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Reducing State Anxiety Using Working Memory Maintenance
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Integrating Anxiety Reduction into an Existing Self-Management of Auditory Hallucinations Course.

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    Anxiety reduction strategies were added to a behavioral management course for auditory hallucinations. The revised 12-session course significantly reduced anxiety in voice hearers, with 88% finding it helpful.

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    Area of Science:

    • Psychiatry
    • Mental Health Nursing
    • Psychosocial Interventions

    Background:

    • High anxiety levels impede voice hearers' ability to benefit from auditory hallucination management.
    • A 10-session course on behavioral management of auditory hallucinations was previously found to be less effective due to participant anxiety.

    Purpose of the Study:

    • To evaluate the efficacy of a revised 12-session course incorporating anxiety reduction strategies for individuals experiencing auditory hallucinations.
    • To determine if the enhanced course significantly reduces anxiety levels in voice hearers.

    Main Methods:

    • A multi-site study with 27 participants was conducted.
    • A revised 12-session course included anxiety reduction techniques in the initial four sessions and reinforced them throughout.
    • Repeated measures and three anxiety assessment tools were utilized to track changes.

    Main Results:

    • The 12-session course demonstrated a significant reduction in anxiety after the first four sessions, with continued decrease by the course's end.
    • Eighty-eight percent of participants reported the course as moderately to extremely helpful.
    • Participants valued the group setting and shared experiences with others with similar symptoms.

    Conclusions:

    • The revised 12-session course effectively reduces anxiety in individuals with auditory hallucinations.
    • Integrating anxiety management strategies enhances the effectiveness of behavioral interventions for voice hearers.
    • Course leaders gained insight into the prevalence and importance of addressing anxiety in this population.