Hallucination focused integrative treatment improves quality of life in schizophrenia patients


Professor Dr D. Wiersma, Department of Psychiatry (5.21), University Hospital Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
E-mail: d.wiersma@med.rug.nl


Objective:  Psychosocial treatment seems to be effective in the management of schizophrenia, although less in the area of quality of life and social functioning. To study the effectiveness of a hallucination focused integrated treatment with cognitive-behaviour therapy and coping training among schizophrenia patients suffering from ‘hearing voices’.

Method:  In a randomized controlled trial (RCT) with 31 patients in the integrated treatment condition and 32 patients in the routine care condition, quality of life was assessed with the self-report questionnaire of the WHO (Bref), and social role functioning with an interviewer based schedule, at entry and 9 (post-treatment) and 18 months later.

Results:  Follow-up data suggest a significant improvement of quality of life and in particular in social role functioning (effect size 0.64) in favour of the integrated treatment.

Conclusion:  The integrated treatment seems to be effective in reducing overall disability levels and number of patients with serious disabilities.