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

D Wiersma·J A Jenner·G van de Willige·M Spakman·F J Nienhuis
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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.

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Adaptation, PsychologicalAdultCognitive Behavioral TherapyCost of IllnessFemaleFollow-Up StudiesGeneralization, PsychologicalHallucinationsHealth StatusHumansInterpersonal RelationsMaleMiddle AgedQuality of LifeSchizophreniaSeverity of Illness IndexSocial BehaviorTeachingTime FactorsTreatment OutcomeJournal ArticleResearch Support, Non-U.S. Gov't

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D Wiersma, J A Jenner, G van de Willige, M Spakman, F J Nienhuis. 2001. Cognitive behaviour therapy with coping training for persistent auditory hallucinations in schizophrenia: a naturalistic follow-up study of the durability of effects.. https://doi.org/10.1034/j.1600-0447.2001.00213.x

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