Negative Interpretation Biases Precede the Onset of Psychosis
Open accessAbstract
This study investigated whether a negative interpretation bias was present in people at high risk for psychosis. People with an At Risk Mental State (ARMS; n = 21), patients with First Episode Psychosis (FEP; n = 20), and healthy controls (n = 20) performed three tasks, each of which was designed to measure interpretation bias. Both ARMS and FEP participants showed an attenuated positive bias compared to controls. These findings extend previous results investigating interpretation bias in psychosis by showing that interpretative biases are present before the onset of psychosis, and could therefore contribute to its development. Biased interpretation mechanisms could be a new target for clinical intervention in the early phase of psychosis.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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].”
From A qualitative study of the acceptability of cognitive bias modification for paranoia (CBM-pa) in patients with psychosis (2019) · cites this paper as [15]
The available passages contain the paper’s title, bibliographic details, and keywords, including “at risk mental state,” but no findings about paranoia-relevant interpretation biases in people in the ARMS. Searches for ARMS interpretation biases and empirical evidence returned no passage that establishes the attributed claim. (LLM, conf=0.70)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987) · Schizophrenia Bulletin · doi:10.1093/schbul/13.2.261 · Cited by 21,378 · see citing works
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
(1995) · Cited by 6,909 · see citing works
Detection Theory: A User's Guide
Macmillan, N. A., & Creelman, C. D. (1991) · Cited by 5,415 · see citing works
Ekman, P. (1976) · Medical Entomology and Zoology · Cited by 4,345 · see citing works
Liebowitz, M. R. (2015) · Modern Trends in Pharmacopsychiatry · doi:10.1159/000414022 · Cited by 2,266 · see citing works
Mapping the Onset of Psychosis: The Comprehensive Assessment of At-Risk Mental States
Yung, A. R., Yung, A. R., Yuen, H. P., McGorry, P. D., Phillips, L., Kelly, D., Dell’Olio, M., Francey, S. M., Cosgrave, E., Killackey, E. J., et al. (2005) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2005.01714.x · Cited by 2,195 · see citing works
Misunderstanding analysis of covariance.
Miller, G. A., & Chapman, J. P. (2001) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.110.1.40 · Cited by 2,136 · see citing works
Sartorius, N., Jablensky, A., Korten, A., Ernberg, G., Anker, M., Cooper, J. E., & Day, R. (1986) · Psychological Medicine · doi:10.1017/s0033291700011910 · Cited by 959 · see citing works
The effects of emotion on attention: A review of attentional processing of emotional information
Yiend, J. (2010) · Cognition and Emotion · doi:10.1080/02699930903205698 · Cited by 891 · see citing works
Self-citationBlanchette, I., & Richards, A. (2009) · Cognition & Emotion · doi:10.1080/02699930903132496 · Cited by 742 · see citing works
Induced emotional interpretation bias and anxiety.
Mathews, A., & Mackintosh, B. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.4.602 · Cited by 739 · cited 1× · see citing works
“This is a common finding within the cognitive bias literature, and is usually taken to reflect the existence of a continuum between adaptive (unrealistically positive) and maladaptive (overtly negative) processing (Hirsch and Mathews, 2000; Eysenck et al., 1991).”
BackgroundParanoia and self-consciousness.
Fenigstein, A., & Vanable, P. (1992) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.62.1.129 · Cited by 643 · see citing works
Bias in interpretation of ambiguous sentences related to threat in anxiety
Eysenck, M. W., Mogg, K., May, J., Richards, A., & Mathews, A. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.2.144 · Cited by 516 · see citing works
Paranoia and self-consciousness.
