Background:Current psychological interventions for psychosis focus primarily on cognitive and behavioural management of delusions and hallucinations, with modest outcomes. Emotions are not usually targeted directly, despite evidence that people with psychosis have difficulty identifying, accepting and modifying affective states.Aims:This study assessed the impact of emotion regulation skills practice on affect and paranoia in seven people who met criteria for a diagnosis of schizophrenia or schizoaffective disorder.Method:The study utilised a single case ABA design and measured emotion regulation skills, affect and paranoia over baseline, intervention and withdrawal of intervention phases. We predicted that eight sessions of skills rehearsal would lead to improved emotion regulation, reduced negative affect, increased positive affect, and reduced paranoia.Results:Most participants were able to learn to regulate their emotions, and reported reduced negative affect and paranoia. There was no clear pattern of change for positive affect.Conclusions:These findings suggest that emotion can be targeted in psychosis, and is associated with reduced paranoia. Emotion regulation may constitute a key treatment target in cognitive behavioural therapy for psychosis.

中文翻译：

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以影响为目标可减少精神病患者的妄想症：单个病例系列

背景：目前对精神病的心理干预主要集中在妄想和幻觉的认知和行为管理上，结果适中。情绪通常不是直接针对的，尽管有证据表明精神病患者难以识别、接受和改变情绪状态。目的：本研究评估了情绪调节技能练习对 7 名符合精神分裂症诊断标准的人的情绪和偏执狂的影响或分裂情感障碍。方法：该研究采用单例 ABA 设计，并测量了情绪调节技能、情绪和偏执狂在基线、干预和干预阶段的退出。我们预测，八次技能排练会改善情绪调节，减少负面影响，增加积极影响，并减少偏执。结果：大多数参与者能够学会调节自己的情绪，并报告减少了负面影响和偏执。没有明确的积极情绪变化模式。结论：这些研究结果表明情绪可以作为精神病的目标，并与减少偏执狂有关。情绪调节可能构成精神病认知行为治疗的关键治疗目标。