Guided self-help cognitive- behaviour Intervention for VoicEs (GiVE): Results from a pilot randomised controlled trial in a transdiagnostic sample

Hazell, C.M., Hayward, M., Cavanagh, K., Jones, A. and Strauss, C. 2018. Guided self-help cognitive- behaviour Intervention for VoicEs (GiVE): Results from a pilot randomised controlled trial in a transdiagnostic sample. Schizophrenia Research. 195, pp. 441-447. https://doi.org/10.1016/j.schres.2017.10.004

TitleGuided self-help cognitive- behaviour Intervention for VoicEs (GiVE): Results from a pilot randomised controlled trial in a transdiagnostic sample
TypeJournal article
AuthorsHazell, C.M., Hayward, M., Cavanagh, K., Jones, A. and Strauss, C.
Abstract

Background

Few patients have access to cognitive behaviour therapy for psychosis (CBTp) even though at least 16 sessions of CBTp is recommended in treatment guidelines. Briefer CBTp could improve access as the same number of therapists could see more patients. In addition, focusing on single psychotic symptoms, such as auditory hallucinations (‘voices’), rather than on psychosis more broadly, may yield greater benefits.
Method

This pilot RCT recruited 28 participants (with a range of diagnoses) from NHS mental health services who were distressed by hearing voices. The study compared an 8-session guided self-help CBT intervention for distressing voices with a wait-list control. Data were collected at baseline and at 12 weeks with post-therapy assessments conducted blind to allocation. Voice-impact was the pre-determined primary outcome. Secondary outcomes were depression, anxiety, wellbeing and recovery. Mechanism measures were self-esteem, beliefs about self, beliefs about voices and voice-relating.
Results

Recruitment and retention was feasible with low study (3.6%) and therapy (14.3%) dropout. There were large, statistically significant between-group effects on the primary outcome of voice-impact (d = 1.78; 95% CIs: 0.86–2.70), which exceeded the minimum clinically important difference. Large, statistically significant effects were found on a number of secondary and mechanism measures.
Conclusions

Large effects on the pre-determined primary outcome of voice-impact are encouraging, and criteria for progressing to a definitive trial are met. Significant between-group effects on measures of self-esteem, negative beliefs about self and beliefs about voice omnipotence are consistent with these being mechanisms of change and this requires testing in a future trial.

JournalSchizophrenia Research
Journal citation195, pp. 441-447
ISSN0920-9964
Year2018
PublisherElsevier
Publisher's version
Digital Object Identifier (DOI)https://doi.org/10.1016/j.schres.2017.10.004
Publication dates
Published13 Oct 2017
Published in printMay 2018
LicenseCC BY 4.0

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