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Evaluating a Values-Based Intervention for Adolescence with High Nonclinical Paranoia: A Schools-Based Randomised Control Trial.

Authors :
Parker, A.
Kingston, J.
Source :
Cognitive Therapy & Research. Jun2022, Vol. 46 Issue 3, p620-628. 9p. 1 Diagram, 1 Chart.
Publication Year :
2022

Abstract

Background: Paranoia in adolescents is common, but research on attenuating it is scarce. Focusing on values and enhancing value-based acts is a low intensity method for attenuating paranoia in adults. This randomised trial compared a brief (30-min, self-directed) values-plus-goals intervention to an active control for adolescents with high nonclinical paranoia (Paranoia Scale ≥ 53), delivered in schools. The study also investigated the role of self-esteem. Methods: Ninety adolescents were randomly assigned to condition. Paranoia (primary outcome) and self-esteem (potential mediator) were assessed at baseline (T1), and two- (T2) and six-weeks (T3) after baseline. Results: Results were analysed using intention to treat (ITT) and per protocol (PP) analysis. Using ITT analysis, the Condition*Time interaction was significant (F(2, 168) = 3.98, p =.02), paranoia was significantly lower at T3 following values-plus-goals as compared to control (d = 0.64). Differences were not significant using per protocol analysis (F(2, 106) = 1.61, p =.21). The between group effect size at T3 was (d = 0.61). The Condition*Time interaction for self-esteem was not significant (F(2, 112) = 2.86, p =.06). Conclusions: Tentatively, findings suggest that a brief values-plus-goals intervention can reduce paranoia in adolescents relative to an active control. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
01475916
Volume :
46
Issue :
3
Database :
Academic Search Index
Journal :
Cognitive Therapy & Research
Publication Type :
Academic Journal
Accession number :
156898098
Full Text :
https://doi.org/10.1007/s10608-021-10278-6