Fenigstein, A., & Vanable, P. A. (1992) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.62.1.129 · Cited by 448 · see citing works
Joormann, J., & Gotlib, I. H. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.4.705 · Cited by 438 · see citing works
Cognitive deficits in schizophrenia: an updated metanalysis of the scientific evidence
Fioravanti, M., Bianchi, V., & Cinti, M. E. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-64 · Cited by 430 · see citing works
Green, C. E. L., Freeman, D., Kuipers, E., Bebbington, P., Fowler, D., Dunn, G., & Garety, P. A. (2008) · Psychological Medicine · doi:10.1017/s0033291707001638 · Cited by 401 · see citing works
A comprehensive meta-analysis of interpretation biases in depression
Everaert, J., Podina, I. R., & Koster, E. H. W. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.09.005 · Cited by 378 · see citing works
Cognitive bias modification: A review of meta-analyses
Jones, E. B., & Sharpe, L. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.07.034 · Cited by 338 · see citing works
Fusar‐Poli, P., Tantardini, M., Simone, S. D., Ramella‐Cravaro, V., Oliver, D., Kingdon, J., Kotlicka‐Antczak, M., Valmaggia, L., Lee, J., Millan, M. J., et al. (2016) · European Psychiatry · doi:10.1016/j.eurpsy.2016.09.003 · Cited by 307 · see citing works
Self-citationvan der Gaag, M., Valmaggia, L. R., & Smit, F. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.03.016 · Cited by 271 · see citing works
Impaired positive inferential bias in social phobia.
Hirsch, C. R., & Mathews, A. (2000) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.109.4.705 · Cited by 267 · see citing works
Short form of the WAIS-III for use with patients with schizophrenia
Blyler, C. R., Gold, J. M., Iannone, V. N., & Buchanan, R. W. (2000) · Schizophrenia Research · doi:10.1016/s0920-9964(00)00017-7 · Cited by 229 · see citing works
Inducing a benign interpretational bias reduces trait anxiety
Mathews, A., Ridgeway, V., Cook, E., & Yiend, J. (2007) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2006.10.011 · Cited by 171 · see citing works
Self-citationMackintosh, B., Mathews, A., Yiend, J., Ridgeway, V., & Cook, E. (2006) · Behavior Therapy · doi:10.1016/j.beth.2006.03.001 · Cited by 143 · see citing works
Self-citationCognitive impairment in schizophrenia
O’Carroll, R. E. (2000) · Advances in Psychiatric Treatment · doi:10.1192/apt.6.3.161 · Cited by 137 · see citing works
Enduring consequences of experimentally induced biases in interpretation
Yiend, J., Mackintosh, B., & Mathews, A. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.06.007 · Cited by 135 · see citing works
Self-citationVerbal self-monitoring and auditory hallucinations in schizophrenia
Johns, L., & McGuire, P. K. (1999) · The Lancet · doi:10.1016/s0140-6736(98)05288-x · Cited by 121 · see citing works
Self-citationBarkl, S. J., Lah, S., Harris, A., & Williams, L. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.07.049 · Cited by 118 · see citing works
Quantifying Support for the Null Hypothesis in Psychology: An Empirical Investigation
Aczél, B., Pálfi, B., Szollosi, A., Kovács, M., Szászi, B., Szécsi, P., Zrubka, M., Gronau, Q. F., van den Bergh, D., & Wagenmakers, E. (2018) · Advances in Methods and Practices in Psychological Science · doi:10.1177/2515245918773742 · Cited by 111 · see citing works
The mental control of depression: Psychological obstacles to emotional well-being.
Wenzlaff, R. M. (1993) · Cited by 82 · see citing works
Magnitude of negative interpretation bias depends on severity of depression.
