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Tailoring cognitive behavioural therapy to subtypes of voice-hearing using a novel tabletised manual: a feasibility study

Dodgson, Guy; Alderson-Day, Ben; Smailes, David; Ryles, Faye; Mayer, Claire; Glen-Davison, Joanne; Mitrenga, Kaja; Fernyhough, Charles

Tailoring cognitive behavioural therapy to subtypes of voice-hearing using a novel tabletised manual: a feasibility study Thumbnail


Authors

Guy Dodgson

David Smailes

Faye Ryles

Claire Mayer

Joanne Glen-Davison

Kaja Mitrenga



Abstract

Background: Cognitive behavioural therapy for psychosis (CBTp) is a recommended treatment for psychotic experiences, but its effectiveness has been questioned. One way of addressing this may be to tailor therapy materials to the phenomenology of specific psychotic experiences. Aim: In this study, we investigated the acceptability of a novel treatment manual for subtypes of ‘voice-hearing’ experiences (i.e. auditory verbal hallucinations). An uncontrolled, single-arm design was used to assess feasibility and acceptability of using the manual in routine care for people with frequent voice-hearing experiences. Method: The manual was delivered on a smart tablet and incorporated recent research evidence and theory into its psychoeducation materials. In total, 24 participants completed a baseline assessment; 19 started treatment, 15 completed treatment and 12 participants completed a follow-up assessment (after 10 sessions of using the manual). Results: Satisfaction with therapy scores and acceptability ratings were high, while completion rates suggested that the manual may be more appropriate for help with participants from Early Intervention in Psychosis services rather than Community Mental Health Teams. Conclusion: Within-group changes in symptom scores suggested that overall symptom severity of hallucinations – but not other psychosis features, or beliefs about voices – are likely to be the most appropriate primary outcome for further evaluation in a full randomised controlled trial.

Citation

Dodgson, G., Alderson-Day, B., Smailes, D., Ryles, F., Mayer, C., Glen-Davison, J., …Fernyhough, C. (2021). Tailoring cognitive behavioural therapy to subtypes of voice-hearing using a novel tabletised manual: a feasibility study. Behavioural and Cognitive Psychotherapy, 49(3), 287-301. https://doi.org/10.1017/s1352465820000661

Journal Article Type Article
Acceptance Date Jul 23, 2020
Online Publication Date Sep 25, 2020
Publication Date 2021-05
Deposit Date Oct 28, 2020
Publicly Available Date Oct 28, 2020
Journal Behavioural and Cognitive Psychotherapy
Print ISSN 1352-4658
Electronic ISSN 1469-1833
Publisher Cambridge University Press
Peer Reviewed Peer Reviewed
Volume 49
Issue 3
Pages 287-301
DOI https://doi.org/10.1017/s1352465820000661

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
© British Association for Behavioural and Cognitive Psychotherapies 2020. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.







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