Effect of Cognitive Behavioral Therapy on Auditory Hallucination and Self-esteem among Schizophrenic Patients

Auditory hallucinations constitute a predominant positive symptom in schizophrenia spectrum disorders. These perceptual disturbances are associated with substantial psychosocial morbidity, including deterioration in adaptive functioning, compromised interpersonal relationships, and reduced therapeutic compliance. Aim: This study aimed to evaluate the effect of cognitive behavioral treatment program on auditory hallucinations among patients with schizophrenia. Design: A Quasi-experimental pre-post design was used for this study. Setting: The study was conducted at El Manial Psychiatry and Addiction Treatment Hospital. Sample: A purposive sample of thirty schizophrenic patients who are currently suffering from auditory hallucinations were selected. Tools: Three tools were used to collect the data for the present study; a) Personal and Medical Data Sheet; b) The revised Beliefs About Voices Questionnaire (BAVQ-R); and c) Rosenberg Self-Esteem Scale. CBT program: A tailored cognitive behavioral treatment was constructed by the researchers and implemented in fourteen sessions that were held twice weekly, and each session ranged from 30 to 45 minutes. Results: The study revealed that, there was a statistically significant reduction in the hallucination frequency; however, there was no significant change in self-esteem. Conclusion: In conclusion, this study contributes valuable evidence to the growing literature supporting CBT as an effective intervention for managing auditory hallucinations and enhancing psychological well-being in schizophrenia. Recommendations: The study recommended that, designing mobile app. that support CBT programs and maintain continuity of treatment, additionally further investigation into optimal treatment duration, session frequency, and booster session protocols may help maximize the therapeutic benefits.