Skip to content
EMDR International Association
  • About EMDR Therapy
    • What is EMDR therapy?
      • Adaptive Information Processing (AIP) Model
      • EMDR Therapy & Addiction
      • EMDR Therapy & Anxiety
      • EMDR Therapy & Childhood Trauma
      • EMDR Therapy & Depression
      • EMDR Therapy & PTSD
    • Experiencing EMDR Therapy
    • EMDR Therapy in Treatment Guidelines
    • Recent Research on EMDR Therapy
    • Find an EMDR Therapist®
  • EMDR Training
    & Education
    • EMDR Education Calendar
    • EMDR Basic Training
      • 5 Steps to Take an EMDRIA™ Approved EMDR Basic Training
      • Eligibility Requirements for EMDR Basic Training
      • EMDR Basic Training FAQs
      • Training vs Certification
      • Find an EMDR Basic Training
    • Continuing Education
      • OnDemand Education
    • EMDRIA Conference
      • Call for Presentations
      • Call for Proposal Reviewers
      • Conference Speaker Resources
    • EMDRIA Summit
      • Summit Speaker Resources
    • EMDRIA™ Digital Badges
    • EMDRIA Certified Therapist™ Application
      • How to Market Yourself as an EMDRIA Certified Therapist™
      • EMDRIA Certified Therapist™ FAQs
      • Membership vs Certification
      • EMDRIA Certified Therapist™ Renewal
    • EMDRIA Approved Consultant™ Application
      • Updating EMDRIA Approved Consultant™ Standards
      • CIT Declaration Form
      • EMDRIA Approved Consultant in Training™ FAQs
      • Consultation Packet
      • EMDRIA Approved Consultant™ Renewal
      • Consultant Day Events
    • EMDRIA Credit Provider & Program Applications
    • EMDRIA Approved Trainer™ Application
      • EMDR Basic Training Policies & Requirements
      • Standards for EMDR Basic Training
      • Trainer Day Events
  • Publications
    & Resources
    • EMDRIA Library
    • Glossary of EMDR Terms
    • Antiracism Resources
    • Online EMDR Therapy Resources
    • Focal Point Blog
      • Subscribe to Focal Point Blog
    • Go With That Magazine®
    • Journal of EMDR Practice & Research®
    • Let’s Talk EMDR Podcast
    • Toolkits & Practice Resources
      • 8 Phases Toolkit
      • Building Your EMDR Practice Toolkit
      • Client Brochures
      • Addictions Toolkit
      • Depression Toolkit
      • EMDRIA Children’s Toolkit
      • Chronic Pain Toolkit
      • Military Toolkit
      • EMDR Consultation Toolkit
    • Kits y Recursos Prácticos
      • Folletos de Terapia EMDR
      • Kit de las 8 Fases
      • Kit de la Depresión
      • Kit del Dolor Crónico
      • Kit de los Niños y Niñas
  • EMDRIA™ Membership
    • Join EMDRIA™
      • Retired Membership
      • Agency Group Membership
      • International Affiliate Organizations
    • Member Hub
    • Renew EMDRIA™ Membership
    • Membership Benefits
    • EMDRIA™ Member Account Overview
    • Directory Profile Information
    • Membership vs Certification
  • EMDRIA Online Community
    • EMDRIA Online Community
    • EMDR Topic Forums
      • Special Interest Groups
      • Topic Forums
  • About
    EMDRIA™
    • Join EMDRIA™
    • EMDRIA™ FAQs
    • Contact EMDRIA™
    • Contact Media Relations
    • Meet the Board of Directors
      • Call for Board of Directors Nominations
    • Board News and Updates
      • Annual Membership Meeting
    • EMDR International Association™ Policies
    • EMDRIA™ Awards & Winners
    • EMDRIA Foundation
FacebookTwitterLinkedin
  • Join EMDRIA™
  • Contact
  • Find an EMDR Therapist®
EMDR International Association
Log In
  • About EMDR Therapy
    • What is EMDR therapy?
      • Adaptive Information Processing (AIP) Model
      • EMDR Therapy & Addiction
      • EMDR Therapy & Anxiety
      • EMDR Therapy & Childhood Trauma
      • EMDR Therapy & Depression
      • EMDR Therapy & PTSD
    • Experiencing EMDR Therapy
    • EMDR Therapy in Treatment Guidelines
    • Recent Research on EMDR Therapy
    • Find an EMDR Therapist®
  • EMDR Training
    & Education
    • EMDR Education Calendar
    • EMDR Basic Training
      • 5 Steps to Take an EMDRIA™ Approved EMDR Basic Training
      • Eligibility Requirements for EMDR Basic Training
      • EMDR Basic Training FAQs
      • Training vs Certification
      • Find an EMDR Basic Training
    • Continuing Education
      • OnDemand Education
    • EMDRIA Conference
      • Call for Presentations
      • Call for Proposal Reviewers
      • Conference Speaker Resources
    • EMDRIA Summit
      • Summit Speaker Resources
    • EMDRIA™ Digital Badges
    • EMDRIA Certified Therapist™ Application
      • How to Market Yourself as an EMDRIA Certified Therapist™
      • EMDRIA Certified Therapist™ FAQs
      • Membership vs Certification
      • EMDRIA Certified Therapist™ Renewal
    • EMDRIA Approved Consultant™ Application
      • Updating EMDRIA Approved Consultant™ Standards
      • CIT Declaration Form
      • EMDRIA Approved Consultant in Training™ FAQs
      • Consultation Packet
      • EMDRIA Approved Consultant™ Renewal
      • Consultant Day Events
    • EMDRIA Credit Provider & Program Applications
    • EMDRIA Approved Trainer™ Application
      • EMDR Basic Training Policies & Requirements
      • Standards for EMDR Basic Training
      • Trainer Day Events
  • Publications
    & Resources
    • EMDRIA Library
    • Glossary of EMDR Terms
    • Antiracism Resources
    • Online EMDR Therapy Resources
    • Focal Point Blog
      • Subscribe to Focal Point Blog
    • Go With That Magazine®
    • Journal of EMDR Practice & Research®
    • Let’s Talk EMDR Podcast
    • Toolkits & Practice Resources
      • 8 Phases Toolkit
      • Building Your EMDR Practice Toolkit
      • Client Brochures
      • Addictions Toolkit
      • Depression Toolkit
      • EMDRIA Children’s Toolkit
      • Chronic Pain Toolkit
      • Military Toolkit
      • EMDR Consultation Toolkit
    • Kits y Recursos Prácticos
      • Folletos de Terapia EMDR
      • Kit de las 8 Fases
      • Kit de la Depresión
      • Kit del Dolor Crónico
      • Kit de los Niños y Niñas
  • EMDRIA™ Membership
    • Join EMDRIA™
      • Retired Membership
      • Agency Group Membership
      • International Affiliate Organizations
    • Member Hub
    • Renew EMDRIA™ Membership
    • Membership Benefits
    • EMDRIA™ Member Account Overview
    • Directory Profile Information
    • Membership vs Certification
  • EMDRIA Online Community
    • EMDRIA Online Community
    • EMDR Topic Forums
      • Special Interest Groups
      • Topic Forums
  • About
    EMDRIA™
    • Join EMDRIA™
    • EMDRIA™ FAQs
    • Contact EMDRIA™
    • Contact Media Relations
    • Meet the Board of Directors
      • Call for Board of Directors Nominations
    • Board News and Updates
      • Annual Membership Meeting
    • EMDR International Association™ Policies
    • EMDRIA™ Awards & Winners
    • EMDRIA Foundation

