Persecutory delusions in psychosis Mental and Behavioural Disorders
Conditions
Interventions
A novel four-session imagery-based metacognitive intervention was developed as part of the study. All participants received the intervention.
All sessions will be delivered online via Microsoft Team
Sponsors
Oxford Health NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18-65 years old 2. Primary reported experiences of psychosis supplemented by diagnostic criteria for schizophrenia and schizoaffective disorder from the ICD-11 3. Identifys a distressing flashforward image related to a persecutory delusion 4. Has sufficient understanding of the English language 5. Has the capacity to give consent
Exclusion criteria
Exclusion criteria: 1. Signs and diagnosis of learning disabilities 2. Endorsement of suicidal intent 3. Current alcohol or substance dependence 4. Documented or suspected neurological or general medical condition that might be responsible for the psychotic manifestation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acceptability and feasibility measured by attendance rates of the sessions in the case series. A Microsoft Teams grid was created to note down attendance after each session, and safety in relation to experiences of adverse events. A record was kept on any reported experiences of any risk to self, to or from others, e.g., episodes of deliberate self-harm, hospitalizations, losses, relapses or any other traumatic experiences, measured through verbal feedback and qualitative feedback measured at the final session, the follow-up session, using a bespoke qualitative measure. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Reliable change index and clinical statistical change measured using scoring from the following scales at assessment (baseline) and follow-up: 1.1. Generalised Anxiety Disorder Assessment (GAD-7) 1.2. Patient Health Questionnaire-9 (PHQ-9) 1.3. The Persecutory and Deservedness Scale (PaDS) 1.4. Brief Core Schema Scale (BCSS) 2. Imagery characteristics measured using an adapted Mental Imagery in Psychosis Questionnaire (MIPQ), participants rated MIPQ scores at every session. These were evaluated using visual analysis and Tau-U calculator. | — |
Countries
England, United Kingdom
Contacts
Public ContactNithura Sivarajah
Outcome results
None listed