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Effectiveness of Imagery Rescripting for Trauma-Affected Voice Hearers: An Open Trial.
Strachan, Laura; McEvoy, Peter; Arntz, Arnoud; Steel, Craig; Paulik, Georgie.
Afiliación
  • Strachan L; School of Psychology, Curtin University, Curtin, Western Australia, Australia.
  • McEvoy P; School of Psychology, Curtin University, Curtin, Western Australia, Australia.
  • Arntz A; Department of Clinical Psychology, University of Amsterdam, Netherlands & Academic Center for Trauma and Personality, Amsterdam, Netherlands.
  • Steel C; Oxford Centre for Psychological Health, Oxford, UK.
  • Paulik G; Oxford Institute of Clinical Psychology Training and Research, Oxford, UK.
Clin Psychol Psychother ; 31(5): e3052, 2024.
Article en En | MEDLINE | ID: mdl-39295204
ABSTRACT

OBJECTIVE:

People who hear voices (auditory verbal hallucinations) often have post-traumatic stress disorder (PTSD) symptoms. Cognitive behavioural therapies (CBT) have yielded inconsistent findings when treating voices and PTSD symptoms in voice hearers. Preliminary evidence suggests imagery rescripting (ImRs) is associated with large reductions in voice hearing and PTSD symptoms. This study replicated past studies using a larger sample to examine the effectiveness of ImRs in reducing such symptoms.

METHOD:

Participants (N = 49; 65.3% female; Mage = 35.86) were clients at an Australian transdiagnostic clinic for voice hearers. A one-arm open trial design was used with three pre-treatment baselines and a mid-treatment, post-treatment and 3-month follow up assessments of PTSD symptoms (Posttraumatic Diagnostic Scale for DSM-5), voices (Hamilton Program for Schizophrenia Voices Questionnaire) and emotional symptoms (Depression Anxiety and Stress Scales-21). Five single-item measures were administered weekly to explore the trajectories of change in trauma intrusions, voice-related distress, voice frequency and positive and negative voice valance.

RESULTS:

ImRs was associated with very large reductions in PTSD symptoms and voices (both emotional and physical characteristics of voices) and emotional symptoms at post-treatment and follow-up (η2 p = 0.24-0.44). There were medium-large to large reductions in weekly symptoms of intrusions, voice-related distress, voice frequency and negative voices (η2 p = 0.12-0.16) and a non-significant increase in positive voices (η2 p = 0.05).

CONCLUSIONS:

This study provides further evidence that ImRs is an effective treatment for voices and PTSD symptoms in voice hearers with a range of diagnoses. Randomised controlled trials are needed to compare the efficacy of ImRs to CBT protocols.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Imágenes en Psicoterapia / Alucinaciones Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Clin Psychol Psychother Asunto de la revista: PSICOLOGIA / PSIQUIATRIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático / Imágenes en Psicoterapia / Alucinaciones Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Clin Psychol Psychother Asunto de la revista: PSICOLOGIA / PSIQUIATRIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido