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Variation in psychosocial influences according to the dimensions and content of children’s unusual experiences: potential routes for the development of targeted interventions

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Variation in psychosocial influences according to the dimensions and content of children’s unusual experiences : potential routes for the development of targeted interventions. / Ruffell, Tamatha; Azis, Matilda; Hassanali, Nedah; Ames, Catherine; Browning, Sophie; Bracegirdle, Karen; Corrigall, Richard; Laurens, Kristin R.; Hirsch, Colette; Kuipers, Elizabeth; Maddox, Lucy; Jolley, Suzanne.

In: European Child and Adolescent Psychiatry, Vol. 24, 07.07.2015, p. 949-957.

Research output: Contribution to journalArticle

Harvard

Ruffell, T, Azis, M, Hassanali, N, Ames, C, Browning, S, Bracegirdle, K, Corrigall, R, Laurens, KR, Hirsch, C, Kuipers, E, Maddox, L & Jolley, S 2015, 'Variation in psychosocial influences according to the dimensions and content of children’s unusual experiences: potential routes for the development of targeted interventions', European Child and Adolescent Psychiatry, vol. 24, pp. 949-957. https://doi.org/10.1007/s00787-015-0739-8

APA

Ruffell, T., Azis, M., Hassanali, N., Ames, C., Browning, S., Bracegirdle, K., ... Jolley, S. (Accepted/In press). Variation in psychosocial influences according to the dimensions and content of children’s unusual experiences: potential routes for the development of targeted interventions. European Child and Adolescent Psychiatry, 24, 949-957. https://doi.org/10.1007/s00787-015-0739-8

Vancouver

Ruffell T, Azis M, Hassanali N, Ames C, Browning S, Bracegirdle K et al. Variation in psychosocial influences according to the dimensions and content of children’s unusual experiences: potential routes for the development of targeted interventions. European Child and Adolescent Psychiatry. 2015 Jul 7;24:949-957. https://doi.org/10.1007/s00787-015-0739-8

Author

Ruffell, Tamatha ; Azis, Matilda ; Hassanali, Nedah ; Ames, Catherine ; Browning, Sophie ; Bracegirdle, Karen ; Corrigall, Richard ; Laurens, Kristin R. ; Hirsch, Colette ; Kuipers, Elizabeth ; Maddox, Lucy ; Jolley, Suzanne. / Variation in psychosocial influences according to the dimensions and content of children’s unusual experiences : potential routes for the development of targeted interventions. In: European Child and Adolescent Psychiatry. 2015 ; Vol. 24. pp. 949-957.

Bibtex Download

@article{2eb9964fcea14a5f952c9bf25e2caed8,
title = "Variation in psychosocial influences according to the dimensions and content of children’s unusual experiences: potential routes for the development of targeted interventions",
abstract = "The psychosocial processes implicated in the development and maintenance of psychosis differ according to both the dimensional attributes (conviction, frequency, associated distress, adverse life impact) and the content or type (e.g. grandiosity, hallucinations, paranoia) of the psychotic symptoms experienced. This has informed the development of ‘targeted’ cognitive behavioural therapy for psychosis (CBTp): interventions focusing on specific psychological processes in the context of particular symptom presentations. In adults, larger effect sizes for change in primary outcomes are typically reported in trials of targeted interventions, compared to those for trials of generic CBTp approaches with multiple therapeutic foci. We set out to test the theoretical basis for developing targeted CBTp interventions for young people with distressing psychotic-like, or unusual, experiences (UEs). We investigated variations in the psychosocial processes previously associated with self-reported UE severity (reasoning, negative life events, emotional problems) according to UE dimensional attributes and content/type (using an established five-factor model) in a clinically referred sample of 72 young people aged 8–14 years. Regression analyses revealed associations of conviction and grandiosity with reasoning; of frequency, and hallucinations and paranoia, with negative life events; and of distress/adverse life impact, and paranoia and hallucinations, with emotional problems. We conclude that psychological targets for intervention differ according to particular characteristics of childhood UEs in much the same way as for psychotic symptoms in adults. The development of targeted interventions is therefore indicated, and tailoring therapy according to presentation should further improve clinical outcomes for these young people.",
keywords = "CBT, Cognitive model, Cognitive therapy, Psychosis, Psychotic-like experience (PLE)",
author = "Tamatha Ruffell and Matilda Azis and Nedah Hassanali and Catherine Ames and Sophie Browning and Karen Bracegirdle and Richard Corrigall and Laurens, {Kristin R.} and Colette Hirsch and Elizabeth Kuipers and Lucy Maddox and Suzanne Jolley",
year = "2015",
month = "7",
day = "7",
doi = "10.1007/s00787-015-0739-8",
language = "English",
volume = "24",
pages = "949--957",
journal = "European Child and Adolescent Psychiatry",
issn = "1018-8827",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Variation in psychosocial influences according to the dimensions and content of children’s unusual experiences

