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Tailoring cognitive behavioural therapy to subtypes of voice-hearing using a novel tabletised manual: a feasibility study
Behavioural and Cognitive Psychotherapy ( IF 2.467 ) Pub Date : 2020-09-25 , DOI: 10.1017/s1352465820000661
Guy Dodgson 1 , Ben Alderson-Day 2 , David Smailes 3 , Faye Ryles 1 , Claire Mayer 4 , Joanne Glen-Davison 4 , Kaja Mitrenga 2 , Charles Fernyhough 2
Affiliation  

Background:Cognitive behavioural therapy for psychosis (CBTp) is a recommended treatment for psychotic experiences, but its effectiveness has been questioned. One way of addressing this may be to tailor therapy materials to the phenomenology of specific psychotic experiences.Aim:In this study, we investigated the acceptability of a novel treatment manual for subtypes of ‘voice-hearing’ experiences (i.e. auditory verbal hallucinations). An uncontrolled, single-arm design was used to assess feasibility and acceptability of using the manual in routine care for people with frequent voice-hearing experiences.Method:The manual was delivered on a smart tablet and incorporated recent research evidence and theory into its psychoeducation materials. In total, 24 participants completed a baseline assessment; 19 started treatment, 15 completed treatment and 12 participants completed a follow-up assessment (after 10 sessions of using the manual).Results:Satisfaction with therapy scores and acceptability ratings were high, while completion rates suggested that the manual may be more appropriate for help with participants from Early Intervention in Psychosis services rather than Community Mental Health Teams.Conclusion:Within-group changes in symptom scores suggested that overall symptom severity of hallucinations – but not other psychosis features, or beliefs about voices – are likely to be the most appropriate primary outcome for further evaluation in a full randomised controlled trial.

中文翻译:

使用新的平板手册为听力亚型量身定制认知行为疗法:可行性研究

背景:精神病的认知行为疗法 (CBTp) 是针对精神病经历的推荐治疗方法,但其有效性受到质疑。解决这个问题的一种方法可能是根据特定精神病经历的现象学定制治疗材料。目的:在这项研究中,我们调查了一种新的治疗手册对“语音听觉”体验亚型(即听觉幻觉)的可接受性。使用不受控制的单臂设计来评估在日常护理中使用手册对经常听声音的人的可行性和可接受性。方法:手册在智能平板电脑上交付,并将最近的研究证据和理论纳入其心理教育材料。总共有 24 名参与者完成了基线评估;19开始治疗,
更新日期:2020-09-25
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