{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T23:10:09Z","timestamp":1789859409567,"version":"4.0.1"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,5,24]],"date-time":"2018-05-24T00:00:00Z","timestamp":1527120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>Cognitive behaviour therapy is recommended internationally as a treatment for psychosis (targeting symptoms such as auditory hallucinations, or \u201cvoices\u201d). Yet mental health services are commonly unable to offer such resource\u2010intensive psychological interventions. Brief, symptom\u2010specific and less resource\u2010intensive therapies are being developed as one initiative to increase access. However, as access increases, so might the risk of offering therapy to clients who are not optimally disposed to engage with and benefit from therapy. Thus, it is important to identify who is most\/least likely to engage with and benefit from therapy, and when. In the current study, 225 clients were assessed for suitability for a brief, 4\u2010session, manualized, cognitive behaviour therapy\u2010based intervention for voices (named coping strategy enhancement therapy) and 144 commenced therapy, at a transdiagnostic voices clinic based in Sussex, UK. This article reports on the value of depression, anxiety, stress, insight into the origin of voices, length of voice hearing, and demographics in the prediction of engagement and outcomes. The study found that higher levels of baseline depression, anxiety, and stress were significantly associated with poorer outcomes, especially if clients also had high levels of voice\u2010related distress. The engagement analyses showed that levels of voice\u2010related distress at baseline predicted dropout. These findings highlight the importance of assessing negative affect and voice\u2010related distress prior to commencing therapy for distressing voices, to help determine if the client is suitable or ready for brief\u2010coping strategy enhancement.<\/jats:p>","DOI":"10.1002\/cpp.2299","type":"journal-article","created":{"date-parts":[[2018,5,25]],"date-time":"2018-05-25T03:04:05Z","timestamp":1527217445000},"page":"634-640","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Brief coping strategy enhancement for distressing voices: <scp>P<\/scp>redictors of engagement and outcome in routine clinical practice"],"prefix":"10.1002","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8973-8922","authenticated-orcid":false,"given":"Georgie","family":"Paulik","sequence":"first","affiliation":[{"name":"Perth Voices Clinic, School of Psychological Science University of Western Australia  Crawley Australia"},{"name":"School of Psychology and Exercise Science Murdoch University  Murdoch Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna\u2010Marie","family":"Jones","sequence":"additional","affiliation":[{"name":"Research and Development Department Sussex Partnership NHS Foundation Trust  Worthing UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6567-7723","authenticated-orcid":false,"given":"Mark","family":"Hayward","sequence":"additional","affiliation":[{"name":"Research and Development Department Sussex Partnership NHS Foundation Trust  Worthing UK"},{"name":"School of Psychology University of Sussex  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.10.2.176"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291797005552"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300213"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.164.2.190"},{"key":"e_1_2_7_6_1","unstructured":"Committee for Medicinal Products for Human Use(2015).Guideline on adjustment for baseline covariates in clinical trials. 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