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Attributional Style and Persecutory Delusions. Evidence for an Event Independent and State Specific External-Personal Attribution Bias for Social Situations

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Abstract

Persons with persecutory delusions display a deviant attributional style, assumed to represent an exaggerated self-serving bias relevant to delusion formation. However, recent studies question the proposed self-serving and predisposing nature and call for alternative explanations. This study compared attributions in participants with either acute primary persecutory delusions (APPD, n = 25) or past primary persecutory delusions (PPPD, n = 25) and healthy controls with high levels of subclinical paranoia (n = 25) or low levels of subclinical paranoia (n = 25) and investigated their association with self-esteem and neuro-cognitive performance. Attributions were measured with the Internal Personal and Situational Attribution Questionnaire. Delusions were assessed using the Positive and Negative Syndrome Scale and the Paranoia Checklist. Patients with APPD showed more attributions of events to other people than patients with PPPD and both healthy control groups. This bias was independent of whether the events were positive or negative. Associations between self-esteem and external-personal attributions for negative events were marginal whereas not attributing events to the situation was associated with deficits in episodic memory. These results speak for a state-specific rather than a stable attribution bias in persecutory delusions, which might also be explained by neuro-cognitive impairment.

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References

  • APA. (1994). Diagnostic and statistical manual of mental disorders DSM-IV (4th ed.). Washington DC: APA.

    Google Scholar 

  • Barch, D. M., Carter, C. S., MacDonald, A. W., Braver, T. S., & Cohen, J. D. (2003). Context-processing deficits in schizophrenia: Diagnostic specificity, 4-week course, and relationships to clinical symptoms. Journal of Abnormal Psychology, 112, 132–143.

    Article  PubMed  Google Scholar 

  • Bentall, R. P., Corcoran, R., Howard, R., Blackwood, N., & Kinderman, P. (2001). Persecutory delusions: A review and theoretical integration. Clinical Psychology Review, 21, 1143–1192.

    Article  CAS  PubMed  Google Scholar 

  • Bentall, R. P., Kinderman, P., & Kaney, S. (1994). The self, attributional processes and abnormal beliefs: Towards a models of persecutory delusions. Behaviour Research and Therapy, 32, 331–341.

    Article  CAS  PubMed  Google Scholar 

  • Diez-Alegria, C., Vazquez, C., Nieto-Moreno, M., Valiente, C., & Fuentenebro, F. (2006). Personalizing and externalizing biases in deluded and depressed patients: Are attributional biases a stable and specific characteristic of delusions? British Journal of Clinical Psychology, 45, 531–544.

    Article  PubMed  Google Scholar 

  • Dilling, H., Mombour, W., Schmidt, M. H., & Schulte-Markwort, E. (1994). Internationale Klassifikation psychischer Störungen. ICD-10 Kapitel V(F) Forschungskriterien. Bern: Hans Huber.

    Google Scholar 

  • Freeman, D., Garety, P., Kuipers, E., Fowler, D., & Bebbington, P. (2002). A cognitive model of persecutory delusions. British Journal of Clinical Psychology, 41, 331–347.

    Article  PubMed  Google Scholar 

  • Freeman, D., Garety, P. A., Bebbington, P. E., Smith, B., Rollinson, R., Fowler, D., et al. (2005). Psychological investigation of the structure of paranoia in a non-clinical population. British Journal of Psychiatry, 186, 427–435.

    Article  PubMed  Google Scholar 

  • Garety, P., & Freeman, D. (1999). Cognitive approaches to delusions: A critical review of theories and evidence. British Journal of Clinical Psychology, 38, 113–154.

    Article  PubMed  Google Scholar 

  • Gilbert, D. T., Peljham, B. W., & Krull, D. S. (1988). On cognitive busyness: When person perceivers meet persons perceived. Attitudes and Social Cognition, 54, 733–740.

    Google Scholar 

  • Härting, C., Markowitsch, H. J., Neufeld, H., Calabrese, P., Deisinger, K., & Kessler, J. (2000). Wechsler Gedächtnistest—Revidierte Fassung (WMS-R). Bern: Verlag Hans Huber.

    Google Scholar 

  • Heinrichs, R. W., & Zakzanis, K. K. (1998). Neurocognitive deficit in schizophrenia: A quantitative review of the evidence. Neuropsychology, 12, 426–445.

    Article  CAS  PubMed  Google Scholar 

  • Horan, W. P., Reise, S. P., Subotnik, K. L., Ventura, J., & Nuechterlein, K. H. (2008). The validity of Psychosis Proneness Scales as vulnerability indicators in recent-onset schizophrenia patients. Schizophrenia Research, 100, 224–236.

    Article  PubMed  Google Scholar 

  • Humphreys, L., & Barrowclough, C. (2006). Attributional style, defensive functioning and persecutory delusions: Symptom specific or general coping strategy? British Journal of Clinical Psychology, 45, 231–246.

    Article  PubMed  Google Scholar 

  • Janca, A., & Hiller, W. (1996). ICD-10 Checklists—A tool for clinicians’ use of the ICD-10 classification of mental and behavioral disorders. Comprehensive Psychiatry, 37, 180–187.

