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Br J Psychiatry. 1999 Aug;175:180-5.

Group treatment of auditory hallucinations. Exploratory study of effectiveness.

Author information

  • 1Department of Psychology, Institute of Psychiatry, London. t.wykes@iop.bpmf.ac.uk

Abstract

BACKGROUND:

Cognitive-behavioural therapy has been shown to be effective in reducing psychotic symptoms, but few patients have access to these services. Group cognitive treatment may provide a less costly service with similar benefits.

AIMS:

To explore the effectiveness of group cognitive-behavioural therapy on insight and symptoms, particularly auditory hallucinations.

METHOD:

Twenty-one DSM-IV diagnosed patients with schizophrenia with treatment-resistant, distressing auditory hallucinations were referred to a group programme consisting of six sessions of cognitive treatment following a strict protocol which emphasised individual power and control as well as coping strategies.

RESULTS:

There were significant changes in all three main outcome measures following treatment; those changes were maintained at follow-up and were greater than changes over the waiting-list period. Specifically, there were changes in perceived power and distress as well as increases in the number and effectiveness of the coping strategies.

CONCLUSIONS:

Group treatment for auditory hallucinations needs further investigation but does look promising and may provide a less costly alternative to individual cognitive treatment.

PMID:
10627803
[PubMed - indexed for MEDLINE]
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