Journal article
Assessing the clinical significance of treatment outcomes for distressing voices in routine clinical practice
Clinical Psychology & Psychotherapy, Vol.27(1), pp.79-86
2020
Abstract
Determining reliable and clinically significant change is central to evidence‐based practice yet rarely used in routine clinical settings. This paper illustrates these methods in the context of an evaluation of cognitive behaviour therapy for distressing auditory hallucinations (“voices”). We used data from a clinical sample attending Perth Voices Clinic, a transdiagnostic outpatient service for distressing voices, and a previously published reference sample of healthy voice hearers. Our outcomes on the primary measure of voice distress, derived from a previous factor analysis of the Psychotic Symptom Rating Scale‐Auditory Hallucinations subscale, showed that 62.9% of clients were classified as Recovered/Improved, 35.5% were classified as Unchanged, and 0.02% were classified as Deteriorated. Partial support for the validity of these classifications was obtained from the scores on the Depression, Anxiety, Stress Scales (Lovibond & Lovibond, 1995) but not on the Social and Occupational Functional Assessment Scale (Goldman et al., 1992). Clients classified as Recovered showed better emotional functioning on the Depression, Anxiety, Stress Scales compared with those who did not make a clinically significant change in voice distress. A tool is provided to assist practitioners to evaluate whether individual clients have benefited from therapy for distressing voices or not, which can be used to guide future treatment decisions (https://osf.io/gd9e5/).
Details
- Title
- Assessing the clinical significance of treatment outcomes for distressing voices in routine clinical practice
- Authors/Creators
- J.C. Badcock (Author/Creator) - The University of Western AustraliaM.E. Graham (Author/Creator) - Murdoch UniversityG. Paulik (Author/Creator) - The University of Western Australia
- Publication Details
- Clinical Psychology & Psychotherapy, Vol.27(1), pp.79-86
- Publisher
- Wiley
- Identifiers
- 991005541282607891
- Copyright
- © 2019 John Wiley & Sons, Ltd.
- Murdoch Affiliation
- School of Psychology and Exercise Science
- Language
- English
- Resource Type
- Journal article
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites
Metrics
54 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.21 Psychiatry
- 1.21.24 Schizophrenia Research
- Web Of Science research areas
- Psychology, Clinical
- ESI research areas
- Psychiatry/Psychology