Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence.

In a recent theoretical account of persecutory delusions, it is suggested that anxiety and worry are important factors in paranoid experience [Freeman, D., Garety, P. A., Kuipers, E., Fowler, D., and Bebbington, P. E. (2002). A cognitive model of persecutory delusions. British Journal of Clinical Ps...

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Main Authors: Startup, H, Freeman, D, Garety, P
Format: Journal article
Language:English
Published: 2007
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author Startup, H
Freeman, D
Garety, P
author_facet Startup, H
Freeman, D
Garety, P
author_sort Startup, H
collection OXFORD
description In a recent theoretical account of persecutory delusions, it is suggested that anxiety and worry are important factors in paranoid experience [Freeman, D., Garety, P. A., Kuipers, E., Fowler, D., and Bebbington, P. E. (2002). A cognitive model of persecutory delusions. British Journal of Clinical Psychology, 41(4), 331-347]. In emotional disorders worry has been understood in terms of catastrophising. In the current study, the concept of catastrophising is applied for the first time with persecutory delusions. Thirty individuals with current persecutory delusions and 30 non-clinical controls participated in a cross-sectional study. The group with persecutory delusions was also followed up at 3 months to assess predictors of delusion persistence. At its most severe, 21% of individuals with persecutory delusions had clinical worry, 68% had levels of worry comparable with treatment seeking GAD patients. Further, high levels of anxiety, worry and catastrophising were associated with high levels of persecutory delusion distress and with the persistence of delusions over 3 months. If future research replicates these findings, worry reduction interventions for individuals with persecutory delusions may be warranted.
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spelling oxford-uuid:f0b4689a-345b-4ca6-a56b-f6a24f40882e2022-03-27T11:50:15ZPersecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f0b4689a-345b-4ca6-a56b-f6a24f40882eEnglishSymplectic Elements at Oxford2007Startup, HFreeman, DGarety, PIn a recent theoretical account of persecutory delusions, it is suggested that anxiety and worry are important factors in paranoid experience [Freeman, D., Garety, P. A., Kuipers, E., Fowler, D., and Bebbington, P. E. (2002). A cognitive model of persecutory delusions. British Journal of Clinical Psychology, 41(4), 331-347]. In emotional disorders worry has been understood in terms of catastrophising. In the current study, the concept of catastrophising is applied for the first time with persecutory delusions. Thirty individuals with current persecutory delusions and 30 non-clinical controls participated in a cross-sectional study. The group with persecutory delusions was also followed up at 3 months to assess predictors of delusion persistence. At its most severe, 21% of individuals with persecutory delusions had clinical worry, 68% had levels of worry comparable with treatment seeking GAD patients. Further, high levels of anxiety, worry and catastrophising were associated with high levels of persecutory delusion distress and with the persistence of delusions over 3 months. If future research replicates these findings, worry reduction interventions for individuals with persecutory delusions may be warranted.
spellingShingle Startup, H
Freeman, D
Garety, P
Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence.
title Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence.
title_full Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence.
title_fullStr Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence.
title_full_unstemmed Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence.
title_short Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence.
title_sort persecutory delusions and catastrophic worry in psychosis developing the understanding of delusion distress and persistence
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AT garetyp persecutorydelusionsandcatastrophicworryinpsychosisdevelopingtheunderstandingofdelusiondistressandpersistence