A randomized controlled trial of group cognitive-behavioral therapy vs. enhanced supportive therapy for auditory hallucinations

Abstract There has been little research examining group cognitive-behavioral therapy (CBT) for schizophrenia, especially compared to an active control treatment. The purpose of this study was to investigate the effectiveness of group CBT for auditory hallucinations compared to an enhanced supportive...

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Veröffentlicht in:Schizophrenia research 2009-04, Vol.109 (1), p.52-59
Hauptverfasser: Penn, David L, Meyer, Piper S, Evans, Elizabeth, Wirth, R.J, Cai, Karen, Burchinal, Margaret
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container_end_page 59
container_issue 1
container_start_page 52
container_title Schizophrenia research
container_volume 109
creator Penn, David L
Meyer, Piper S
Evans, Elizabeth
Wirth, R.J
Cai, Karen
Burchinal, Margaret
description Abstract There has been little research examining group cognitive-behavioral therapy (CBT) for schizophrenia, especially compared to an active control treatment. The purpose of this study was to investigate the effectiveness of group CBT for auditory hallucinations compared to an enhanced supportive therapy (ST). Sixty five participants with schizophrenia spectrum disorders and persistent hallucinations were randomly assigned to group CBT or enhanced group ST. Primary outcomes focused on beliefs about voices and global auditory hallucinations severity. Secondary outcomes included psychotic symptoms, self-esteem, social functioning, insight, depression, and hospitalization. Controlling for baseline levels, these outcomes were evaluated across post-treatment, 3 month and 12 month follow-ups. Participants who received enhanced ST were less likely to both resist voices and to rate them as less malevolent through 12-month follow-up relative to participants who received CBT. Group CBT was associated with lower general and total symptom scores on the PANSS through 12-month-followup relative to participants who received enhanced ST. Outcomes improved through 12-month follow-up in both therapy groups, with enhanced ST having more specific impact on auditory hallucinations, and CBT impacting general psychotic symptoms.
doi_str_mv 10.1016/j.schres.2008.12.009
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adaptation, Psychological
Adolescent
Adult
Adult and adolescent clinical studies
Aged
Auditory hallucinations
Behavior therapy. Cognitive therapy
Biological and medical sciences
Cognition Disorders - psychology
Cognition Disorders - therapy
Cognitive Therapy - methods
Cognitive-behavioral therapy
Counseling - methods
Female
Follow-Up Studies
Hallucinations - psychology
Hallucinations - therapy
Humans
Male
Medical sciences
Middle Aged
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Psychotherapy, Group - methods
Psychotic Disorders - psychology
Psychotic Disorders - therapy
Schizophrenia
Schizophrenia - therapy
Schizophrenic Psychology
Social Adjustment
Social Support
Treatment Outcome
Treatments
title A randomized controlled trial of group cognitive-behavioral therapy vs. enhanced supportive therapy for auditory hallucinations
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