Evaluating the "C" and "B" in brief CBT for distressing voices in routine clinical practice in an uncontrolled study.

Evaluating the "C" and "B" in brief CBT for distressing voices in routine clinical practice in an uncontrolled study. Clin Psychol Psychother. 2019 Aug 31;: Authors: Paulik G, Hayward M, Jones AM, Badcock JC Abstract Brief and single-symptom forms of Cognitive Behaviour Therapy (CBT) for distressing voices may increase access to evidence-based psychological therapy and transcend diagnostic barriers. The current study evaluated the "C" and "B" in CBT for distressing voices in a transdiagnostic voices clinic. The "B" module (component of therapy) sought to enhance coping with voices and the "C" module evaluated the accuracy of negative beliefs about the self and voices. The aims of the study were to investigate: (1) whether modules B and/or C led to significant and clinically meaningful improvements on the primary outcome of voice-related distress, and (2) if changes in beliefs about self and voices (proposed change mechanisms) underpinned changes in voice distress across module C. Each module consisted of four sessions, individually tailored yet manualised, and designed with ease of staff training and delivery in mind. Assessment measures were administered at baseline (T1), post-module B (T2) and post-module C (T3). The results (N = 62) showed statistically significant medium sized pre-post effects for voice-related distress from T1-T2 and from T2-T3, with large effects from T1-T3. Just over half of the clients reported clinically mea...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research