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Cognitive bias and unusual experiences in childhood
Hassanali, Nedah Ruffell, Tamatha Browning, Sophie Bracegirdle, Karen Ames, Catherine Corrigall, Richard Laurens, Kristin Hirsch, Colette Kuipers, Elizabeth Maddox, Lucy
Hassanali, Nedah
Ruffell, Tamatha
Browning, Sophie
Bracegirdle, Karen
Ames, Catherine
Corrigall, Richard
Laurens, Kristin
Hirsch, Colette
Kuipers, Elizabeth
Maddox, Lucy
Abstract
Abstract Cognitive therapy is recommended for children with psychotic-like, or unusual, experiences associated with distress or impairment (UEDs, UK National Institute for Health and Care Excellence, 2013 [1]). Accurate models of the psychological underpinnings of childhood UEDs are required to effectively target therapies. Cognitive biases, such as the jumping to conclusions data-gathering bias (JTC), are implicated in the development and maintenance of psychosis in adults. In this study, we aimed to establish the suitability for children of a task developed to assess JTC in adults. Eighty-six participants (aged 5–14 years) were recruited from Child and Adolescent Mental Health Service (CAMHS) and community (school) settings, and completed the probabilistic reasoning (‘Beads’) task, alongside measures of intellectual functioning, general psychopathology, and UEDs. Self-reported reasoning strategy was coded as ‘probabilistic’ or ‘other’. Younger children (5–10 years) were more likely than older children (11–14 years) to JTC (OR = 2.7, 95 % CI = 1.1–6.5, p = 0.03), and to use non-probabilistic reasoning strategies (OR = 9.4, 95 % CI = 1.7–48.8, p = 0.008). Both UED presence (OR = 5.1, 95 % CI = 1.2–21.9, p = 0.03) and lower IQ (OR = 0.9, 95 % CI = 0.9–1.0, p = 0.02) were significantly and independently associated with JTC, irrespective of age and task comprehension. Findings replicate research in adults, indicating that the ‘Beads’ task can be reliably employed in children to assess cognitive biases. Psychological treatments for children with distressing unusual experiences might usefully incorporate reasoning interventions.
Keywords
psychotic-like experiences, PLEs, reasoning, jumping to conclusions, JTC, cognitive therapy
Date
2015
Type
Journal article
Journal
European Child and Adolescent Psychiatry
Book
Volume
24
Issue
8
Page Range
949-957
Article Number
ACU Department
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled