Sesgo “salto a las conclusiones” en pacientes con patología psiquiátrica

  1. Miriam Vázquez Campo
  2. Jessica Diéguez Álvarez
  3. Alejandro A. García Caballero
Revista:
Metas de enfermería

ISSN: 1138-7262

Ano de publicación: 2017

Volume: 20

Número: 7

Páxinas: 3

Tipo: Artigo

DOI: 10.35667/METASENF.2019.20.1003081114 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Metas de enfermería

Resumo

Objective: to describe the presence of the “jumping to conclusions” bias in patients with psychiatric conditions and in a group of healthy volunteers, and to understand if there is a link between the “jumping to conclusions” bias and the personality traits “intolerance of uncertainty” and “ideological rigidity”. Method: case and control study, taking as cases those patients admitted at the Psychiatry Unit of the Complejo Hospitalario de Ourense with diagnosis of schizophrenia, depression, or bipolar disorder, and healthy volunteers as control. Tools: ball test, drawing test or BADE (Bias Against Disconfirmatory Evidence), and Obsessional Beliefs Questionnaire. Results: the final sample included 100 subjects (cases: 50 with psychiatric conditions, and controls: 50 without psychiatric conditions). In the ball task, cases needed a mean (standard deviation) of 4.66 balls (2.81) in order to make a decision, vs. 2.94 (2.80) in controls; this is a significant difference. In the BADE, psychiatric patients valued significantly as more feasible the option stated in slide 1, in comparison with healthy subjects. There is a significant correlation between the scores in the ball test and the “intolerance of uncertainty” (r= -0,285) and “ideological rigidity” (r= -0,322) traits; no significant differences were found in any of the variables based on diagnosis. Conclusions: all patients with psychiatric conditions included in the study presented the “jumping to conclusions” bias, while healthy volunteers did not have it. The presence of this bias is correlated with intolerance of uncertainty and ideological rigidity.

Referencias bibliográficas

  • Garety PA, Hemsley DR, Wessely S. Reasoning in deluded schizophrenic and paranoid patients. Biases in performance on a probabilistic inference task. J Nerv Ment Dis. 1991; 179(4):194-201.
  • Fischhoff B, Beyth-Marom, R. Hypothesis evaluation from a Bayesian perspective. Psychological Rev. 1983; 90(3):239-60.
  • Moritz S, Thoering T, Kühn S, Willenborg B, Westermann S, Nagel M. Metacognition-augmented cognitive remediation training reduces jumping to conclusions and overconfidence but not neurocognitive deficits in psychosis. Frontiers in Psychology 2015; 6:1048.
  • Concha D, Bilba MA, Gallard I, Páez D, Fresno A. Sesgos cognitivos y su relación con el bienestar subjetivo. Salud & Sociedad: investigaciones en psicología de la salud y psicología social 2010; 3(2):115-29.
  • Moritz S, Woodward TS. Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry 2007; 20(6):619-25.
  • Moritz S, Woodward TS, Lambert M. Under what circumstances do patients with schizophrenia jump to conclusions? A liberal acceptance account. Br J Clin Psychol. 2007; 46(Pt 2):127-37.
  • Broome MR, Johns LC, Valli I, Woolley JB, Tabraham P, Brett C, Valmaggia L, Peters E, Garety PA, McGuire PK. Delusion formation and reasoning biases in those at clinical high risk for psychosis. Br J Psychiatry Suppl. 2007; 51:38-42.
  • Colbert SM, Peters ER. Need for closure and jumping-to-conclusions in delusion-prone individuals. J Nerv Ment Dis. 2002; 90(1):27-31.
  • Dudley R, Taylor P, Wickham S, Hutton P. Psychosis, Delusions and the “Jumping to Conclusions” Reasoning Bias: A Systematic Review and Meta-analysis. Schizophr Bull. 2016; 42(3): 652-65.
  • Demanuele C, Kirsch P, Esslinger C, Zink M, Meyer-Lindenberg A, Durstewitz D. Area-specific information processing in prefrontal cortex during a probabilistic inference task: a multivariate fMRI BOLD time series analysis. PLoS One. 2015; 10(8):e0135424.
  • Evans SL, Averbeck BB, Furl N. Jumping to conclusions in schizophrenia. Neuropsychiatr Dis Treat. 2015; 11: 1615-24.
  • Falcone MA, Murray RM, Wiffen BD, O’Connor JA, Russo M, Kolliakou A, et al. Jumping to conclusions, neuropsychological functioning, and delusional beliefs in first episode psychosis. Schizophr Bull. 2015; 41(2):411-8.
  • Jolley S, Thompson C, Hurley J, Medin E, Butler L, Bebbington P, et al. Jumping to the wrong conclusions? An investigation of the mechanisms of reasoning errors in delusions. Psychiatry Res. 2014; 219(2):275-82.
  • Belloch A, Cabedo E, Morillo C, Lucero M, Carrió C. Diseño de un instrumento para evaluar las creencias disfuncionales del trastorno obsesivo-compulsivo: resultados preliminares del Inventario de Creencias Obsesivas (ICO). Revista internacional de Psicología Clínica y de la Salud 2003; 3(2):235-50.
  • Moritz S, Woodward TS. Jumping to conclusions in delusional and non-delusional schizophrenic patients. British Journal of Clinical Psychology 2005; 44 (2):193-207.
  • Garety P, Joyce E, Jolley S, Emsley R, Waller H, Kuipers E, et al. Neuropsychological functioning and jumping to conclusions in delusions. Schizophr Res. 2013; 150(2-3):570-4.
  • Freeman D, Pugh K, Garety P. Jumping to conclusions and paranoid ideation in the general population. Schizophr Res 2008; 102(1):254-60.
  • Wells A, Matthews G. Attention and emotion: A clinical perspective Hove. UK: Lawrence Erlbaum; 1994.
  • Jacobsen P, Freeman D, Salkovskis P. Reasoning bias and belief conviction in obsessive-compulsive disorder and delusions: Jumping to conclusions across disorders? British Journal of Clinical Psychology 2012; 51(1):84-99.
  • Gimeno López D. El sesgo cognitivo “jumping to conclusions” y su relación con la intolerancia en la incertidumbre en pacientes delirantes. Trabajo Fin de Grado. Grado de Psicología. Universidad de Zaragoza. Campus de Teruel. Promoción 2008/2012; 14-5.
  • Jänsch C, Hare DJ. An investigation of the “jumping to conclusions” data-gathering bias and paranoid thoughts in Asperger syndrome. J Autism Dev Disord. 2014; 44(1):111-9.
  • González M, Ibáñez I, Rovella A, López M, Padilla L. Perfeccionismo e intolerancia a la incertidumbre: relaciones con variables psicopatológicas. Behavioral Psychology/Psicologia Conductual. [internet] 2013 [citado 10 jul 2017]. Disponible en: https://www.thefreelibrary.com/_/print/PrintArticle.aspx?id=328944069