Cognitive behaviour therapy with coping training for persistent auditory hallucinations in schizophrenia: a naturalistic follow-up study of the durability of effects.

Abstract:

OBJECTIVE:To investigate the durability of positive effects of cognitive behaviour therapy (CBT) with coping training on psychotic symptoms and social functioning. METHOD:Forty patients with schizophrenia or related psychotic disorders and refractory auditory hallucinations were given CBT and coping training in an integrated single family treatment programme. In a naturalistic study patients were followed after 2 and 4 years since the start of treatment. RESULTS:The treatment improved overall burden of 'hearing voices', with a generalization into daily functioning. Improvement with regard to fear, loss of control, disturbance of thought and interference with thinking was sustained by 60% of the patients while one-third improved further. Complete disappearance of hallucinations occurred in 18% of the patients. CONCLUSION:CBT with coping training can improve both overall symptomatology and quality of life, even over longer periods of time, but a status of persistent disablement indicates a continuing need for mental health care.

journal_name

Acta Psychiatr Scand

authors

Wiersma D,Jenner JA,van de Willige G,Spakman M,Nienhuis FJ

doi

10.1034/j.1600-0447.2001.00213.x

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

393-9

issue

5

eissn

0001-690X

issn

1600-0447

pii

acp213

journal_volume

103

pub_type

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