    Article  CAS  PubMed  Google Scholar 

  • Janssen, I., Versmissen, D., Campo, J. A., Myin-Germeys, I., van Os, J., & Krabbendam, L. (2006). Attribution style and psychosis: Evidence for an externalizing bias in patients but not in individuals at high risk. Psychological Medicine, 36, 771–778.

    Article  CAS  PubMed  Google Scholar 

  • Jolley, S., Garety, P., Bebbington, P., Dunn, G., Freeman, D., Kuipers, E., et al. (2006). Attributional style in psychosis—the role of affect and belief type. Behaviour Research and Therapy, 44, 1597–1607.

    Article  PubMed  Google Scholar 

  • Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261–276.

    CAS  PubMed  Google Scholar 

  • Kinderman, P., & Bentall, R. P. (1996). A new measure of causal locus. The Internal, Personal and Situational Attributions Questionnaire. Personality and Individual Differences, 20, 261–264.

    Article  Google Scholar 

  • Kinderman, P., & Bentall, R. P. (1997). Causal attributions in paranoia and depression: Internal, personal, and situational attributions for negative events. Journal of Abnormal Psychology, 106, 341–345.

    Article  CAS  PubMed  Google Scholar 

  • Kinderman, P., Kaney, S., Morley, S., & Bentall, R. P. (1992). Paranoia and the defensive attributional style: Deluded and depressed patients’ attributions about their own attributions. British Journal of Medical Psychology, 65, 371–383.

    PubMed  Google Scholar 

  • Krstev, H., Jackson, H., & Maude, D. (1999). An investigation of attributional style in first episode psychosis. British Journal of Clinical Psychology, 38, 181–194.

    Article  PubMed  Google Scholar 

  • Lincoln, T. M., Peter, N., Schäfer, M., & Moritz, S. (2009a). The impact of stress on paranoia. An experimental investigation of moderators and mediators. Psychological Medicine, 39, 1129–1139.

    Article  CAS  PubMed  Google Scholar 

  • Lincoln, T. M., Ziegler, M., Lüllmann, E., Müller, M. J., & Rief, W. (2009b). Accordance between self- and observer rated delusions in schizophrenia. Psychiatry Research (in press).

  • McCallum, R. C. (2002). On the practice of dichotomization of quantitative variables. Psychological Methods, 7, 19–40.

    Article  Google Scholar 

  • McKay, R., Langdon, R., & Coltheart, M. (2005). Paranoia, persecutory delusions and attributional biases. Psychiatry Research, 136, 233–245.

    Article  PubMed  Google Scholar 

  • Moritz, S., Woodward, T. S., Burlon, M., Braus, D. F., & Andresen, B. (2007). Attributional style in schizophrenia: Evidence for a decreased sense of self-causation in currently paranoid patients. Cognitive Therapy and Research, 31, 371–383.

    Article  Google Scholar 

  • Peterson, C., Semmel, A., von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. P. (1982). The Attributional Style Questionnaire. Cognitive Therapy and Research, 6, 287–299.

    Article  Google Scholar 

  • Reitan, R. M. (1992). Trail making test. Manual for administration and scoring. South Tucson, Arizona: Reitan Neuropsychology Laboratory.

    Google Scholar 

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton: Princeton University Press.

    Google Scholar 

  • Sharp, H., Fear, C., & Healy, D. (1997). Attributional style and delusions: An investigation based on delusional content. European Psychiatry, 12, 1–7.

    Article  CAS  PubMed  Google Scholar 

  • Wittchen, H. U., Zaudig, M., & Fydrich, T. (1997). Strukturiertes Klinisches Interview fuer DSM-IV. Goettingen: Hogrefe.

    Google Scholar 

  • Yung, A. R., Phillips, L. J., Yuen, H. P., Francey, S. M., McFarlane, C. A., Hallgren, M., et al. (2003). Psychosis prediction: 12-Month follow up of a high-risk (prodromal) group. Schizophrenia Research, 60, 21–32.

    Article  PubMed  Google Scholar 

  • Zuckerman, M. (1979). Attribution of success and failure revisited, or the motivational bias is alive and well in attribution theory. Journal of Personality, 47, 245–287.

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Section for Clinical Psychology and Psychotherapy, Faculty of Psychology, Philipps-Universität Marburg, Gutenbergstr. 18, 35032, Marburg, Germany

    Tania M. Lincoln, Stephanie Mehl, Cornelia Exner & Winfried Rief

  2. Salus-Klinik Lindow, Strasse nach Gühlen 10, 16835, Lindow, Germany

    Johannes Lindenmeyer

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  1. Tania M. Lincoln
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  2. Stephanie Mehl
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  3. Cornelia Exner
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  4. Johannes Lindenmeyer
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  5. Winfried Rief
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Correspondence to Tania M. Lincoln.

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Lincoln, T.M., Mehl, S., Exner, C. et al. Attributional Style and Persecutory Delusions. Evidence for an Event Independent and State Specific External-Personal Attribution Bias for Social Situations. Cogn Ther Res 34, 297–302 (2010). https://doi.org/10.1007/s10608-009-9284-4

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  • DOI: https://doi.org/10.1007/s10608-009-9284-4

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