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Effectiveness of Brief Individual Cognitive Behavioral Therapy for auditory hallucinations in a sample of Egyptian patients with schizophrenia

Published online by Cambridge University Press:  23 March 2020

D. Nagui Rizk ,
H. Salama ,
T. Molokhiya  and
L. Kassem
D. Nagui Rizk*
Affiliation:
Alexandria university, neuropsychiatry department, Alexandria, Egypt
H. Salama
Affiliation:
Alexandria university, neuropsychiatry department, Alexandria, Egypt
T. Molokhiya
Affiliation:
Alexandria university, neuropsychiatry department, Alexandria, Egypt
L. Kassem
Affiliation:
National Institute of Health, Department of health and human services, Maryland, USA
*
*Corresponding author.

Abstract

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Background

Auditory hallucination is one of the most common symptoms in schizophrenia. The frequency of the auditory hallucinations and ensuing distress make the individual believe that these voices are not able to be controlled and to be coped with.

Aim

Testing the effectiveness of brief cognitive behavioral therapy for psychosis (CBTp) for auditory hallucinations, using it in modifying the beliefs about the voices and improving symptom severity and overall functioning.

Methods

Forty participants with schizophrenia were randomized into intervention and control groups. Intervention group were 20 patients who received 8 individual sessions of CBTp plus Treatment As Usual (TAU) over 8 weeks and the control group were the other 20 patients who received TAU only. The Positive and Negative Syndrome Scale (PANSS), the Arabic version of Beliefs About Voices Questionnaire (BAVQ) and the General Assessment of Functioning scale (GAF) were assessed at baseline and at the end of the study.

Results

Intervention group showed a statistically significant increase in GAF (P = 0.012), a statistically significant reduction regarding the Positive (P < 0.001), Negative (P = 0.008), General (P < 00.001) and total (P ≤ 00.001) sub-scales of PANSS. Regarding BAVQ, Intervention group showed a statistically significant reduction in Malevolence (P = 0.008), Engagement (P = 0.001); and showed a statistically significant increase in Resistance (P = 0.049) compared to control.

Conclusions

Brief cognitive behavioral therapy for auditory hallucinations can improve severity of schizophrenia, increase the level of functioning and improve the beliefs about the voices.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Keywords

SchizophreniaAuditory hallucinationsBrief cognitive behavioral therapy
Type
EW544
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. s259 - s260
Copyright
Copyright © European Psychiatric Association 2014
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