of psychological responses to anomalies associated with psychosis. Valmaggia, L R & McGUIRE, P ZSCC: 0000101
abstract   bibtex   
Background Cognitive models of psychosis suggestthat whether anomalous experiences lead to clinically relevant psychotic symptoms depends on how they are appraised, the context in which they occur and the individual’s emotional response. Aims To develop and validate a semistructured interview (the Appraisals of Anomalous Experiences Interview; AANEX) to assess (a) anomalous experiences and (b) appraisal, contextual and response variables. Method Following initial piloting, construct validity was tested via crosssectional comparison of data from clinical and non-clinical samples with anomalous experiences.Interrater reliability was also assessed. Results Scores from AANEX measuringappraisals, responses and social support differentiated the clinical and nonclinical groups.Interrater reliability was satisfactory for 65 ofthe 71items.Sixitems were subsequently amended. The cognitive model of psychosis proposed by Garety et al (2001) is a multidimensional model encompassing cognitive disturbances, emotional response and arousal, search for meaning, and social factors. Like other psychological models of psychotic symptoms (Bentall, 1990; Morrison, 2001) it postulates a defining role for appraisals in determining the transition from anomalous experiences, reported in otherwise healthy people (Johns & van Os, 2001), to full-blown psychosis. Multidimensional assessments of anomalous experiences and their appraisals, as well as the individuals’ emotional, cognitive and behavioural responses to such experiences, are necessary to test the hypotheses generated by such models. The Appraisals of Anomalous Experiences Interview (AANEX) was therefore developed to measure psychotic-like experiences, and psychological and contextual variables relevant to individuals’ interpretations and responses to them. The present study describes the AANEX and steps taken to validate it by comparing individuals reporting anomalous experiences with and Table 1 Demographic details of groups METHOD Sample The sample consisted of three groups of participants reporting anomalous experiences associated with psychosis: (a) individuals with a DSM–IV (American Psychiatric Association, 1994) diagnosis of a psychotic disorder (‘diagnosed group’ n¼35), (b) help-seeking individuals meeting criteria for an ‘at risk mental state’ (n¼21), and (c) individuals who had never received treatment for a diagnosis of psychotic disorder but had at least occasional experiences of any Schneiderian first-rank symptom (‘undiagnosed group’ n¼35). Table 1 summarises the demographic features of the three groups. The diagnosed group included 14 people recruited from an in-patient unit and linked community team specialising in the treatment of people with a first or second episode of psychosis (Lambeth Early Onset Team, LEO), and 21 people recruited via a specialist tertiary service providing psychological interventions for out-patients with psychosis (Psychological Intervention Clinic for Outpatients with Psychosis; PICuP), both in the South London and Maudsley Trust, UK. The group with at-risk mental state was recruited through Outreach and Support in South London (OASIS), also based in the South London and Maudsley Trust, a clinical service for people meeting the Personal Group Conclusions The AANEX is a valid multidimensionalinstrumentthat provides a detailed assessment of psychotic-like experiences and subjective variables relevantto the development of a need for clinical care.
@article{valmaggia_psychological_nodate,
	title = {of psychological responses to anomalies associated with psychosis},
	abstract = {Background Cognitive models of psychosis suggestthat whether anomalous experiences lead to clinically relevant psychotic symptoms depends on how they are appraised, the context in which they occur and the individual’s emotional response. Aims To develop and validate a semistructured interview (the Appraisals of Anomalous Experiences Interview; AANEX) to assess (a) anomalous experiences and (b) appraisal, contextual and response variables.
Method Following initial piloting, construct validity was tested via crosssectional comparison of data from clinical and non-clinical samples with anomalous experiences.Interrater reliability was also assessed.
Results Scores from AANEX measuringappraisals, responses and social support differentiated the clinical and nonclinical groups.Interrater reliability was satisfactory for 65 ofthe 71items.Sixitems were subsequently amended. The cognitive model of psychosis proposed by Garety et al (2001) is a multidimensional model encompassing cognitive disturbances, emotional response and arousal, search for meaning, and social factors. Like other psychological models of psychotic symptoms (Bentall, 1990; Morrison, 2001) it postulates a defining role for appraisals in determining the transition from anomalous experiences, reported in otherwise healthy people (Johns \& van Os, 2001), to full-blown psychosis. Multidimensional assessments of anomalous experiences and their appraisals, as well as the individuals’ emotional, cognitive and behavioural responses to such experiences, are necessary to test the hypotheses generated by such models. The Appraisals of Anomalous Experiences Interview (AANEX) was therefore developed to measure psychotic-like experiences, and psychological and contextual variables relevant to individuals’ interpretations and responses to them. The present study describes the AANEX and steps taken to validate it by comparing individuals reporting anomalous experiences with and Table 1 Demographic details of groups METHOD Sample The sample consisted of three groups of participants reporting anomalous experiences associated with psychosis: (a) individuals with a DSM–IV (American Psychiatric Association, 1994) diagnosis of a psychotic disorder (‘diagnosed group’ n¼35), (b) help-seeking individuals meeting criteria for an ‘at risk mental state’ (n¼21), and (c) individuals who had never received treatment for a diagnosis of psychotic disorder but had at least occasional experiences of any Schneiderian first-rank symptom (‘undiagnosed group’ n¼35). Table 1 summarises the demographic features of the three groups. The diagnosed group included 14 people recruited from an in-patient unit and linked community team specialising in the treatment of people with a first or second episode of psychosis (Lambeth Early Onset Team, LEO), and 21 people recruited via a specialist tertiary service providing psychological interventions for out-patients with psychosis (Psychological Intervention Clinic for Outpatients with Psychosis; PICuP), both in the South London and Maudsley Trust, UK. The group with at-risk mental state was recruited through Outreach and Support in South London (OASIS), also based in the South London and Maudsley Trust, a clinical service for people meeting the Personal Group
Conclusions The AANEX is a valid multidimensionalinstrumentthat provides a detailed assessment of psychotic-like experiences and subjective variables relevantto the development of a need for clinical care.},
	language = {en},
	author = {Valmaggia, L R and McGUIRE, P},
	note = {ZSCC: 0000101},
	keywords = {Illness Attribution/Appraisal},
	pages = {11},
}

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