Group mindfulness-based intervention for distressing voices: A pragmatic randomised controlled trial
Open accessAbstract
Group Person-Based Cognitive Therapy (PBCT) integrates cognitive therapy and mindfulness to target distinct sources of distress in psychosis. The present study presents data from the first randomised controlled trial investigating group PBCT in people distressed by hearing voices. One-hundred and eight participants were randomised to receive either group PBCT and Treatment As Usual (TAU) or TAU only. While there was no significant effect on the primary outcome, a measure of general psychological distress, results showed significant between-group post-intervention benefits in voice-related distress, perceived controllability of voices and recovery. Participants in the PBCT group reported significantly lower post-treatment levels of depression, with this effect maintained at six-month follow-up. Findings suggest PBCT delivered over 12weeks effectively impacts key dimensions of the voice hearing experience, supports meaningful behaviour change, and has lasting effects on mood.
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Recent randomised control studies and meta-analyses showed that mindfulness-based interventions significantly improved DM, negative emotions, positive symptoms and negative symptoms compared with control groups.
“Recent randomised control studies and meta-analyses showed that mindfulness-based interventions significantly improved DM, negative emotions, positive symptoms and negative symptoms compared with control groups.43–49”
From Dispositional Mindfulness and Psychotic Symptoms in Schizophrenia Spectrum Disorders: The Mediating Roles of Rumination and Negative Emotion (2022) · cites this paper as [45]
The Results > Outcomes report significant post-treatment improvements versus treatment as usual in depression and voice-related distress. They do not establish significant improvements in DM or in positive and negative symptoms; anxiety and the primary overall-distress outcome were not significantly improved. The Discussion also notes that, apart from depression, the positive effects were not maintained at follow-up. (LLM, conf=0.88)
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- Authors
- Chadwick, P., Strauss, C., Jones, A.-M., Kingdon, D., Ellett, L., Dannahy, L., & Hayward, M.
- Affiliations
- King's College London (GB)
- University of Sussex (GB)
- University of Southampton (GB)
- Royal Holloway University of London (GB)
- Southern Health and Social Care Trust (GB)
- Corresponding author
- Chadwick, Paul
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 175
- Issue
- 1-3
- Pages
- 168-173
- ISSN
- 0920-9964 (ISSN-L)
- PMC
- PMC4967452
- OpenAlex
- W2339126503
- Cited by
- 116
- References
- 30
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 12 · 2023: 9 · 2022: 11 · 2021: 13 · 2020: 16 · 2019: 11 · 2018: 14 · 2017: 14 · 2016: 3 · 2013: 1
- FWCI
- 12.44
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Schizophrenia Research (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- Sussex Research Online (University of Sussex) (submittedVersion, cc-by-nc-nd)
- Figshare (submittedVersion, cc-by-nc-nd)
- Research Portal (King's College London) (submittedVersion, cc-by-nc-nd)
- Funders
- National Institute for Health and Care Research (PB-PG-0110-21239)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Keywords
- mindfulness-based interventions
- MeSH terms
- Adolescent, Adult, Aged, Female, Follow-Up Studies, Hallucinations, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychotic Disorders, Schizophrenia, Single-Blind Method, Treatment Outcome, Young Adult, Self Report, Mindfulness
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