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The British Journal of Psychiatry 175: 180-185 (1999)
© 1999 The Royal College of Psychiatrists

Group treatment of auditory hallucinations. Exploratory study of effectiveness

T Wykes, AM Parr and S Landau
Department of Psychology, Institute of Psychiatry, London. t.wykes@iop.bpmf.ac.uk

BACKGROUND: Cognitive-behavioural therapy has been shown to be effective in reducing psychotic symptoms, but few patients have access to these services. Group cognitive treatment may provide a less costly service with similar benefits. AIMS: To explore the effectiveness of group cognitive-behavioural therapy on insight and symptoms, particularly auditory hallucinations. METHOD: Twenty-one DSM-IV diagnosed patients with schizophrenia with treatment-resistant, distressing auditory hallucinations were referred to a group programme consisting of six sessions of cognitive treatment following a strict protocol which emphasised individual power and control as well as coping strategies. RESULTS: There were significant changes in all three main outcome measures following treatment; those changes were maintained at follow-up and were greater than changes over the waiting- list period. Specifically, there were changes in perceived power and distress as well as increases in the number and effectiveness of the coping strategies. CONCLUSIONS: Group treatment for auditory hallucinations needs further investigation but does look promising and may provide a less costly alternative to individual cognitive treatment.


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Copyright © 1999 The Royal College of Psychiatrists.