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Differential relationship of jumping-to-conclusions and incorrigibility with delusion severity.

TitleDifferential relationship of jumping-to-conclusions and incorrigibility with delusion severity.
Publication TypeJournal Article
Year of Publication2018
AuthorsAndreou, C., Veckenstedt R., Lüdtke T., Bozikas V. P., & Moritz S.
JournalPsychiatry Res
Volume264
Pagination297-301
Date Published2018 Jun
ISSN1872-7123
Abstract

Reasoning biases such as jumping-to-conclusions (JTC) and incorrigibility have been suggested to contribute to the generation and maintenance of delusions. However, it is still debated whether these biases represent stable traits of patients with delusions, or are related to state fluctuations of delusion severity. The present study aimed to elucidate this question by combining a cross-sectional with a longitudinal approach. JTC, incorrigibility and delusion severity were assessed in 79 patients with a history of delusions over a 6-month period. To allow for a differentiated look into effects of time vs. symptom changes, patients were divided into patients with (D+) and without (D-) current delusions at baseline. Significant improvement of delusions was noted in D+ at follow-up. JTC did not differ between the two patient groups either at baseline or over time. In contrast, incorrigibility was significantly higher in D+ than D- at baseline; this difference remained stable throughout the 6-month follow-up period. The two biases did not significantly co-vary over time. Our results suggest a dissociation between incorrigibility and JTC as regards their relation to current presence of delusions, and tentatively support theoretical accounts attributing different roles to the two biases in the generation (JTC) and maintenance (incorrigibility) of delusions.

DOI10.1016/j.psychres.2018.04.014
Alternate JournalPsychiatry Res
PubMed ID29660572

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