Cited by 53Schizophrenia research and treatmentAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health and Psychiatry

Interpretation Biases in Paranoia

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Savulich, George, Freeman, Daniel, Shergill, Sukhi, Yiend, Jenny·2015·Behavior Therapy

Abstract

Information in the environment is frequently ambiguous in meaning. Emotional ambiguity, such as the stare of a stranger, or the scream of a child, encompasses possible good or bad emotional consequences. Those with elevated vulnerability to affective disorders tend to interpret such material more negatively than those without, a phenomenon known as "negative interpretation bias." In this study we examined the relationship between vulnerability to psychosis, measured by trait paranoia, and interpretation bias. One set of material permitted broadly positive/negative (valenced) interpretations, while another allowed more or less paranoid interpretations, allowing us to also investigate the content specificity of interpretation biases associated with paranoia. Regression analyses (n=70) revealed that trait paranoia, trait anxiety, and cognitive inflexibility predicted paranoid interpretation bias, whereas trait anxiety and cognitive inflexibility predicted negative interpretation bias. In a group comparison those with high levels of trait paranoia were negatively biased in their interpretations of ambiguous information relative to those with low trait paranoia, and this effect was most pronounced for material directly related to paranoid concerns. Together these data suggest that a negative interpretation bias occurs in those with elevated vulnerability to paranoia, and that this bias may be strongest for material matching paranoid beliefs. We conclude that content-specific biases may be important in the cause and maintenance of paranoid symptoms.

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Crossref · 10.1016/j.beth.2014.08.002

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  • Such interpretation bias results in overexposure to negative information, which leads to the confirmation of persecutory beliefs, and in turn reinforces the pathological state.

    “Such interpretation bias results in overexposure to negative information, which leads to the confirmation of persecutory beliefs, and in turn reinforces the pathological state [3, 4].”
  • CBM-pa was developed based on previous empirical evidence of the presence of paranoia-relevant interpretation biases in people with clinical and subclinical paranoia as well as in those in the At Risk Mental State (ARMS).

    “CBM-pa was developed based on previous empirical evidence of the presence of paranoia-relevant interpretation biases in people with clinical [3] and subclinical [4] paranoia as well as in those in the At Risk Mental State (ARMS) [15].”

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Authors
Savulich, G., Freeman, D., Shergill, S., & Yiend, J.
Affiliations
  • King's College London (GB)
  • University of Oxford (GB)
Corresponding author
Savulich, George
Venue
Behavior Therapy
Publisher
Elsevier BV
Published
2015-01
Volume
46
Issue
1
Pages
110-124
ISSN
0005-7894 (ISSN-L)
OpenAlex
W2059221869
Cited by
53
References
86
Citations by year
2026: 2 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 4 · 2021: 1 · 2020: 5 · 2019: 11 · 2018: 10 · 2017: 5 · 2016: 1
FWCI
1.53
Type
journal article
Language
en
Open access
Locations
  • Behavior Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • Apollo (University of Cambridge) (submittedVersion, cc-by-nc-nd)
  • Apollo
Funders
National Institute for Health and Care Research (RP-2014-05-003)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords
paranoia, interpretation bias, negative interpretation bias, trait anxiety, cognitive inflexibility, psychosis vulnerability, content specificity, emotional ambiguity, paranoid ideation
MeSH terms
Adult, Anxiety, Cognition Disorders, Emotions, Facial Expression, Female, Humans, Male, Neuropsychological Tests, Paranoid Disorders, Psychomotor Performance, Psychotic Disorders, Social Perception, Young Adult

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