Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-12-03T18:00:19.635Z Has data issue: false hasContentIssue false
  • English
  • Français

Cognitive Bias Modification in the Treatment of Social Anxiety in Early Psychosis: A Single Case Series

Published online by Cambridge University Press:  15 February 2011

Ruth Turner ,
Laura Hoppitt ,
Joanne Hodgekins ,
Judith Wilkinson ,
Bundy Mackintosh  and
David Fowler
Ruth Turner*
Affiliation:
Norfolk and Waveney Mental Health NHS Foundation Trust, and University of East Anglia, Norwich, UK
Laura Hoppitt
Affiliation:
University of East Anglia, Norwich, UK
Joanne Hodgekins
Affiliation:
University of East Anglia, Norwich, UK
Judith Wilkinson
Affiliation:
Norfolk and Waveney Mental Health NHS Foundation Trust, Norwich, UK
Bundy Mackintosh
Affiliation:
University of East Anglia, Norwich, UK
David Fowler
Affiliation:
University of East Anglia, Norwich, UK
*
Reprint requests to Ruth Turner, Norfolk and Waveney Mental Health NHS Foundation Trust, Central Norfolk Early Intervention Team, 80 St Stephen's Road, Norwich NR1 3RE, UK. E-mail: [email protected].
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Social anxiety is a common problem among people who are recovering from psychosis. At present there is no evidence based psychological treatment targeting social anxiety in this population. Cognitive Bias Modification for Interpretation (CBM-I) has been shown to be effective in reducing social anxiety in people who do not have a history of psychosis. Aims: To assess the feasibility and acceptability of the CBM-I methodology for use in a clinical setting with people who are experiencing social anxiety following an episode of psychosis. Method: Eight participants with social anxiety were recruited from an early intervention service. A single session of computerized CBM-I was conducted, with mood and cognitive interpretation bias being assessed before and after the session. Results: All participants reported an improvement in mood immediately following the CBM-I session (n = 8). For those participants who had a negative interpretation bias, none became more negative following the CBM-I session, with three out of six participants showing a beneficial change. Conclusion: These results suggest that CBM-I is acceptable for use with people who are experiencing social anxiety following a psychotic episode. Further research looking at how CBM-I could be made more interactive and producing more applicable scenarios for use in a clinical setting is recommended.

Keywords

Interpretation biasespsychosissocial anxietysocial phobiaearly intervention
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 3 , May 2011 , pp. 341 - 347
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, A. T. and Steer, R. A. (1987). Beck Anxiety Inventory. San Antonio, TX: The Psychological Corporation.Google Scholar
Beck, A. T., Steer, R. A. and Brown, G. K. (1996). BDI-II Manual. San Antonio, TX: The Psychological Corporation.Google Scholar
First, M. B., Spitzer, R. L., Gibbon, M. and Williams, J. B. W. (2002). Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
Fowler, D., Hodgekins, J., Painter, M., Reilly, T., Crane, C., Macmillan, I., Mugford, M., Croudace, T. and Jones, P. B. (2009). Cognitive behaviour therapy for improving social recovery in psychosis: a report from the ISREP MRC Trial Platform study (Improving Social Recovery in Early Psychosis). Psychological Medicine, published online by Cambridge University Press, doi:10.1017/S0033291709005467Google Scholar
Hirsch, C. R. and Clarke, D. M. (2004). Information-processing bias in social phobia. Clinical Psychology Review, 24, 799–825.CrossRefGoogle ScholarPubMed
Hodgekins, J. (2008). The Nature of Schizotypal Symptoms and Social Recovery in Psychosis. Doctoral thesis, University of East Anglia, UK.Google Scholar
Hoppitt, L., Mathews, A., Yiend, J. and Mackintosh, B. (2010). Cognitive mechanisms underlying the emotional effects of bias modification. Applied Cognitive Psychology, 24, 312–325.CrossRefGoogle Scholar
Leibowitz, M. R. (1987). Social phobia. Modern Problems in Pharmacopsychiatry, 43, 729–736.Google Scholar
Mathews, A. and Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of Abnormal Psychology, 109, 602–615.CrossRefGoogle ScholarPubMed
Salemink, E., Van Den Hout, M. and Kindt, M. (2007). Trained interpretive bias and anxiety. Behaviour Research and Therapy, 45, 329–340.CrossRefGoogle ScholarPubMed
Watson, D. and Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448–457.Google Scholar
Supplementary material: File

Turner Supplementary Materials

Turner Supplementary Materials

Download Turner Supplementary Materials(File)
File 98.8 KB
Submit a response

Comments

No Comments have been published for this article.