Lee, J.-S., Mathews, A., Shergill, S., & Yiend, J. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.05.007 · Cited by 81 · see citing works
Self-citationImproving cognitive treatments for delusions
Freeman, D. H. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.08.012 · Cited by 80 · see citing works
Hauser, M., Zhang, J., Sheridan, E. M., Burdick, K. E., Mogil, R. S., Kane, J. M., Auther, A. M., Carrión, R. E., Cornblatt, B. A., & Correll, C. U. (2017) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.15r10197 · Cited by 80 · see citing works
Yiend, J., Lee, J.-S., Tekes, S., Atkins, L., Mathews, A., Vrinten, M., Ferragamo, C., & Shergill, S. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-013-9571-y · Cited by 73 · see citing works
Self-citationIacoviello, B. M., Alloy, L. B., Abramson, L. Y., & Choi, J. Y. (2010) · Journal of Abnormal Psychology · doi:10.1037/a0020114 · Cited by 62 · see citing works
Mechanisms of selective attention in generalized anxiety disorder
Yiend, J., Mathews, A., Burns, T., Dutton, K., Fernández-Martín, A., Georgiou, G. A., Luckie, M., Rose, A., Russo, R., & Fox, E. (2015) · Clinical Psychological Science · doi:10.1177/2167702614545216 · Cited by 61 · see citing works
Self-citationBiased interpretation in perfectionism and its modification
Yiend, J., Savulich, G., Coughtrey, A., & Shafran, R. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.10.004 · Cited by 59 · see citing works
Self-citationCardi, V., Corfield, F., Leppänen, J., Rhind, C., Deriziotis, S., Hadjimichalis, A., Hibbs, R., Micali, N., & Treasure, J. L. (2015) · PLoS ONE · doi:10.1371/journal.pone.0133827 · Cited by 56 · see citing works
Interpretation Biases in Paranoia
Savulich, G., Freeman, D., Shergill, S., & Yiend, J. (2015) · Behavior Therapy · doi:10.1016/j.beth.2014.08.002 · Cited by 53 · see citing works
Self-citationSavulich, G., Shergill, S. S., & Yiend, J. (2012) · Journal of Experimental Psychopathology · doi:10.5127/jep.016711 · Cited by 42 · see citing works
Self-citationNegative Self-Beliefs in Eating Disorders: A Cognitive-Bias-Modification Study
Yiend, J., Parnes, C., Shepherd, K., Roche, M.-K., & Cooper, M. J. (2014) · Clinical Psychological Science · doi:10.1177/2167702614528163 · Cited by 30 · see citing works
Self-citationInterpretation Biases in Clinical Paranoia
Savulich, G., Shergill, S. S., & Yiend, J. (2017) · Clinical Psychological Science · doi:10.1177/2167702617718180 · Cited by 26 · see citing works
Self-citationHow can we enhance cognitive bias modification techniques? The effects of prospective cognition
Lee, J.-S., Mathews, A., Shergill, S. S., Chan, D. K. Y., Majeed, N., & Yiend, J. (2015) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2015.03.007 · Cited by 23 · see citing works
Self-citationCognitive Bias Modification for paranoia (CBM-pa): study protocol for a randomised controlled trial
Yiend, J., Trotta, A., Meek, C., Dzafic, I., Baldus, N., Crane, B., Kabir, T., Stahl, D., Heslin, M., Shergill, S., et al. (2017) · Trials · doi:10.1186/s13063-017-2037-x · Cited by 22 · see citing works
Self-citationBilingual comparison of Mandarin and English cognitive bias tasks
Smith, L., Leung, W. G., Crane, B., Parkinson, B., Toulopoulou, T., & Yiend, J. (2017) · Behavior Research Methods · doi:10.3758/s13428-017-0871-0 · Cited by 14 · see citing works
Self-citationKnowles, L., & Sharma, T. (2004) · CNS Spectrums · doi:10.1017/s1092852900002765 · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Interpretation Bias in Paranoia: A Systematic Review and Meta-Analysis
Trotta, A., Kang, J., Stahl, D. R., & Yiend, J. (2020) · Clinical Psychological Science · doi:10.1177/2167702620951552 · Cited by 63 · see citing works
Self-citationWürtz, F., Zahler, L., Blackwell, S. E., Margraf, J., Bagheri, M., & Woud, M. L. (2022) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102133 · Cited by 45 · see citing works
Yiend, J., Lam, C. L. M., Schmidt, N. B., Crane, B., Heslin, M., Kabir, T., McGuire, P. K., Meek, C., Mouchlianitis, E. D., PETERS, E. R., et al. (2022) · Psychological Medicine · doi:10.1017/s0033291722001520 · Cited by 24 · see citing works
Self-citationLeung, C. J., Fosuaah, A., Frerichs, J., Heslin, M., Kabir, T., Lee, T. M. C., McGuire, P., Meek, C., Mouchlianitis, E., Nath, A. S., et al. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2215-3 · Cited by 20 · see citing works
“The final ambiguous scenarios were developed from transcripts of service users’ real-life experiences of paranoia, plus some previously validated test items [3, 4, 15].”
