Hearing voices Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Participants will be eligible if they: 1. Report currently distressing voices as determined by a rating of 2 or above on the ‘Intensity of Distress’ item on the PSYRATS scale 2. Has had recorded contact and treatment from mental health services at the point of recruitment 3. Aged 18-65 4. No significant history of organic, or drug/alcohol factors implicated in the aetiology of psychotic symptoms 5. English speaking 6. Provides informed patient consent 7. Not receiving care from a learning disability service 8. Has a fixed abode. Having a fixed abode is operationalised as having a current address (including B&B or open access hostel) and evidence (e.g. from key worker) indicating that the person is more likely than not to have a reliable address throughout the 2 years. Although the exclusion of those with no fixed abode may limit the sample, this is a necessary restriction to avoid inevitable sample attrition from this group
Exclusion criteria
Exclusion criteria: 1. Unable to provide informed consent 2. Unable to communicate sufficiently in English 3. Of no fixed abode
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hallucination Change Scale (HCS). Each participant generates a narrative description of their auditory hallucinations (AH) scored for the 24-hour time period just prior to initiation of the trial, which was scored as a 10. The Hallucination Change Scale (HCS) is scored in subsequent assessments by requesting the patient to generate a new narrative description of AHs. Follow-up severity scores ranged from 0, corresponding to no hallucinations, to a maximum score of 20, corresponding to hallucinations twice as severe as baseline. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Voice hearing: 1.1. Psychotic Symptoms Rating Scale (PSYRATS (AH)): 11 items completed on the basis of a clinical interview, and enables analysis in relation to voice distress specifically as well as a wider range of voice characteristics 1.2. Positive and Negative Symptom Scale (PANNS): A widely used clinical interview assessing a wide range of symptoms associated with a diagnosis of a psychotic disorder 1.3. Beliefs about Voices Scale (BAVQ-R). A 35-item self-report measure of the appraisals made in relation to a voice hearing experience 1.4. The Voice and You Rating Scale (VAY). A 28-item self-report measure assessing the relationship an individual has with their voices 1.5. The DAIMON Scale. A 28-item self-report measure assessing how an individual relates to a voice hearing experience 2. Anxiety and Depression: 2.1. Generalised Anxiety Disorder (GAD7). A 7-item self-report anxiety measure 2.2. Physical Health Questionnaire (GAD9). A 9-item self-report measure of depression 3. Dissociation: 3.1. Dissociative Experience Scale (DES). 28-item self-report measure 4. Wellbeing 4.1. Warwick Edinburgh Mental Wellbeing Scale (WEMWB) - 14 item self-report measure 4.2. Self Compassion Scale (SCS) – a 12 item self-report measure | — |
Countries
United Kingdom