Simone R Burger, Amy Hardy, Inez Verdaasdonk, Berber van der Vleugel, Philippe Delespaul, Catherine van Zelst, Paul A J de Bont, Anton B P Staring, Carlijn de Roos, Ad de Jongh, Machteld Marcelis, Agnes van Minnen, Mark van der Gaag, David van den Berg
{"title":"以创伤为重点的疗法对声音聆听的影响：经验取样研究","authors":"Simone R Burger, Amy Hardy, Inez Verdaasdonk, Berber van der Vleugel, Philippe Delespaul, Catherine van Zelst, Paul A J de Bont, Anton B P Staring, Carlijn de Roos, Ad de Jongh, Machteld Marcelis, Agnes van Minnen, Mark van der Gaag, David van den Berg","doi":"10.1111/papt.12556","DOIUrl":null,"url":null,"abstract":"<p><p>Trauma and post-traumatic stress are involved in the aetiology and maintenance of voice-hearing. It has been proposed that trauma-focused therapy (TFT) might affect voice-hearing, but previous studies are limited and remain undecided.</p><p><strong>Objectives: </strong>We aimed to investigate the effect of TFT on voice-hearing in people with PTSD and psychosis using experience sampling method (ESM). A secondary aim was to explore how changes in voice-hearing are related to changes in PTSD.</p><p><strong>Design: </strong>This is an adjunct longitudinal ESM study of a sub-group of participants (N = 39) from a randomised controlled trial that compared TFT to a waiting-list control group.</p><p><strong>Methods: </strong>Voice-hearing participants filled in 10 daily voice-hearing-related questionnaires for six consecutive days at baseline and post-treatment at pseudo-random times during the day. PTSD symptom severity was assessed at baseline and post-treatment. Multilevel linear regression was used to test the effect of TFT on voice-hearing and to analyse the relationship between changes in voice-hearing and changes in PTSD.</p><p><strong>Results: </strong>The intention-to-treat analysis showed a significant interaction effect between time and treatment condition (p < .00001) with a small effect size (dppc2 = -0.27), indicating a larger decrease in voice-hearing in the TFT group than in the waiting-list control group. Also, a significant association was observed between changes in PTSD symptoms and changes in voice-hearing (p < .00001).</p><p><strong>Conclusions: </strong>Our findings tentatively suggest that, even when voices are not targeted directly, TFT for PTSD can alleviate distressing voices.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of trauma-focused therapy on voice-hearing: An experience sampling study.\",\"authors\":\"Simone R Burger, Amy Hardy, Inez Verdaasdonk, Berber van der Vleugel, Philippe Delespaul, Catherine van Zelst, Paul A J de Bont, Anton B P Staring, Carlijn de Roos, Ad de Jongh, Machteld Marcelis, Agnes van Minnen, Mark van der Gaag, David van den Berg\",\"doi\":\"10.1111/papt.12556\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Trauma and post-traumatic stress are involved in the aetiology and maintenance of voice-hearing. It has been proposed that trauma-focused therapy (TFT) might affect voice-hearing, but previous studies are limited and remain undecided.</p><p><strong>Objectives: </strong>We aimed to investigate the effect of TFT on voice-hearing in people with PTSD and psychosis using experience sampling method (ESM). A secondary aim was to explore how changes in voice-hearing are related to changes in PTSD.</p><p><strong>Design: </strong>This is an adjunct longitudinal ESM study of a sub-group of participants (N = 39) from a randomised controlled trial that compared TFT to a waiting-list control group.</p><p><strong>Methods: </strong>Voice-hearing participants filled in 10 daily voice-hearing-related questionnaires for six consecutive days at baseline and post-treatment at pseudo-random times during the day. PTSD symptom severity was assessed at baseline and post-treatment. Multilevel linear regression was used to test the effect of TFT on voice-hearing and to analyse the relationship between changes in voice-hearing and changes in PTSD.</p><p><strong>Results: </strong>The intention-to-treat analysis showed a significant interaction effect between time and treatment condition (p < .00001) with a small effect size (dppc2 = -0.27), indicating a larger decrease in voice-hearing in the TFT group than in the waiting-list control group. 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The effect of trauma-focused therapy on voice-hearing: An experience sampling study.
Trauma and post-traumatic stress are involved in the aetiology and maintenance of voice-hearing. It has been proposed that trauma-focused therapy (TFT) might affect voice-hearing, but previous studies are limited and remain undecided.
Objectives: We aimed to investigate the effect of TFT on voice-hearing in people with PTSD and psychosis using experience sampling method (ESM). A secondary aim was to explore how changes in voice-hearing are related to changes in PTSD.
Design: This is an adjunct longitudinal ESM study of a sub-group of participants (N = 39) from a randomised controlled trial that compared TFT to a waiting-list control group.
Methods: Voice-hearing participants filled in 10 daily voice-hearing-related questionnaires for six consecutive days at baseline and post-treatment at pseudo-random times during the day. PTSD symptom severity was assessed at baseline and post-treatment. Multilevel linear regression was used to test the effect of TFT on voice-hearing and to analyse the relationship between changes in voice-hearing and changes in PTSD.
Results: The intention-to-treat analysis showed a significant interaction effect between time and treatment condition (p < .00001) with a small effect size (dppc2 = -0.27), indicating a larger decrease in voice-hearing in the TFT group than in the waiting-list control group. Also, a significant association was observed between changes in PTSD symptoms and changes in voice-hearing (p < .00001).
Conclusions: Our findings tentatively suggest that, even when voices are not targeted directly, TFT for PTSD can alleviate distressing voices.
期刊介绍：
Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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