Evidence map›Paper›PMID 40209104›Full record

ArticleSchizophrenia bulletin2025

Imagery-Focused Cognitive Behavioral Therapy Techniques for Auditory Verbal Hallucinations in Psychosis Spectrum Disorders: Four Experimental Case Series.

Hella Janssen, Karin C van den Berg, Ger P J Keijsers, Georgie Paulik, Katherine Newman-Taylor, Christopher D J Taylor, Craig Steel, Machteld C Marcelis

Abstract read
In one paragraph

Article in Schizophrenia bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hella JanssenDepartment of Research and Innovation, Institute for Mental Health Care Eindhoven (GGzE), 5600AX Eindhoven, The Netherlands.ORCID 0000-0001-6937-4084
Karin C van den BergBehavioural Science Institute, Radboud University, 6500 HE Nijmegen, The Netherlands.
Ger P J KeijsersBehavioural Science Institute, Radboud University, 6500 HE Nijmegen, The Netherlands.
Georgie PaulikPerth Voices Clinic, Murdoch, WA 6150, Australia.
Katherine Newman-TaylorPsychology Department, University of Southampton, Southampton SO17 1BJ , United Kingdom.
Christopher D J TaylorDepartment of Psychology, Faculty of Science, The University of Sheffield, Sheffield S1 4DP, United Kingdom.
Craig SteelOxford Institute of Clinical Psychology Training and Research, Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford OX3 7JX, United Kingdom.
Machteld C MarcelisDepartment of Research and Innovation, Institute for Mental Health Care Eindhoven (GGzE), 5600AX Eindhoven, The Netherlands.

Funding

Mental Health Institute Eindhoven
6 · The paper itself

Abstract

backgroundIn psychosis spectrum disorders, maladaptive mental imagery is associated with auditory verbal hallucinations (AVHs). This study evaluates the feasibility, acceptability, and effectiveness of the following 4 imagery techniques in targeting mental imagery and AVHs severity: Imagery Rescripting (ImRs), Promoting positive Imagery de novo (Pos-Im), Metacognitive Imagery techniques (Meta-Im), and playing Tetris. STUDY

designFour replicated single-case series experimental designs were used. Participants were randomized to 1 of the 4 treatment conditions. Primary, we measured the severity of mental imagery and AVHs thrice daily on an 11-point VAS scale during a 2-week baseline, throughout 3 weeks of therapy, and during a 2-week follow-up phase. Randomization tests were used to examine whether daily severity levels of momentary mental imagery and AVHs decreased post-therapy. Secondary, questionnaires assessing the severity of AVHs, mental imagery characteristics, and levels of mood, anxiety, and functioning were administered at baseline, before, and posttreatment.

resultsTwenty-eight participants completed all treatment sessions. Mental imagery significantly decreased after ImRs (P < .001, d = 1.13) and Pos-Im (P = .039, d = 0.22), with no significant effects observed following Meta-Im or Tetris. AVHs significantly decreased with all treatment conditions, with largest effects for ImRs (P = .001, d = 1.39) and Pos-Im (P < .001, d = 1.99). Secondary results demonstrated reductions in the severity of AVHs, mood, anxiety, imagery frequency, and appraisals.

conclusionsImagery techniques appear feasible and acceptable for addressing mental imagery and AVHs in the psychosis continuum and may be valuable additions to current treatment for AVHs.

Indexed as

Cognitive Behavioral TherapyHallucinationsImagery, PsychotherapyOutcome Assessment, Health CarePsychotic DisordersSchizophreniaAdultFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMetacognitionMiddle AgedRandom AllocationSingle-Case Studies as Topicauditory verbal hallucinationshearing voicesimagery rescriptingmental imagerypsychosis

Identifiers

PMID40209104
PMCPMC12597508

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.