A randomized controlled trial of cognitive behavioral therapy combined with attention training technique on auditory hallucinations of schizophrenia
10.3969/j.issn.1000-6729.2024.03.003
- VernacularTitle:认知行为治疗联合注意力训练对精神分裂症幻听干预效果的随机对照试验
- Author:
Xiuli ZHANG
1
;
Xu'en LIU
;
Shuo WANG
;
Lingfang ZHANG
;
Shuanrong LI
Author Information
1. 新乡医学院第二附属医院,河南新乡 453002
- Keywords:
attention training technique;
schizophrenia;
voices;
auditory hallucination
- From:
Chinese Mental Health Journal
2024;38(3):206-212
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effects of cognitive behavior therapy(CBT)combined with attention training technique(ATT)on auditory hallucinations of schizophrenia.Methods:Sixty schizophrenia patients with au-ditory hallucinations were recruited according to the criteria of International Classification of Diseases,tenth Edition(ICD-10).They were randomly divided into the CBT group(30 cases,26 cases completed)and the CBT+ATT group(30 cases,25 cases completed).The CBT group received only 4 weeks of cognitive behavioral intervention for auditory hallucinations,and the CBT+ATT group received 6 weeks of attention training technology intervention based on cognitive behavioral intervention.At baseline and after 12 weeks,the Psychotic Symptom Rating Scales-Auditory Hallucinations(PSYRATS-AH)and Scale of Social function in Psychosis Inpatients(SSPI)were used to evaluate the auditory hallucinations symptoms and social functioning of the two groups,and the Attentional Control Scale(ACS)was used to evaluate patients'attentional control ability of the CBT+ATT group.Results:After 12 weeks,the differences(post intervention score-baseline score)of PSYRATS-AH total scores[(-6.8±2.2)vs.(-4.2±1.5)],auditory hallucinations'frequency,duration,number of distresses,control of voices were lower in the CBT+ATT group than in the CBT group(Ps＜0.05),and the differences of the SSPI total scores[(13.9± 2.9)vs.(11.6±4.2)]and scores of Factor I and Factor Ⅲ were higher in the CBT+ATT group than in the CBT group(Ps＜0.05).Conclusion:This study shows cognitive behavioral therapy combined with attention training technique could improve auditory hallucinations and social function more effectively in patients with schizophrenia.
