Measuring the longitudinal course of voice hearing under psychological interventions: A systematic review

Loizou, Sofia; Fowler, David; Hayward, Mark

doi:10.1016/j.cpr.2022.102191

Cited by 2 publications

(1 citation statement)

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“…It will be important for other therapists (not the developer) to provide the interventions and for independent, blinded researchers to collect the measures. Most of the process and outcome measures used in this study were found to be feasible and sensitive to change, but one suggestion would be to focus on the PSYRATS distress scores, rather than total score, as a primary outcome measure (also recommended by Loizou et al, 2022 ). Visual inspection of PSYRATS distress (Figure 3 ) showed clear improvement trends in all seven cases, and this outcome is more closely aligned to the specific target of CFTp, which is concerned with shifting the threat‐based emotional relationship with psychotic symptoms.…”

Section: Discussionmentioning

confidence: 99%

A case series study of compassion‐focused therapy for distressing experiences in psychosis

Heriot‐Maitland,

Gumley,

Wykes

et al. 2023

British J Clinic Psychol

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ObjectivesCompassion‐focused therapy (CFT) is an evolution‐informed biopsychosocial approach that seeks to cultivate attachment and care motivational systems and their psychophysiological regulators. These can counteract some of the harmful effects of social threat, inferiority, shame, self‐criticism and depression, which are common in people with psychosis and undermine their well‐being, social trust and ability to feel safe. This study aimed to test the acceptability of a novel manualized individual CFT intervention for psychosis (CFTp).DesignA non‐concurrent, multiple‐baseline, case series design, with three phases: baseline, intervention and follow‐up.MethodsThe 26‐session CFTp intervention was provided for a sample of eight people with distressing psychotic experiences and a psychosis‐related diagnosis. The study aimed to assess acceptability of CFTp and to test clinically reliable improvements while receiving the intervention, compared to a baseline period.ResultsSeven of eight participants completed the therapy, and clinically reliable improvements were found at both the single‐case and group level of analysis. At the single‐case level, over half the participants showed improvements in depression (5/7), stress (5/7), distress (5/7), anxiety (4/7) and voices (3/5). One participant showed a deterioration in anxiety (1/7) and dissociation (1/7). At the group level (n = 7), there were significant improvements in depression, stress, distress, voices and delusions. The improvements in voices, delusions and distress were sustained at 6‐ to 8‐week follow‐up, but depression and stress dropped slightly to trend‐level improvements.ConclusionsCFTp is a feasible and acceptable intervention for psychosis, and further investigation is warranted with a randomized controlled trial.

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Section: Discussionmentioning

confidence: 99%