Cognitive therapy for command hallucinations: randomised controlled trial

Trower, Peter; Birchwood, Max; Meaden, Alan; Byrne, Sarah; Nelson, Angela B.; Ross, Kerry

doi:10.1192/bjp.184.4.312

Cited by 226 publications

(207 citation statements)

References 22 publications

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“…If so, future studies may best examine more targeted methods and effects rather than examine effects on positive symptoms in combination. 34,[36][37][38] It should also be noted that ACT protocols vary with problem presentation 39 and ACT for psychosis is still in its infancy thus further protocol refinement is likely required. For example, entrenched avoidant adaptation is a key challenge in chronic presentations: our preliminary recommendation is that dose be consistent with the 15 plus sessions established for CBTp and that the procedures on cost of current coping and engendering hope for change be extended.…”

Section: Effect On Positive Symptomsmentioning

confidence: 99%

Acceptance and commitment therapy for psychosis: Randomised controlled trial

et al. 2017

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BackgroundThe efficacy of acceptance and commitment therapy (ACT) in psychosis has been reported but not for medication-resistant psychosis.AimsTo test the efficacy of ACT in a sample of community-residing patients with persisting psychotic symptoms. (Australian New Zealand Clinical Trials Registry: ACTRN12608000210370.)MethodThe primary outcome was overall mental state at post-therapy (Positive and Negative Syndrome Scale –total); secondary outcomes were psychotic symptom dimensions and functioning. In total, 96 patients were randomised to ACT (n = 49) or befriending (n = 47). Symptom, functioning and process measures were administered at baseline, post-therapy and 6 months later.ResultsThere was no group difference on overall mental state. In secondary analyses the ACT group showed greater improvement in positive symptoms and hallucination distress at follow-up: Cohen's d = 0.52 (95% CI 0.07–0.98) and 0.65 (95% CI 0.24–1.06), respectively.ConclusionsImprovements reflected the treatment focus on positive symptoms; however, absence of process-measure changes suggests that the ACT intervention used did not manipulate targeted processes beyond befriending. Symptom-specific therapy refinements, improved investigation of process and attention to cognitive functioning and dose are warranted in future research.

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Section: Effect On Positive Symptomsmentioning

confidence: 99%

Acceptance and commitment therapy for psychosis: Randomised controlled trial

et al. 2017

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“…In sum, as shown by the work of Birchwood et al, the distress arising from the activity of voices can be understood by reference to the individual's relationship with the voice, rather than voice content, topography or illness characteristics alone (Birchwood & Chadwick, 1997;Birchwood, Meaden, Trower, & Plaistow, 2000 (Beck & Rector, 2004;Gaudiano, 2005;Temple, 2004), which has shown itself to be effective in reducing the transition to psychosis in people at ultra-high risk, becoming proposed as an acceptable alternative to antipsychotic medication (Morrison, French et al, 2004, 2007. Likewise, cognitive-behavioural therapy has emerged as effective in changing beliefs about the power and omnipotence of the voices and in reducing the distress and depression associated with them, and hence in reducing compliance (Farhall et al, 2007;Trower et al, 2004).…”

Section: Resituating Hallucinations In the Context Of The Person And mentioning

confidence: 99%

Changing relationship with voices: new therapeutic perspectives for treating hallucinations

Pérez‐Álvarez

García-Montes

Perona‐Garcelán

et al. 2008

Clin Psychology and Psychoth

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A growing body of research on verbal hallucinations shows the importance of beliefs about and relationships with the voices for their pathological course. In particular, beliefs about the omnipotence of the voices and the need to control them, and relationships with them that involve efforts to resist or fi ght them, have shown themselves to be more pathogenic than effective. Likewise, treatments aimed at eliminating the voices, be they based on medication or 'traditional' cognitive-behavioural therapy, have not always been successful. A series of strategies focused on changing relationships with the voices instead of trying to eliminate them-including mindfulness, acceptance, experiential role plays and re-authoring lives-is emerging as a new perspective for the treatment of hallucinations. All of these strategies are based on the person, not on the syndrome, which also represents a new conception of the problem, in a phenomenological-social perspective, alternative to the predominant medical conception.

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“…Where specific symptoms, such as command hallucinations (10), have been targeted, meta-analyses have also given positive results. A recent study focusing specifically on negative symptoms (11) likewise demonstrated a statistically significant and clinically meaningful benefit for adjunctive CBT.…”

Section: Schizophrenia and Related Psychotic Disordersmentioning

confidence: 99%

The promise of cognitive behavior therapy for treatment of severe mental disorders: a review of recent developments

Thase

Kingdon

Turkington³

2014

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Cognitive behavior therapy (CBT), as exemplified by the model of psychotherapy developed and refined over the past 40 years by A.T. Beck and colleagues, is one of the treatments of first choice for ambulatory depressive and anxiety disorders. Over the past several decades, there have been vigorous efforts to adapt CBT for treatment of more severe mental disorders, including schizophrenia and the more chronic and/or treatment refractory mood disorders. These efforts have primarily studied CBT as an adjunctive therapy, i.e., in combination with pharmacotherapy. Given the several limitations of state-of-the-art pharmacotherapies for these severe mental disorders, demonstration of clinically meaningful additive effects for CBT would have important implications for improving public health. This paper reviews the key developments in this important area of therapeutics, providing a summary of the current state of the art and suggesting directions for future research.

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Cognitive therapy for command hallucinations: randomised controlled trial

Abstract: The results support the efficacy of cognitive therapy for CTCH.

Cited by 226 publications

References 22 publications

Acceptance and commitment therapy for psychosis: Randomised controlled trial

Acceptance and commitment therapy for psychosis: Randomised controlled trial

Changing relationship with voices: new therapeutic perspectives for treating hallucinations

The promise of cognitive behavior therapy for treatment of severe mental disorders: a review of recent developments

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