Group mindfulness-based intervention for distressing voices: A pragmatic randomised controlled trial

被引:75
|
作者
Chadwick, Paul [1 ]
Strauss, Clara [2 ,3 ]
Jones, Anna-Marie [3 ,4 ]
Kingdon, David [5 ]
Ellett, Lyn [6 ]
Dannahy, Laura [7 ]
Hayward, Mark [2 ,3 ]
机构
[1] Kings Coll London, Dept Psychol, London SE5 8AF, England
[2] Sussex Partnership NHS Fdn Trust, Worthing, W Sussex, England
[3] Univ Sussex, Brighton BN1 9RH, E Sussex, England
[4] Univ Brighton, Brighton BN2 4AT, E Sussex, England
[5] Univ Southampton, Southampton SO9 5NH, Hants, England
[6] Royal Holloway Univ London, Dept Psychol, London, England
[7] Southern Hlth & Social Care Trust, Portadown, Craigavon, North Ireland
基金
美国国家卫生研究院;
关键词
Schizophrenia; Person-Based Cognitive Therapy; Mindfulness; Group therapy; Distressing voices; Randomised Controlled Trial; COGNITIVE-BEHAVIOR THERAPY; AUDITORY HALLUCINATIONS; COMMAND HALLUCINATIONS; HOSPITAL ANXIETY; DEPRESSION SCALE; PSYCHOSIS; OMNIPOTENCE; VALIDITY;
D O I
10.1016/j.schres.2016.04.001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Group Person-Based Cognitive Therapy (PBCT) integrates cognitive therapy and mindfulness to target distinct sources of distress in psychosis. The present study presents data from the first randomised controlled trial investigating group PBCT in people distressed by hearing voices. One-hundred and eight participants were randomised to receive either group PBCT and Treatment As Usual ( TAU) or TAU only. While there was no significant effect on the primary outcome, a measure of general psychological distress, results showed significant between-group post-intervention benefits in voice-related distress, perceived controllability of voices and recovery. Participants in the PBCT group reported significantly lower post-treatment levels of depression, with this effect maintained at six-month follow-up. Findings suggest PBCT delivered over 12 weeks effectively impacts key dimensions of the voice hearing experience, supports meaningful behaviour change, and has lasting effects on mood. (C) 2016 The Authors. Published by Elsevier B.V.
引用
收藏
页码:168 / 173
页数:6
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