Changes in posttraumatic cognitions mediate the effects of trauma-focused therapy on paranoia (Schizophrenia Bulletin Open)

Article-FeaturedImage

Home / Resources / Psychosis/Schizophrenia / Changes in posttraumatic cognitions mediate the effects of trauma-focused therapy on paranoia (Schizophrenia Bulletin Open)

Changes in posttraumatic cognitions mediate the effects of trauma-focused therapy on paranoia

Evidence suggests that in individuals with psychosis, paranoia is reduced after trauma-focused therapy aimed at comorbid PTSD.


Article Abstract 

“Background: Evidence suggests that in individuals with psychosis, paranoia is reduced after trauma-focused therapy (TFT) aimed at comorbid posttraumatic stress disorder (PTSD).

Objective: To identify mediators of the effect of TFT on paranoia.

Method: In a multicenter single-blind randomized controlled trial 155 outpatients in treatment for psychosis were allocated to 8 sessions Prolonged Exposure (PE; n = 53), 8 sessions Eye Movement Desensitization and Reprocessing (EMDR) therapy (n = 55), or a waiting-list condition (WL; n = 47) for treatment of comorbid PTSD. Measures were performed on (1) paranoia (GPTS); (2) DSM-IV-TR PTSD symptom clusters (CAPS-IV; ie, intrusions, avoidance, and hyperarousal); (3) negative posttraumatic cognitions (PTCI; ie, negative self posttraumatic cognitions, negative world posttraumatic cognitions and self-blame); (4) depression (BDI-II); and (5) cognitive biases (ie, jumping to conclusion, attention to threat, belief inflexibility, and external attribution), cognitive limitations (ie, social cognition problems and subjective cognitive problems), and safety behaviors (DACOBS). Outcome in terms of symptoms of paranoia (1) and potential mediators (2–5) were evaluated at posttreatment, controlling for baseline scores.

