Dissociative and metacognitive factors in hallucination-proneness when controlling for comorbid symptoms

Varese, Filippo; Barkus, Emma; Bentall, Richard P.

doi:10.1080/13546805.2010.495244

Cited by 60 publications

(64 citation statements)

References 56 publications

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“…The findings are consistent with previous tests of the measure in a smaller clinical sample and non-patient groups Morrison et al, 2005). The findings also add to a growing body of evidence for the role of metacognition in paranoia (Freeman and Garety, 1999;Laroi and Van der Linden, 2005;Morrison and Wells, 2003;Varese et al, 2011).…”

Section: Findings In Relation To Previous Studiessupporting

confidence: 89%

“…This suggests that the distress caused by a persecutory delusion is not simply due to the content of paranoid thoughts per se (Freeman and Garety, 1999) but also depends on how people relate and respond to their psychotic experiences (Chadwick, 2014). In non-clinical samples, positive beliefs about worry and negative beliefs about the uncontrollability of thoughts were associated with paranoid ideation (Laroi and Van der Linden, 2005;Varese et al, 2011). Furthermore, positive and negative metacognitions were found to be elevated among people with persecutory delusions (Morrison and Wells, 2003).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Beliefs about Paranoia Scale: Confirmatory factor analysis and tests of a metacognitive model of paranoia in a clinical sample

Murphy

Tully

Pyle

et al. 2017

Psychiatry Research

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This study aimed to confirm the factor structure of the Beliefs about Paranoia Scale (BaPS), a self-report measure to assess metacognitive beliefs about paranoia, and to test hypotheses of a metacognitive model. We hypothesised that positive and negative beliefs about paranoia would be associated with severity of suspiciousness, and that the cooccurrence of positive and negative beliefs would be associated with increased suspiciousness. A total of 335 patients meeting criteria for a schizophrenia spectrum disorder completed the BaPS, the Positive and Negative Syndromes Scale (PANSS), and the Psychotic Symptom Rating Scales (PSYRATS). Confirmatory factor analysis verified that the three BaPS subscales (negative beliefs about paranoia, paranoia as a survival strategy, and normalizing beliefs) were an adequate fit of the data. Ordinal regression showed that positive beliefs about paranoia as a survival strategy and negative beliefs were both associated with severity of suspiciousness. This was the first study to show that the cooccurrence of positive and negative beliefs was associated with increased suspiciousness.All hypotheses were confirmed, suggesting that a metacognitive approach has utility for the conceptualization of paranoia. Clinical implications suggest a role for metacognitive therapy, including strategies such as detached mindfulness and worry postponement.

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Section: Findings In Relation To Previous Studiessupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

The Beliefs about Paranoia Scale: Confirmatory factor analysis and tests of a metacognitive model of paranoia in a clinical sample

Murphy

Tully

Pyle

et al. 2017

Psychiatry Research

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show abstract

“…auditory hallucinations) as previous models suggested (Morrison, Haddock, & Tarrier, 1995). Instead there is emerging evidence that metacognitive beliefs may be a general vulnerability factor to psychological disorder and that metacognitive beliefs (and associated CAS activity) may influence symptom maintenance, help-seeking and distress (Hill, Varese, Jackson, & Linden, 2012;Varese, Barkus, & Bentall, 2011).…”

Section: Introductionmentioning

confidence: 96%

A meta-analysis of metacognitive beliefs as implicated in the self-regulatory executive function model in clinical psychosis

Sellers

Varese

Wells

et al. 2017

Schizophrenia Research

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This meta-analysis investigated whether the five metacognitive beliefs implicated in the Self-Regulatory Executive Function (S-REF) model (Wells & Matthews, 1994;Wells & Matthews, 1996) are elevated in people with clinical psychosis compared to people with emotional disorder and non-psychiatric controls. The review followed guidance set-out in the PRISMA statement. Primary analyses compared summary effect sizes on each sub-scale of the Metacognitions Questionnaire (MCQ) for people with psychosis and non-psychiatric controls; and people with psychosis and people with emotional disorder. Eleven eligible studies were identified comprised of 568 psychosis participants, 212 emotional disorder participants and 776 nonpsychiatric controls. Findings indicated that people with psychosis had higher scores on all sub-scales of the MCQ compared to non-psychiatric controls; and higher scores on the positive beliefs about worry sub-scale compared to people with emotional disorder. This suggests metacognitive beliefs may be associated with the presence of psychological disorder and distress in general, rather than specific diagnoses. Implications for models of psychosis and treatment are discussed.

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“…Many authors have argued that dissociation accounts for the relationship between trauma and voice hearing (Longden et al, 2012;Moskowitz & Corstens, 2007;Varese, Barkus, & Bentall, 2011;Varese, Barkus, & Bentall, 2012). Dissociation typically refers to a 'lack of normal integration of thoughts, feelings and experiences into the stream of consciousness and memory' (Bernstein & Putnam, 1986, p.727), and common presentations include amnesia, imaginative involvement, absorption, depersonalisation and derealisation.…”

Section: Does Dissociation Mediate Voice Hearing?mentioning

confidence: 99%

Hearing voices, dissociation, and the self: A functional-analytic perspective

McEnteggart

Barnes‐Holmes

Dillon

et al. 2016

Journal of Trauma & Dissociation

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Dissociative and metacognitive factors in hallucination-proneness when controlling for comorbid symptoms

Abstract: These results clarify previous research on metacognitive dysfunction in hallucination-proneness, and highlight the importance of controlling for the covariation among symptoms when investigating the cognitive processes underlying psychotic experiences.

Cited by 60 publications

References 56 publications

The Beliefs about Paranoia Scale: Confirmatory factor analysis and tests of a metacognitive model of paranoia in a clinical sample

The Beliefs about Paranoia Scale: Confirmatory factor analysis and tests of a metacognitive model of paranoia in a clinical sample

A meta-analysis of metacognitive beliefs as implicated in the self-regulatory executive function model in clinical psychosis

Hearing voices, dissociation, and the self: A functional-analytic perspective

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