A qualitative study of the acceptability of cognitive bias modification for paranoia (CBM-pa) in patients with psychosis

Leung, CJ; Fosuaah, A; Frerichs, J; Heslin, M; Kabir, T; Lee, TMC; McGuire, P; Meek, C; Mouchlianitis, E; Nath, AS; Peters, E; Shergill, S; Stahl, D; Trotta, A; Yiend, J

Journal article

A qualitative study of the acceptability of cognitive bias modification for paranoia (CBM-pa) in patients with psychosis

Abstract:: BACKGROUND: Cognitive Bias Modification (CBM) has been used successfully as a computer-based intervention in disorders such as anxiety. However, CBM to modify interpretations of ambiguous information relevant to paranoia has not yet been tested. We conducted a qualitative investigation of a novel intervention called CBM for paranoia (CBM-pa) to examine its acceptability in patients with psychosis.METHODS: Eight participants with psychosis who completed CBM-pa were identified by purposive sampling and invited for a semi-structured interview to explore the facilitators and barriers to participation, optimum form of delivery, perceived usefulness of CBM-pa and their opinions on applying CBM-pa as a computerised intervention. The interviews were transcribed and analysed using thematic analysis by researchers working in collaboration with service users.RESULTS: Themes emerged relating to participants' perception about delivery, engagement, programme understanding, factors influencing experience, perceived impact and application of CBM-pa. CBM-pa was regarded as easy, straightforward and enjoyable. It was well-accepted among those we interviewed, who understood the procedure as a psychological intervention. Patients reported that it increased their capacity for adopting alternative interpretations of emotionally ambiguous scenarios. Although participants all agreed on the test-like nature of the current CBM-pa format, they considered that taking part in sessions had improved their overall wellbeing. Most of them valued the computer-based interface of CBM-pa but favoured the idea of combining CBM-pa with some form of human interaction.CONCLUSIONS: CBM-pa is an acceptable intervention that was well-received by our sample of patients with paranoia. The current findings reflect positively on the acceptability and experience of CBM-pa in the target population. Patient opinion supports further development and testing of CBM-pa as a possible adjunct treatment for paranoia.TRIAL REGISTRATION: Current Controlled Trials ISRCTN: 90749868 . Retrospectively registered on 12 May 2016.

Publication status:: Published

Peer review status:: Peer reviewed

Actions

Email

Email this record

Send the bibliographic details of this record to your email address.

Your Email
Please enter the email address that the record information will be sent to.

-
Your message (optional)
Please add any additional information to be included within the email.
Share
Cite

Cite this record

APA Style

Leung, C. J., Fosuaah, A., Frerichs, J., Heslin, M., Kabir, T., Lee, T. M. C., McGuire, P., Meek, C., Mouchlianitis, E., Nath, A. S., Peters, E., Shergill, S., Stahl, D., Trotta, A., & Yiend, J. (2019). A qualitative study of the acceptability of cognitive bias modification for paranoia (CBM-pa) in patients with psychosis. BMC Psychiatry, 19(1), 225–225.

MLA Style

Leung, CJ, et al. “A Qualitative Study of the Acceptability of Cognitive Bias Modification for Paranoia (CBM-Pa) in Patients with Psychosis.” BMC Psychiatry, vol. 19, no. 1, 2019, pp. 225–25.

Chicago Style

Leung, CJ, A Fosuaah, J Frerichs, et al. 2019. “A Qualitative Study of the Acceptability of Cognitive Bias Modification for Paranoia (CBM-Pa) in Patients with Psychosis.” BMC Psychiatry 19 (1): 225–25.
Print