMA particularly reduced levels of delusion distress, and this was maintained at follow-up. The effect sizes were large but were likely overestimated given the absence of a control group and assessments that were not blind. These preliminary findings suggest that simply encouraging patients to talk, in the right way, about their delusions can be beneficial. |
| first_indexed | 2024-03-06T21:50:42Z |
| format | Journal article |
| id | oxford-uuid:4b26c201-0b86-45f2-89a2-8acd3f2ef84a |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T21:50:42Z |
| publishDate | 2011 |
| record_format | dspace |
| spelling | oxford-uuid:4b26c201-0b86-45f2-89a2-8acd3f2ef84a2022-03-26T15:41:50ZDeveloping treatments of persistent persecutory delusions: the impact of an emotional processing and metacognitive awareness intervention.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4b26c201-0b86-45f2-89a2-8acd3f2ef84aEnglishSymplectic Elements at Oxford2011Hepworth, CStartup, HFreeman, DWorry has been implicated in increasing the levels of distress associated with persecutory delusions. It may partly cause this distress via the impediment of emotional processing of upsetting experiences. The clinical implication is that enhancing emotional processing of paranoid experiences will reduce distress. We therefore piloted a new brief intervention-the Emotional Processing and Metacognitive Awareness (EPMA)-on 12 patients with persistent persecutory delusions. The intervention was predominately influenced by written emotional disclosure and lasted for three sessions. The delusions were assessed at baseline, preintervention and postintervention and during a one-month follow-up. It was found that EPMA particularly reduced levels of delusion distress, and this was maintained at follow-up. The effect sizes were large but were likely overestimated given the absence of a control group and assessments that were not blind. These preliminary findings suggest that simply encouraging patients to talk, in the right way, about their delusions can be beneficial. |
| spellingShingle | Hepworth, C Startup, H Freeman, D Developing treatments of persistent persecutory delusions: the impact of an emotional processing and metacognitive awareness intervention. |
| title | Developing treatments of persistent persecutory delusions: the impact of an emotional processing and metacognitive awareness intervention. |
| title_full | Developing treatments of persistent persecutory delusions: the impact of an emotional processing and metacognitive awareness intervention. |
| title_fullStr | Developing treatments of persistent persecutory delusions: the impact of an emotional processing and metacognitive awareness intervention. |
| title_full_unstemmed | Developing treatments of persistent persecutory delusions: the impact of an emotional processing and metacognitive awareness intervention. |
| title_short | Developing treatments of persistent persecutory delusions: the impact of an emotional processing and metacognitive awareness intervention. |
| title_sort | developing treatments of persistent persecutory delusions the impact of an emotional processing and metacognitive awareness intervention |
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