Do Psychological Interventions Reduce Paranoia in Adolescents? A Systematic Review

IF 7.9 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Child and Family Psychology Review Pub Date : 2026-09-11 DOI:10.1007/s10567-026-00587-1

Laura Tierney-Sutton,Christopher D. J. Taylor,Victoria Pile,Dawn Watling,Samantha Lobo,Ella Courten,Jessica L. Kingston

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Abstract

Abstract Research suggests that paranoia is common in adolescents and can contribute to impaired wellbeing and psychological difficulties. Although best practice recommendations endorse early preventative intervention as the favoured treatment option, interventions targeting paranoia in adolescence are under-developed. This systematic review aimed to synthesise and appraise psychological interventions that measure changes in paranoia in adolescents. Seven databases were searched up to January 2026 for relevant studies. Included studies were those that evaluated a psychological intervention for adolescents (≤ 25 years old) and measured at least pre-post changes in paranoia using a validated measure/subscale. A total of 30 studies were included, which comprised 10 RCTs, 13 single arm studies and seven case designs. Although many of the interventions were associated with improvements in paranoia, most did not target paranoia as their primary outcome. Cognitive behavioural therapy-based interventions evidenced the most promising effects. Conclusions were limited by the weak methodological quality of many of the reviewed studies. Future research would benefit from developing targeted paranoia interventions for adolescents using rigorous, well-controlled methods.

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心理干预能减少青少年的偏执吗？系统回顾

研究表明，偏执在青少年中很常见，并可能导致健康受损和心理困难。尽管最佳实践建议支持早期预防性干预作为首选治疗选择，但针对青少年偏执的干预措施尚不发达。本系统综述旨在综合和评估衡量青少年偏执变化的心理干预措施。在截至2026年1月的7个数据库中检索相关研究。纳入的研究评估了青少年（≤25岁）的心理干预，并使用有效的测量/子量表测量了偏执狂至少前后的变化。共纳入30项研究，包括10项随机对照试验、13项单臂研究和7项病例设计。尽管许多干预措施与偏执狂的改善有关，但大多数干预措施并没有将偏执狂作为主要结果。基于认知行为疗法的干预证明了最有希望的效果。结论受到许多被回顾研究的方法学质量薄弱的限制。未来的研究将受益于使用严格的、控制良好的方法对青少年进行有针对性的偏执干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Child and Family Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

10.50

自引率

4.30%

发文量

期刊介绍： Editors-in-Chief: Dr. Ronald J. Prinz, University of South Carolina and Dr. Thomas H. Ollendick, Virginia Polytechnic Institute Clinical Child and Family Psychology Review is a quarterly, peer-reviewed journal that provides an international, interdisciplinary forum in which important and new developments in this field are identified and in-depth reviews on current thought and practices are published. The Journal publishes original research reviews, conceptual and theoretical papers, and related work in the broad area of the behavioral sciences that pertains to infants, children, adolescents, and families. Contributions originate from a wide array of disciplines including, but not limited to, psychology (e.g., clinical, community, developmental, family, school), medicine (e.g., family practice, pediatrics, psychiatry), public health, social work, and education. Topical content includes science and application and covers facets of etiology, assessment, description, treatment and intervention, prevention, methodology, and public policy. Submissions are by invitation only and undergo peer review. The Editors, in consultation with the Editorial Board, invite highly qualified experts to contribute original papers on topics of timely interest and significance.