Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic Patients

Introduction: Cognitive biases are key factors in the development and persistence of delusions in psychosis. The Cognitive Biases Questionnaire for Psychosis (CBQp) is a new self-reported questionnaire of 30 relevant situations to evaluate five types of cognitive biases in psychosis. In the context...

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Autores: Corral, Lia, Labad, Javier, Ochoa Güerre, Susana, Cabezas, Ángel, Muntané, Gerard, Valero, Joaquín, Sánchez Gistau, Vanessa, Ahuir, Maribel, Gallardo-Pujol, David, Crosas, Josep María, Palao Vidal, Diego J., Vilella, Elisabet, Gutiérrez Zotes, José Alfonso
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/174761
Acceso en línea:https://hdl.handle.net/2445/174761
Access Level:acceso abierto
Palabra clave:Psicosi
Deliri
Trastorns de la cognició
Qüestionaris
Psychoses
Delirium
Cognition disorders
Questionnaires
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spelling Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic PatientsCorral, LiaLabad, JavierOchoa Güerre, SusanaCabezas, ÁngelMuntané, GerardValero, JoaquínSánchez Gistau, VanessaAhuir, MaribelGallardo-Pujol, DavidCrosas, Josep MaríaPalao Vidal, Diego J.Vilella, ElisabetGutiérrez Zotes, José AlfonsoPsicosiDeliriTrastorns de la cognicióQüestionarisPsychosesDeliriumCognition disordersQuestionnairesIntroduction: Cognitive biases are key factors in the development and persistence of delusions in psychosis. The Cognitive Biases Questionnaire for Psychosis (CBQp) is a new self-reported questionnaire of 30 relevant situations to evaluate five types of cognitive biases in psychosis. In the context of the validation of the Spanish version of the CBQp, our objectives were to (1) analyze the factorial structure of the questionnaire with a confirmatory factor analysis (CFA), (2) relate cognitive biases with a widely used scale in the field of delusion cognitive therapies for assessing metacognition, specifically, Beck's Cognitive Insight Scale (BCIS) (1), and, finally, (3) associate cognitive biases with delusional experiences, evaluated with the Peters Delusions Inventory (PDI) (2). Materials and Methods: An authorized Spanish version of the CBQp, by a translation and back-translation procedure, was obtained. A sample of 171 patients with different diagnoses of psychoses was included. A CFA was used to test three different construct models. Associations between CBQp biases, the BCIS, and the PDI were made by correlation and mean differences. Comparisons of the CBQp scores between a control group and patients with psychosis were analyzed. Results: The CFA showed comparative fit index (CFI) values of 0.94 and 0.95 for the models with one, two, and five factors, with root mean square error of approximation values of 0.031 and 0.029. The CBQp reliability was 0.87. Associations between cognitive biases, self-certainty, and cognitive insight subscales of the BCIS were found. Similarly, associations between total punctuation, conviction, distress, and concern subscales of the PDI were also found. When compared with the group of healthy subjects, patients with psychoses scored significantly higher in several cognitive biases. Conclusion: Given the correlation between biases, a one-factor model might be more appropriate to explain the scale's underlying construct. Biases were associated with a greater frequency of delusions, distress, conviction, and concern as well as worse cognitive insight in patients with psychosis.Frontiers Media2021202120212021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion11 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/174761Articles publicats en revistes (Psicologia Clínica i Psicobiologia)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.3389/fpsyt.2020.596625Frontiers In Psychiatry, 2021, vol. 11, p. 596625https://doi.org/10.3389/fpsyt.2020.596625cc-by (c) Corral, Lia et al., 2021http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:recercat.cat:2445/1747612026-05-29T05:05:01Z
dc.title.none.fl_str_mv Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic Patients
title Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic Patients
spellingShingle Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic Patients
Corral, Lia
Psicosi
Deliri
Trastorns de la cognició
Qüestionaris
Psychoses
Delirium
Cognition disorders
Questionnaires
title_short Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic Patients
title_full Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic Patients
title_fullStr Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic Patients
title_full_unstemmed Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic Patients
title_sort Cognitive Biases Questionnaire for Psychosis (CBQp): Spanish Validation and Relationship With Cognitive Insight in Psychotic Patients
dc.creator.none.fl_str_mv Corral, Lia
Labad, Javier
Ochoa Güerre, Susana
Cabezas, Ángel
Muntané, Gerard
Valero, Joaquín
Sánchez Gistau, Vanessa
Ahuir, Maribel
Gallardo-Pujol, David
Crosas, Josep María
Palao Vidal, Diego J.
