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54. Acceptability, feasibility, and preliminary outcomes for a transdiagnostic, online cognitive behavioral therapy intervention to address paranoia
Paranoia—firmly held, false beliefs that others have malicious intent—presents across serious mental illnesses (SMI), including psychosis, mood, and trauma-related disorders. Cognitive behavioral therapy (CBT) can help people with paranoia challenge distressing thoughts, with distal improvements in psychosocial functioning. Access to CBT, however, is limited for most people with SMI. Digital interventions may improve accessibility for this population. The aim of the current study is to examine the acceptability, feasibility, and preliminary efficacy of an online CBT program (“Coping with Paranoia”) among a transdiagnostic sample of people with SMI who experience paranoia. Participants meet in a group setting at a community-based psychiatric rehabilitation center to complete the 7-week, self-paced online CBT modules. Preliminary results (n=8) suggest acceptability and feasibility of the program, with high self-reported satisfaction. We will present updated data on these outcomes, including examining potential improvements in paranoia symptoms and psychosocial functioning from pre- to post-treatment. Findings from this study will show preliminary efficacy of an online, scalable CBT intervention that addresses paranoia and related distress across people with SMI.