Newton Elizabeth, Landau Sabine, Smith Patrick, Monks Paul, Shergill Sukhi, Wykes Til
Early Intervention Service and Department of Psychology, Mental Health Services, Wulstan Unit, Newtown Hospital, Newtown Road, Worcester WR5 1JG, UK.
J Nerv Ment Dis. 2005 Jan;193(1):58-61. doi: 10.1097/01.nmd.0000149220.91667.fa.
Twenty to fifty percent of people with a diagnosis of schizophrenia continue to hear voices despite taking neuroleptic medication. Trials of group cognitive behavioral therapy for adults with auditory hallucinations have shown promising results. Auditory hallucinations may be most amenable to psychological intervention during a 3-year critical period after symptom onset. This study evaluates the effectiveness of group cognitive behavioral therapy (CBT) for young people with recent-onset auditory hallucinations (N = 22), using a waiting list control. Outcome measures were administered at four separate time points. Significant reductions in auditory hallucinations occurred over the total treatment phase, but not over the waiting period. Further investigations in the form of randomized controlled trials are warranted.
在被诊断患有精神分裂症的人群中，20%至50%的人即便服用了抗精神病药物仍会持续听到幻听。针对患有幻听的成年人进行的团体认知行为疗法试验已显示出有希望的结果。在症状出现后的3年关键期内，幻听可能最适合接受心理干预。本研究采用等待列表对照，评估团体认知行为疗法（CBT）对近期出现幻听的年轻人（N = 22）的有效性。在四个不同时间点进行了结果测量。在整个治疗阶段，幻听有显著减少，但在等待期没有。有必要以随机对照试验的形式进行进一步研究。
