Effects of the Attention Training Technique on Auditory Hallucinations in Schizo-Affective Disorder: A Single Case Study

Case Reports in Psychiatry
Karin E P Carter, Adrian Wells

Abstract

A 41-year-old female with schizo-affective disorder presenting with an eight-year history of auditory hallucinations participated in a single case treatment study (A-B-A-B-A-C-B) of the effects of the Attention Training Technique (ATT). No antipsychotic medication was prescribed in this case following a serious adverse reaction in the past. The aim of the study was to test the impact of ATT on the frequency and duration of hallucinations using a repeated return to baseline followed by an alternating treatment design. The alternative intervention consisted of autogenic relaxation instructions. The patient monitored the frequency, duration, and her distress over the voices on a daily basis during baseline and intervention phases across a study period of 80 weeks. Visual analysis of the data showed that ATT when introduced at three phases following baselines or control conditions was associated with a reduction in auditory hallucination frequency and duration compared to the other phases. This contrasted with the autogenic relaxation intervention that was associated with an increase in duration and frequency of voices. The perceived benefits of ATT were maintained for varying periods of time.

References

Aug 28, 1998·Schizophrenia Research·S S ShergillP K McGuire
Dec 7, 2007·The American Journal of Psychiatry·Susan R McGurkKim T Mueser
Jan 24, 2008·Schizophrenia Bulletin·Steven M SilversteinHannah Starobin
Jan 5, 2013·Behavioural and Cognitive Psychotherapy·Paul HuttonAdrian Wells
Jan 21, 2014·Journal of Behavior Therapy and Experimental Psychiatry·Anthony P MorrisonAdrian Wells
May 29, 2014·Clinical Psychology Review·Steffen MoritzTodd S Woodward
Apr 30, 2016·Journal of Clinical Psychology·Mark M KnowlesAdrian Wells

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Citations

Nov 8, 2018·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Rosan MeyerNeil Shah
Nov 22, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Farzaneh Zamiri AbdollahiVafa Delphi

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Methods Mentioned

BETA
cognitive-behavioural therapy

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