Attributions, appraisals and attention for symptoms in depersonalisation disorder
Abstract
A cognitive-behavioural model of depersonalisation disorder (DPD) suggests that catastrophic attributions and appraisals, and increased attention to symptoms, play important roles in the development and maintenance of the disorder. Empirical testing of this model was investigated in three groups: 25 patients with DPD, 21 patients with anxiety (obsessive-compulsive or panic disorder), and 22 psychiatrically healthy participants. Task 1 examined attributions for ambiguous symptoms. Task 2 used a questionnaire to compare the groups on the content, frequency, and conviction in appraisals when participants worried about their health. Task 3 employed four experimental manipulations designed to either increase, or decrease, attention to catastrophic appraisals and/or symptoms of DPD. Results indicate that the DPD group make less normalising attributions for symptoms (Task 1) and have more catastrophic appraisals (Task 2) than those in the Healthy Control group. The DPD and Anxiety groups were similar in their patterns of appraisals and attributions. In Task 3, the DPD group showed a perceived reduction in DPD severity when their attention was focussed on cognitively demanding tasks, whereas the other two groups showed an increase. The findings are consistent with the hypothesis that these cognitive processes play an important role in the development and maintenance of DPD.
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Experimental research provides support for the influence of cognitive processes of attention, catastrophic appraisals and attribution biases in DPD.
“Experimental research provides support for the influence of cognitive processes of attention, catastrophic appraisals and attribution biases in DPD [21].”
From A brief CBT intervention for depersonalisation/derealisation in psychosis: Study protocol for a feasibility randomised controlled trial (2016) · cites this paper as [21]
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- Authors
- Hunter, E. C. M., Salkovskis, P. M., & David, A. S.
- Affiliations
- King's College London (GB)
- University of Bath (GB)
- Corresponding author
- Hunter, Elaine C.M.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2014-02
- Volume
- 53
- Pages
- 20-29
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2158925236
- Cited by
- 39
- References
- 55
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 5 · 2014: 1
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Medical Research Council (MR/J004162/1)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive-behavioral model, obsessive-compulsive disorder, panic disorder, health anxiety
- MeSH terms
- Adult, Attention, Cognition, Depersonalization, Female, Humans, Male, Middle Aged, Models, Psychological, Obsessive-Compulsive Disorder, Surveys and Questionnaires, Social Perception, Case-Control Studies, Panic Disorder, Young Adult
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