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Developing a novel assessment of interpretation flexibility: Reliability, validity, and clinical implications
Deng,W. Everaert,J. Creighton,M. Bronstein,M. Cannon,T.D. Joormann,J.
Deng,W.
Everaert,J.
Creighton,M.
Bronstein,M.
Cannon,T.D.
Joormann,J.
Abstract
Interpretation bias and inflexibility have been implicated in a wide range of psychopathologies, including affective disorders and disorders involving persecutory ideation. Existing tasks that measure both interpretation bias and inflexibility (which is essential as bias can make individuals appear inflexible) rely heavily on verbal stimuli, which may be suboptimal for certain applications, including neuroimaging and developmental studies. To overcome these limitations, a picture-based task, the Interpretation Inflexibility Task (IIT) was developed to simultaneously assess interpretation bias and inflexibility. The present manuscript demonstrates the strong convergent validity of the IIT and an existing, verbal measure of interpretation bias and inflexibility (the Emotional BADE task), in a general population sample (N = 247). Across both tasks, inflexible negative interpretations (above and beyond interpretation bias) were associated with symptoms of depression, social anxiety, and paranoia. The consistency of this association across stimulus modalities suggests the existence of higher-level cognitive deficits that increase interpretation inflexibility and thereby increase risk for both affective and psychotic symptoms. The IIT provides an innovative and reliable paradigm to investigate this transdiagnostic factor, particularly given its superior suitability for neuroimaging studies.
Description
The authors declare no conflict of interest and the authors received no funding from an external source.
Date
2022
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Research Projects
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Keywords
BECK DEPRESSION INVENTORY, BELIEF FLEXIBILITY, Belief revision, COGNITIVE BIAS, CONCLUSIONS, CONFLICT, DELUSIONS, DIMENSIONAL ANXIETY SCALES, INTERPRETATION BIASES, Interpretation bias, Interpretation flexibility, Psychometrics, SENSITIVITY, SOCIAL ANXIETY, Transdiagnostic
Citation
Deng, W, Everaert, J, Creighton, M, Bronstein, M, Cannon, T D & Joormann, J 2022, 'Developing a novel assessment of interpretation flexibility : Reliability, validity, and clinical implications', Personality and Individual Differences, vol. 190, 111548. https://doi.org/10.1016/j.paid.2022.111548