BackgroundMethodSelf-citationHsu, C.-W., Stahl, D. R., Mouchlianitis, E. D., PETERS, E. R., Vamvakas, G., Keppens, J., Watson, M., Schmidt, N. B., Jacobsen, P. C., McGuire, P. K., et al. (2023) · JMIR Human Factors · doi:10.2196/45453 · Cited by 12 · see citing works
Self-citationTsui, H. K. H., Luk, S. L., Hsiao, J. H., & Chan, S. K. W. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.116143 · Cited by 11 · see citing works
Williams, T. F., Walker, E. F., Strauss, G. P., Woods, S. W., Powers, A. R., Corlett, P. R., Schiffman, J. E., Waltz, J. A., Gold, J. M., Silverstein, S. M., et al. (2023) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13545 · Cited by 8 · see citing works
Biased interpretation in paranoia and its modification.
Savulich, G., Edwards, A. R., Assadi, S., Guven, H., Leathers-Smith, E., Shergill, S., & Yiend, J. (2020) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2020.101575 · Cited by 8 · see citing works
Self-citationWang, S., Chong, Z., Yi, M., Zhang, Z., & Xu, W. (2026) · BMC Psychology · doi:10.1186/s40359-026-04501-w · Cited by 1 · see citing works
Examining clinical relevance of interpretation inflexibility in social contexts
Deng, W., Zabag, R., Narain, S., Cannon, T. D., & Joormann, J. (2026) · Annals of General Psychiatry · doi:10.1186/s12991-026-00683-0 · Cited by 1 · see citing works
Changes of intuition in paranoid personality disorder
Jacobs, K. A. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1307629 · Cited by 1 · see citing works
Eid, L., Kenny, A., Taher, R., Jacobsen, P. C., Hsu, C.-W., & Yiend, J. (2025) · JMIR Human Factors · doi:10.2196/70181 · Cited by 2 · see citing works
Self-citationAguiar, E., Martins, C., & Castelo-Branco, M. S. (2026) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2026.106735
Manzoni, D., Benner, J., Velthorst, E., Crafa, D., Tripoli, G., Valero, R. E. J., D'Andrea, G., Quattrone, D., Ferraro, L., Bernardo, M., et al. (2026) · Schizophrenia Research · doi:10.1016/j.schres.2026.09.011
- Authors
- Yiend, J., Allen, P., Lopez, N. D., Falkenberg, I., Tseng, H.-H., & McGuire, P.
- Affiliations
- King's College London (GB)
- Philipps University of Marburg (DE)
- Corresponding author
- Yiend, Jenny
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2019-07
- Volume
- 50
- Issue
- 4
- Pages
- 718-731
- ISSN
- 0005-7894 (ISSN-L)
- OpenAlex
- W2901751313
- Cited by
- 14
- References
- 49
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2020: 2 · 2019: 1
- FWCI
- 0.59
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- Locations
- Behavior Therapy (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, cc-by-nc-nd)
- Funders
- National Institute for Health and Care Research
- 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
- interpretation bias, negative interpretation bias, psychosis, clinical high risk for psychosis, first-episode psychosis, transition to psychosis, cognitive biases, early intervention
- MeSH terms
- Adult, Female, Humans, Male, Psychotic Disorders, Bias
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review