Behavioral management of persistent auditory hallucinations in schizophrenia: Outcomes from a 10-week course

Louise Trygstad, Robin Buccheri, Glenna Dowling, Roberta Zind, Kathy White, Jan Johnson Griffin, Susan Henderson, Lynda Suciu, Susan Hippe, Merrie J. Kaas, Cheryl Covert, Patrice Hebert

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Background: Medication-resistant, persistent auditory hallucinations are pervasive in persons with schizophrenia. Behavior strategies are often very effective as adjunctive therapy to decrease the negative characteristics of this symptom. Objectives: The purpose of this multi-site intervention study was to examine the short-term effects of a 10-week course to teach behavior management of persistent auditory hallucinations on seven characteristics of auditory hallucinations (i.e., frequency, loudness, self-control, clarity, tone, distractibility, and distress), anxiety, and depression. Study Design: A quasi-experimental repeated measured design was used. The sample included 62 outpatients with schizophrenia who reported daily persistent auditory hallucinations. Measures included the Characteristics of Auditory Hallucinations Questionnaire, the tension-anxiety subscale of the Profile of Mood States, and the Beck Depression Inventory II. Results: Preintervention scores for the frequency (p <.001), self-control (p <.03), clarity (p <.01), tone (p <.03), distractibility (p <.006), and distress (p <.001) improved compared with preintervention scores. Postintervention scores on anxiety and depression were also significantly lower than preintervention scores (p <.02, p <.001, respectively). Conclusions: Teaching behavior management of persistent auditory hallucinations in a standardized 10-week course is clinically effective and can be incorporated into many existing outpatient programs.

Original languageEnglish (US)
Pages (from-to)84-91
Number of pages8
JournalJournal of the American Psychiatric Nurses Association
Volume8
Issue number3
DOIs
StatePublished - Jun 2002

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    Trygstad, L., Buccheri, R., Dowling, G., Zind, R., White, K., Griffin, J. J., Henderson, S., Suciu, L., Hippe, S., Kaas, M. J., Covert, C., & Hebert, P. (2002). Behavioral management of persistent auditory hallucinations in schizophrenia: Outcomes from a 10-week course. Journal of the American Psychiatric Nurses Association, 8(3), 84-91. https://doi.org/10.1067/mpn.2002.125223