Efficacy of psychological interventions targeting cognitive biases in schizophrenia: A systematic review and meta-analysis

Sauvé, Geneviève; Lavigne, Katie M.; Pochiet, Gabrielle; Brodeur, Mathieu B.; Lepage, Martín

doi:10.1016/j.cpr.2020.101854

Cited by 49 publications

(49 citation statements)

References 88 publications

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“…A recent meta-analysis examining the effectiveness of psychological interventions targeting loneliness revealed a significant small-to-moderate effect in reducing loneliness across various clinical populations (Hickin et al, 2021). Additionally, small to moderate beneficial effects were found for reducing cognitive bias in SCZ in another meta-analysis of 15 distinct types of interventions (Sauvé, Lavigne, Pochiet, Brodeur, & Lepage, 2020). When considered with the results of the current study, measures would provide valuable collateral information and improve our understanding of the observable impact of loneliness on social functioning (Buck et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

Social cognitive bias increases loneliness both directly and by decreasing social connection in patients with schizophrenia.

Okruszek¹,

Piejka²,

Chrustowicz³

et al. 2022

Preprint

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While considerable emphasis has been put on investigating the mechanisms that drive reduced social connection in patients with schizophrenia (SCZ), recent studies have increasingly focused on the issue of loneliness in SCZ. Both social cognitive bias and self-reported empathy predict loneliness in non-clinical populations, the current study, therefore, aims to examine the relationship between loneliness, reduced social connection and social cognitive biases, and self-reported empathy in SCZ. Ninety-three adult SCZ and sixty-six matched healthy individuals completed a battery of questionnaires measuring loneliness and social connection (Revised-UCLA Loneliness scale, Lubben Social Network Scale, Social Disconnectedness Scale), cognitive biases (Ambiguous Intentions Hostility Questionnaire (AIHQ); Davos Assessment of Cognitive Biases Scale (DACOBS), Cognitive Biases Questionnaire for psychosis, CBQp) and self-reported empathy (Interpersonal Reactivity Index, IRI). Significant predictors of loneliness in SCZ were entered into two latent variables (“Social Threat Bias”, “Social Connection”), and structural equation modeling was used to explore the direct and indirect relationships between Social Threat Bias and loneliness in SCZ. Patients reported higher levels of loneliness, cognitive biases, and personal distress compared to controls. Furthermore, SCZ reported less social connection and perspective-taking compared to controls. AIHQ Blame Score, CBQp Threatening Events, DACOBS, and IRI Personal Distress were significantly associated with loneliness in SCZ. SEM modeling revealed that Social Threat Bias was linked to increased loneliness in SCZ both directly and indirectly via a decreased social connection. The results of the current study suggest that social threat bias should be considered while planning the interventions aimed to reduce loneliness in schizophrenia.

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Section: Resultsmentioning

confidence: 99%

Social cognitive bias increases loneliness both directly and by decreasing social connection in patients with schizophrenia.

Okruszek¹,

Piejka²,

Chrustowicz³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…148 Potentially promising examples of this type of research are interventions (eg, metacognitive training 149 and reasoning training 150 ) that are specifically tailored to address various cognitive biases; although effects at present remain similar to traditional CBT. 151,152 From a phenomenological perspective, however, focusing on single symptoms will only alter therapeutic success when accompanied by a more thorough reconsideration of the therapeutic fit of CBT interventions with the actual phenomenological nature of delusional experience in schizophrenia. As noted previously, delusions are best understood when grasped within the larger psychopathological context in which they take root and are actually experienced.…”

Section: Reviewmentioning

confidence: 99%

Delusions beyond beliefs: a critical overview of diagnostic, aetiological, and therapeutic schizophrenia research from a clinical-phenomenological perspective

Feyaerts

Henriksen

Vanheule

et al. 2021

The Lancet Psychiatry

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“…Biased information processing has been implicated in the development and maintenance of psychopathological symptoms across very different psychiatric disorders. What is even more important, studies have successfully demonstrated that the cognitive approach is clinically useful showing that cognitive interventions ameliorate cognitive biases and that these changes often transfer to symptom reduction (2,3).…”

Section: Editorial On the Research Topic The Relationship Between Cognitive Biases And Psychosis: Searching For Mechanismsmentioning

confidence: 99%

Editorial: The Relationship Between Cognitive Biases and Psychosis: Searching for Mechanisms

et al. 2021

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Efficacy of psychological interventions targeting cognitive biases in schizophrenia: A systematic review and meta-analysis

Cited by 49 publications

References 88 publications

Social cognitive bias increases loneliness both directly and by decreasing social connection in patients with schizophrenia.

Social cognitive bias increases loneliness both directly and by decreasing social connection in patients with schizophrenia.

Delusions beyond beliefs: a critical overview of diagnostic, aetiological, and therapeutic schizophrenia research from a clinical-phenomenological perspective

Editorial: The Relationship Between Cognitive Biases and Psychosis: Searching for Mechanisms

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