Results: The effects of TFT on paranoia were primarily mediated by negative self and negative world posttraumatic cognitions, representing almost 70% of the total indirect effect. Safety behaviors and social cognition problems were involved in the second step mediational pathway models.

Conclusions: Targeting the cognitive dimension of PTSD in TFT in psychosis could be an effective way to influence paranoia, whereas addressing safety behaviors and social cognition problems might enhance the impact of TFT on paranoia.”

—Description from publisher 

Article Access 

Open Access

van der Vleugel, B. M., Libedinsky, I., de Bont, P. A. J. M., de Ross, C., van Minnen, A., de Jongh, A., van der Gaag, M., & van den Berg, D. (2020). Changes in posttraumatic cognitions mediate the effects of trauma-focused therapy on paranoia. Schizophrenia Bulletin Open, 1(1), sgaa036. Open access: https://doi.org/10.1093/schizbullopen/sgaa036 

View the Resource
Basic Info Collapse

Date
July 30, 2020

Creator(s)
Berber M. van der Vleugel, Ilan Libedinsky, Paul A. J. M. de Bont

Contributor(s)
Carlijn de Roos, Agnes van Minnen, Ad de Jongh, Mark van der Gaag, David van den Berg

Topics
Psychosis/Schizophrenia, PTSD

More Info Collapse

Extent
11 pages

Publisher
Oxford Academic

Rights
© The Author(s) 2020. Published by Oxford University Press on behalf of the University of Maryland's school of medicine, Maryland Psychiatric Research Center. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

APA Citation
van der Vleugel, B. M., Libedinsky, I., de Bont, P. A. J. M., de Ross, C., van Minnen, A., de Jongh, A., van der Gaag, M., & van den Berg, D. (2020). Changes in posttraumatic cognitions mediate the effects of trauma-focused therapy on paranoia. Schizophrenia Bulletin Open, 1(1), sgaa036. Open access: https://doi.org/10.1093/schizbullopen/sgaa036

Audience
EMDR Therapists, Other Mental Health Professionals

Language
English

Content Type
Article, Peer-Reviewed, RCT

Access Type
External Resource, Open Access

Related Resources

EMDR Therapy and Military Resource List

Read More

EMDR and Attachment-Focused Trauma Therapy for Adults: Reclaiming Authentic Self and Healthy Attachments (Springer, 2022)

Read More

Childhood-related PTSD: The role of cognitions in EMDR and imagery rescripting (European Journal of Psychotraumatology)

Read More

Find an EMDR Therapist®

EMDRIA™ has more than 16,000 members trained to provide EMDR Therapy. Find a therapist near you.

Find an EMDR Therapist®
sun-flare-min
logo-emdria-grayscale-min

7000 N Mo Pac Expy
Ste 200
Austin, TX 78731-3013

Email info@emdria.org

Phone 512-451-5200

EMDRIA Facebook EMDRIA Twitter EMDRIA LinkedIn EMDRIA YouTube EMDRIA Online Community
  • About EMDR Therapy
  • EMDR Training and Education
  • EMDRIA™ Membership
  • Publications & Resources
  • EMDRIA Online Community
  • EMDRIA Foundation
  • Privacy Policy
  • Copyright Policy
  • Accessibility Statement
  • Sitemap
gold-circle-2022

© 1995-2025 EMDR International Association™. All rights reserved.

Website by Yoko Co

  • This field is hidden when viewing the form
  • This field is hidden when viewing the form
  • This field is hidden when viewing the form
  • This field is hidden when viewing the form
  • This field is hidden when viewing the form
  • Please be aware that email is not a secure means of communication and spam filters may prevent your email from reaching the therapist. We recommend you follow up with a phone call. Sending an email using this page does not guarantee that the recipient will receive, read, or respond to your email.

    If this is an emergency do not use this form. Call 911 or your nearest hospital.

  • This field is for validation purposes and should be left unchanged.

We use cookies to ensure the best website experience. See our privacy policy to learn more.OkPrivacy policy