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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].
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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

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