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首页> 外文期刊>The British journal of psychiatry : >Group treatment of auditory hallucinations. Exploratory study of effectiveness.
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Group treatment of auditory hallucinations. Exploratory study of effectiveness.

机译：幻听的集体治疗。探索性研究。

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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.
机译：背景：认知行为疗法已被证明可有效减轻精神病症状，但很少有患者能够获得这些服务。团体认知治疗可以提供成本较低的服务，并具有类似的好处。目的：探讨集体认知行为疗法对见解和症状（尤其是幻听）的有效性。方法：将21名经DSM-IV诊断为精神分裂症且具有治疗难治性，令人痛苦的幻听症的患者转入一个小组方案，该方案由六次认知治疗组成，遵循严格的规程，强调个人力量和控制以及应对策略。结果：治疗后所有三个主要结局指标均发生了显着变化。这些变化在后续行动中得以维持，并且比在等待名单期间的变化更大。具体而言，人们感知的力量和痛苦有所变化，应对策略的数量和有效性也在增加。结论：听觉幻觉的团体治疗需要进一步研究，但看起来确实很有希望，并且可以提供比个体认知治疗便宜的替代方法。

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