Effectiveness of a Brief Group Cognitive Behavioral Therapy for Auditory Verbal Hallucinations A 6-Month Follow-up Study

The Journal of nervous and mental disease (Impact Factor: 1.69). 02/2014; 202(2):144-53. DOI: 10.1097/NMD.0000000000000084
Source: PubMed


The current study investigated the effectiveness of a group cognitive behavioral therapy for auditory verbal hallucinations (AVHs), the Voices Group. This consists of seven specific sessions. Forty-one participants with schizophrenic or schizoaffective disorders completed a battery of questionnaires. The severity of psychiatric symptoms, beliefs about voices, quality of life, self-esteem, clinical global impression, and functioning were assessed at baseline, before and after intervention, and at the 6-month follow-up. After intervention, there was a statistically significant reduction in the severity of AVHs. This result remained stable at follow-up. The dropout rate was high. Some differences were found in subjective experience of AVHs between the patients who completed the intervention and those who dropped out. Altogether, these findings suggest that a brief intervention has some positive benefits in patients struggling with voices, which remain stable over time.

1 Follower
30 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: The efficacy of cognitive-behavioural therapy for schizophrenia is established, but there is less evidence for a group format. To evaluate the effectiveness of group cognitive-behavioural therapy for schizophrenia. In all, 113 people with persistent positive symptoms of schizophrenia were assigned to receive group cognitive-behavioural therapy or treatment as usual. The primary outcome was positive symptom improvement on the Positive and Negative Syndrome Scales. Secondary outcome measures included symptoms, functioning, relapses, hopelessness and self-esteem. There were no significant differences between the cognitive-behavioural therapy and treatment as usual on measures of symptoms or functioning or relapse, but group cognitive-behavioural therapy treatment resulted in reductions in feelings of hopelessness and in low self-esteem. Although group cognitive-behavioural therapy may not be the optimum treatment method for reducing hallucinations and delusions, it may have important benefits, including feeling less negative about oneself and less hopeless for the future.
    The British Journal of Psychiatry 01/2007; 189(6):527-32. DOI:10.1192/bjp.bp.106.021386 · 7.99 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Although the efficacy of cognitive-behavioural therapy (CBT) in schizophrenia has been established in a number of studies, no information is available on the differential efficacy of CBT in comparison with patient psychoeducation (PE). Eighty-eight in-patients with schizophrenia were randomized to receive a therapy envelope of 8 weeks including either 16 sessions group CBT or eight [correction] sessions group PE treatment. Assessments took place at baseline, post-treatment and 6 month follow-up. Patients, who received CBT were significantly less rehospitalized than patients in the PE group during the follow-up period. On a descriptive level, CBT resulted in lower relapse rates and higher compliance ratings at post-treatment and at follow-up than PE. Both forms of therapy led to significant psychopathological improvement at post-treatment and at follow-up. The brief group CBT intervention showed some superiority to the PE programme, which could be of considerable clinical and economical importance.
    Acta Psychiatrica Scandinavica 08/2004; 110(1):21-8. DOI:10.1111/j.1600-0447.2004.00300.x · 5.61 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Medical and scientific committees need validated instruments to assess quality of life, but the lack of general population norms limits their full use in research and clinical practice. This study aimed to determine norms for the French general population for the physical and psychological health and social relationship dimensions of the abbreviated version of WHOQOL-BREF questionnaire in a large representative community sample. A sample of 16,450 randomly selected subjects 18-75 years old, in two steps: households and individuals, was drawn from the National Health Barometer 2005, a periodic study by the French National Institute for Preventive and Health Education. Quality of life and other characteristics were collected using a computer-assisted telephone interview by use of a booklet. Internal consistency was good. Normative data for the French population are analyzed by age, sex and self-reported chronic disease. Our data provide normative scores for the general French population for three of four dimensions of the WHOQOL-BREF that can be useful to researchers using this measure of health-related quality-of-life assessment and to clinical practitioners.
    Revue d Épidémiologie et de Santé Publique 02/2010; 58(1):33-9. DOI:10.1016/j.respe.2009.10.009 · 0.59 Impact Factor
Show more