Vilella, Elisabet
Gutiérrez Zotes, José Alfonso
author Corral, Lia
author_facet Corral, Lia
Labad, Javier
Ochoa Güerre, Susana
Cabezas, Ángel
Muntané, Gerard
Valero, Joaquín
Sánchez Gistau, Vanessa
Ahuir, Maribel
Gallardo-Pujol, David
Crosas, Josep María
Palao Vidal, Diego J.
Vilella, Elisabet
Gutiérrez Zotes, José Alfonso
author_role author
author2 Labad, Javier
Ochoa Güerre, Susana
Cabezas, Ángel
Muntané, Gerard
Valero, Joaquín
Sánchez Gistau, Vanessa
Ahuir, Maribel
Gallardo-Pujol, David
Crosas, Josep María
Palao Vidal, Diego J.
Vilella, Elisabet
Gutiérrez Zotes, José Alfonso
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Psicosi
Deliri
Trastorns de la cognició
Qüestionaris
Psychoses
Delirium
Cognition disorders
Questionnaires
topic Psicosi
Deliri
Trastorns de la cognició
Qüestionaris
Psychoses
Delirium
Cognition disorders
Questionnaires
description Introduction: Cognitive biases are key factors in the development and persistence of delusions in psychosis. The Cognitive Biases Questionnaire for Psychosis (CBQp) is a new self-reported questionnaire of 30 relevant situations to evaluate five types of cognitive biases in psychosis. In the context of the validation of the Spanish version of the CBQp, our objectives were to (1) analyze the factorial structure of the questionnaire with a confirmatory factor analysis (CFA), (2) relate cognitive biases with a widely used scale in the field of delusion cognitive therapies for assessing metacognition, specifically, Beck's Cognitive Insight Scale (BCIS) (1), and, finally, (3) associate cognitive biases with delusional experiences, evaluated with the Peters Delusions Inventory (PDI) (2). Materials and Methods: An authorized Spanish version of the CBQp, by a translation and back-translation procedure, was obtained. A sample of 171 patients with different diagnoses of psychoses was included. A CFA was used to test three different construct models. Associations between CBQp biases, the BCIS, and the PDI were made by correlation and mean differences. Comparisons of the CBQp scores between a control group and patients with psychosis were analyzed. Results: The CFA showed comparative fit index (CFI) values of 0.94 and 0.95 for the models with one, two, and five factors, with root mean square error of approximation values of 0.031 and 0.029. The CBQp reliability was 0.87. Associations between cognitive biases, self-certainty, and cognitive insight subscales of the BCIS were found. Similarly, associations between total punctuation, conviction, distress, and concern subscales of the PDI were also found. When compared with the group of healthy subjects, patients with psychoses scored significantly higher in several cognitive biases. Conclusion: Given the correlation between biases, a one-factor model might be more appropriate to explain the scale's underlying construct. Biases were associated with a greater frequency of delusions, distress, conviction, and concern as well as worse cognitive insight in patients with psychosis.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/174761
url https://hdl.handle.net/2445/174761
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/fpsyt.2020.596625
Frontiers In Psychiatry, 2021, vol. 11, p. 596625
https://doi.org/10.3389/fpsyt.2020.596625
dc.rights.none.fl_str_mv cc-by (c) Corral, Lia et al., 2021
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Corral, Lia et al., 2021
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 11 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv Articles publicats en revistes (Psicologia Clínica i Psicobiologia)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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