T2 - potential routes for the development of targeted interventions

AU - Ruffell, Tamatha

AU - Azis, Matilda

AU - Hassanali, Nedah

AU - Ames, Catherine

AU - Browning, Sophie

AU - Bracegirdle, Karen

AU - Corrigall, Richard

AU - Laurens, Kristin R.

AU - Hirsch, Colette

AU - Kuipers, Elizabeth

AU - Maddox, Lucy

AU - Jolley, Suzanne

PY - 2015/7/7

Y1 - 2015/7/7

N2 - The psychosocial processes implicated in the development and maintenance of psychosis differ according to both the dimensional attributes (conviction, frequency, associated distress, adverse life impact) and the content or type (e.g. grandiosity, hallucinations, paranoia) of the psychotic symptoms experienced. This has informed the development of ‘targeted’ cognitive behavioural therapy for psychosis (CBTp): interventions focusing on specific psychological processes in the context of particular symptom presentations. In adults, larger effect sizes for change in primary outcomes are typically reported in trials of targeted interventions, compared to those for trials of generic CBTp approaches with multiple therapeutic foci. We set out to test the theoretical basis for developing targeted CBTp interventions for young people with distressing psychotic-like, or unusual, experiences (UEs). We investigated variations in the psychosocial processes previously associated with self-reported UE severity (reasoning, negative life events, emotional problems) according to UE dimensional attributes and content/type (using an established five-factor model) in a clinically referred sample of 72 young people aged 8–14 years. Regression analyses revealed associations of conviction and grandiosity with reasoning; of frequency, and hallucinations and paranoia, with negative life events; and of distress/adverse life impact, and paranoia and hallucinations, with emotional problems. We conclude that psychological targets for intervention differ according to particular characteristics of childhood UEs in much the same way as for psychotic symptoms in adults. The development of targeted interventions is therefore indicated, and tailoring therapy according to presentation should further improve clinical outcomes for these young people.

AB - The psychosocial processes implicated in the development and maintenance of psychosis differ according to both the dimensional attributes (conviction, frequency, associated distress, adverse life impact) and the content or type (e.g. grandiosity, hallucinations, paranoia) of the psychotic symptoms experienced. This has informed the development of ‘targeted’ cognitive behavioural therapy for psychosis (CBTp): interventions focusing on specific psychological processes in the context of particular symptom presentations. In adults, larger effect sizes for change in primary outcomes are typically reported in trials of targeted interventions, compared to those for trials of generic CBTp approaches with multiple therapeutic foci. We set out to test the theoretical basis for developing targeted CBTp interventions for young people with distressing psychotic-like, or unusual, experiences (UEs). We investigated variations in the psychosocial processes previously associated with self-reported UE severity (reasoning, negative life events, emotional problems) according to UE dimensional attributes and content/type (using an established five-factor model) in a clinically referred sample of 72 young people aged 8–14 years. Regression analyses revealed associations of conviction and grandiosity with reasoning; of frequency, and hallucinations and paranoia, with negative life events; and of distress/adverse life impact, and paranoia and hallucinations, with emotional problems. We conclude that psychological targets for intervention differ according to particular characteristics of childhood UEs in much the same way as for psychotic symptoms in adults. The development of targeted interventions is therefore indicated, and tailoring therapy according to presentation should further improve clinical outcomes for these young people.

KW - CBT

KW - Cognitive model

KW - Cognitive therapy

KW - Psychosis

KW - Psychotic-like experience (PLE)

UR - http://www.scopus.com/inward/record.url?scp=84936816835&partnerID=8YFLogxK

U2 - 10.1007/s00787-015-0739-8

DO - 10.1007/s00787-015-0739-8

M3 - Article

VL - 24

SP - 949

EP - 957

JO - European Child and Adolescent Psychiatry

JF - European Child and Adolescent Psychiatry

SN - 1018-8827

ER -

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