How Do Individuals with Persecutory Delusions Bring Worry to a Close? An Interpretive Phenomenological Analysis

Background: Worry is a significant problem for individuals with paranoia, leading to delusion persistence and greater levels of distress. There are established theories concerning processes that maintain worry but little has been documented regarding what brings worry to a close. Aims: The aim was t...

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Veröffentlicht in:Behavioural and cognitive psychotherapy Jg. 43; H. 4; S. 465 - 477
Hauptverfasser: Startup, Helen, Pugh, Katherine, Cordwell, Jacinta, Kingdon, David, Freeman, Daniel
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Cambridge, UK Cambridge University Press 01.07.2015
Schlagworte:
Adult
Anxiety - psychology
Cognitive Behavioral Therapy - methods
Delusional disorder
Delusions
Delusions - psychology
Female
Humans
Interviews
Male
Middle Aged
Paranoia
Paranoid Behavior - psychology
Psychiatric Status Rating Scales
Psychosis
Reality Testing
Schizophrenia
Schizophrenia, Paranoid - psychology
Social Support
Worry
worry
Paranoia
persecutory delusions
ISSN:1352-4658, 1469-1833, 1469-1833
Online-Zugang:Volltext
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Zusammenfassung:Background: Worry is a significant problem for individuals with paranoia, leading to delusion persistence and greater levels of distress. There are established theories concerning processes that maintain worry but little has been documented regarding what brings worry to a close. Aims: The aim was to find out what patients with persecutory delusions report are the factors that bring a worry episode to an end. Method: Eight patients with persecutory delusions who reported high levels of worry participated. An open-ended semi-structured interview technique and IPA qualitative analysis was employed to encourage a broad elaboration of relevant constructs. Results: Analyses revealed one theme that captured participants’ detailed descriptions of their experience of worry and five themes that identified factors important for bringing worry episodes to a close: natural drift, distraction, interpersonal support, feeling better, and reality testing. Conclusions: Patients with persecutory delusions report worry being uncontrollable and distressing but are able to identify ways that a period of worry can stop. The present study suggests that building on individuals’ distraction techniques, reality testing ability and their social support network could be of benefit. Research is needed to identify the most effective means of bringing paranoid worries to an end.
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SourceType-Scholarly Journals-1
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ISSN:1352-4658
1469-1833
1469-1833
DOI:10.1017/S1352465813001136