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via the Paranoia Scale [52] and Adapted Paranoia Checklist [53]; and anger via the Modified Overt Aggression Scale [54] and Trait Anger Scale [55].
J Med Internet Res 2024;26:e54941
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Paranoia can fluctuate over the course of days as a function of cognitive and interpersonal factors [13-15]. Factors that have been associated with increased paranoia include rumination, loneliness, and social exclusion, whereas distraction and being in the company of familiar individuals have been associated with decreases in paranoia [13,14,16,17].
JMIR Ment Health 2024;11:e59198
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Yiend et al [35] used content-specific training materials for paranoia to capture and modify paranoia interpretation bias commonly experienced by patients with paranoid symptoms. Content materials were co-designed with relevant contributors, and sessions were presented in rank order of increasing severity of items using Freeman et al’s [44] hierarchy of paranoia as a guide.
JMIR Hum Factors 2023;10:e45453
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Individuals with mild to severe symptoms of psychosis (eg, delusions, paranoia, and hallucinations) have been reported to be susceptible to pandemic-related emotional distress [18,19]. The 12-month prevalence of psychosis is 3.89 to 4.03 per 1000 individuals, and the median lifetime prevalence is 7.49 per 1000 individuals [22].
JMIR Form Res 2022;6(8):e36444
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The research questions were as follows:
What is the digital literacy of the therapy sample and is this associated with demographic factors (ie, gender, age, ethnicity, and paranoia severity), suggesting a “digital divide”?
Does the Slow Mo mobile app demonstrate acceptable rates of self-reported and system analytics adherence, and is adherence associated with demographic factors (ie, age, gender, ethnicity, and paranoia severity)?
JMIR Hum Factors 2022;9(3):e29725
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More recently, VR-based interventions have been implemented to improve auditory verbal hallucinations and paranoia in psychosis, where traditional treatment approaches for these symptoms are limited to cognitive behavioral therapy, electroconvulsive therapy, or transcranial magnetic stimulation [33,34].
JMIR Ment Health 2022;9(2):e28502
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Thinking Well is a brief protocol-based therapy that targets jumping-to-conclusions and belief inflexibility, the reasoning styles that contribute to paranoia [17]. We have already shown that this therapy improved reasoning and reduced paranoia in a case series, a randomized experimental study, and 2 feasibility randomized controlled trials [10,18-20].
JMIR Ment Health 2018;5(4):e11222
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