Misattributing speech and jumping to conclusions: A longitudinal study in people at high risk of psychosis

Biases in cognition such as Jumping to Conclusions (JTC) and Verbal Self-Monitoring (VSM) are thought to underlie the formation of psychotic symptoms. This prospective study in people with an At Risk Mental State (ARMS) for psychosis examined how these cognitive biases changed over time, and predict...

Full description

Bibliographic Details
Main Authors: Winton-Brown, T, Broome, M, Allen, P, Valli, I, Howes, O, Garety, P, Johns, L, McGuire, P
Format: Journal article
Language:English
Published: Elsevier 2015
_version_ 1797084475481391104
author Winton-Brown, T
Broome, M
Allen, P
Valli, I
Howes, O
Garety, P
Johns, L
McGuire, P
author_facet Winton-Brown, T
Broome, M
Allen, P
Valli, I
Howes, O
Garety, P
Johns, L
McGuire, P
author_sort Winton-Brown, T
collection OXFORD
description Biases in cognition such as Jumping to Conclusions (JTC) and Verbal Self-Monitoring (VSM) are thought to underlie the formation of psychotic symptoms. This prospective study in people with an At Risk Mental State (ARMS) for psychosis examined how these cognitive biases changed over time, and predicted clinical and functional outcomes. Twenty-three participants were assessed at clinical presentation and a mean of 31 months later. Performance on a JTC and VSM tasks were measured at both time points. Relationships to symptom severity, level of function and the incidence of psychotic disorder were then examined. The levels of symptoms, function and VSM all improved over time, while JTC was stable. Five participants (22%) developed a psychotic disorder during the follow-up period, but the risk of transition was not related to performance on either task at baseline, or to longitudinal changes in task performance. JTC performance correlated with symptom severity at baseline and follow-up. Similarly, performance on the two tasks was not related to the level of functioning at follow-up. Thus, while the ARMS is associated with both VSM and JTC biases, neither predict the onset of psychosis or the overall functional outcome.
first_indexed 2024-03-07T01:55:41Z
format Journal article
id oxford-uuid:9ba14852-5993-4bce-9642-9283111cfc2b
institution University of Oxford
language English
last_indexed 2024-03-07T01:55:41Z
publishDate 2015
publisher Elsevier
record_format dspace
spelling oxford-uuid:9ba14852-5993-4bce-9642-9283111cfc2b2022-03-27T00:30:10ZMisattributing speech and jumping to conclusions: A longitudinal study in people at high risk of psychosisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9ba14852-5993-4bce-9642-9283111cfc2bEnglishSymplectic Elements at OxfordElsevier2015Winton-Brown, TBroome, MAllen, PValli, IHowes, OGarety, PJohns, LMcGuire, PBiases in cognition such as Jumping to Conclusions (JTC) and Verbal Self-Monitoring (VSM) are thought to underlie the formation of psychotic symptoms. This prospective study in people with an At Risk Mental State (ARMS) for psychosis examined how these cognitive biases changed over time, and predicted clinical and functional outcomes. Twenty-three participants were assessed at clinical presentation and a mean of 31 months later. Performance on a JTC and VSM tasks were measured at both time points. Relationships to symptom severity, level of function and the incidence of psychotic disorder were then examined. The levels of symptoms, function and VSM all improved over time, while JTC was stable. Five participants (22%) developed a psychotic disorder during the follow-up period, but the risk of transition was not related to performance on either task at baseline, or to longitudinal changes in task performance. JTC performance correlated with symptom severity at baseline and follow-up. Similarly, performance on the two tasks was not related to the level of functioning at follow-up. Thus, while the ARMS is associated with both VSM and JTC biases, neither predict the onset of psychosis or the overall functional outcome.
spellingShingle Winton-Brown, T
Broome, M
Allen, P
Valli, I
Howes, O
Garety, P
Johns, L
McGuire, P
Misattributing speech and jumping to conclusions: A longitudinal study in people at high risk of psychosis
title Misattributing speech and jumping to conclusions: A longitudinal study in people at high risk of psychosis
title_full Misattributing speech and jumping to conclusions: A longitudinal study in people at high risk of psychosis
title_fullStr Misattributing speech and jumping to conclusions: A longitudinal study in people at high risk of psychosis
title_full_unstemmed Misattributing speech and jumping to conclusions: A longitudinal study in people at high risk of psychosis
title_short Misattributing speech and jumping to conclusions: A longitudinal study in people at high risk of psychosis
title_sort misattributing speech and jumping to conclusions a longitudinal study in people at high risk of psychosis
work_keys_str_mv AT wintonbrownt misattributingspeechandjumpingtoconclusionsalongitudinalstudyinpeopleathighriskofpsychosis
AT broomem misattributingspeechandjumpingtoconclusionsalongitudinalstudyinpeopleathighriskofpsychosis
AT allenp misattributingspeechandjumpingtoconclusionsalongitudinalstudyinpeopleathighriskofpsychosis
AT vallii misattributingspeechandjumpingtoconclusionsalongitudinalstudyinpeopleathighriskofpsychosis
AT howeso misattributingspeechandjumpingtoconclusionsalongitudinalstudyinpeopleathighriskofpsychosis
AT garetyp misattributingspeechandjumpingtoconclusionsalongitudinalstudyinpeopleathighriskofpsychosis
AT johnsl misattributingspeechandjumpingtoconclusionsalongitudinalstudyinpeopleathighriskofpsychosis
AT mcguirep misattributingspeechandjumpingtoconclusionsalongitudinalstudyinpeopleathighriskofpsychosis