The effect of trauma-focused therapy on voice-hearing: An experience sampling study

IF 2.6 3区医学 Q2 PSYCHIATRY

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2024-11-04 DOI:10.1111/papt.12556

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

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Abstract

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.

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以创伤为重点的疗法对声音聆听的影响：经验取样研究

创伤和创伤后应激与嗓音听力的病因和维持有关。有人提出，以创伤为中心的疗法（TFT）可能会影响语音听觉，但以往的研究很有限，而且仍未确定：我们的目的是利用经验取样法（ESM）调查创伤后应激障碍和精神病患者的语音听力对 TFT 的影响。设计：这是一项辅助性纵向体验取样法（ESM）研究：这是一项辅助性纵向ESM研究，研究对象是随机对照试验中的一组参与者（N = 39），该试验将TFT与等待对照组进行了比较：方法：嗓音听力参与者在基线和治疗后连续六天每天填写10份与嗓音听力相关的问卷，时间为一天中的假随机时间。在基线和治疗后评估创伤后应激障碍症状的严重程度。多层次线性回归用于检验 TFT 对听力的影响，并分析听力变化与创伤后应激障碍变化之间的关系：结果：意向治疗分析表明，时间与治疗条件之间存在显著的交互效应（p 结论：TFT对创伤后应激障碍的影响是显著的：我们的研究结果初步表明，即使不是直接针对声音，创伤后应激障碍的 TFT 也能缓解令人痛苦的声音。

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来源期刊

Psychology and Psychotherapy-Theory Research and Practice 医学-精神病学

CiteScore

6.10

自引率

5.90%

发文量

审稿时长

6 months

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.