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Related Experiment Videos

Translating CBT for voices into a program for carers: a pilot study.

Janet Maxwell1, John Farhall, Thomas Matyas

  • 1School of Psychological Science, La Trobe University, Melbourne, VIC, Australia.

Behavioural and Cognitive Psychotherapy
|September 10, 2011
PubMed
Summary
This summary is machine-generated.

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Training carers in cognitive behavioural therapy (CBTp) skills may help reduce auditory hallucinations in service users. Carer-delivered CBTp showed potential benefits, with some dyads experiencing clinically significant improvements.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Interventions

Background:

  • Cognitive Behavioural Therapy for psychosis (CBTp) is evidence-based but limited in availability.
  • A novel CBTp skills-based group training program for carers was piloted.
  • The aim was to reduce auditory hallucination severity via carer-delivered CBTp.

Purpose of the Study:

  • To evaluate a CBTp skills-based group training program for carers.
  • To assess the impact of carer-delivered CBTp on service users' auditory hallucinations.
  • To explore the relationship between carer burden, expressed emotion (EE), and symptom severity.

Main Methods:

  • A 10-week (25-hour) group training program for eight carer-service user dyads and one triad.
  • Carers completed subjective burden and expressed emotion (EE) measures over 30 weeks.

Related Experiment Videos

  • Service users underwent weekly interviews assessing voice symptomatology; time-series analyses were used.

    • Main Results:

    • The training program received high ratings.
    • Improvements in symptoms and carer burden varied across dyads, ranging from none to clinically significant.
    • Carer strategy implementation correlated with reduced symptoms in one dyad; reduced EE correlated with symptom improvement in two dyads.

    Conclusions:

    • Training carers in cognitive and behavioral management of hallucinations may offer benefits.
    • Potential mechanisms include reductions in carer expressed emotion (EE) and effective implementation of taught strategies.
    • Carer-delivered CBTp shows promise for managing persisting psychotic symptoms, particularly auditory hallucinations.