The ECHO study: compassion-focused therapy for young voice hearers and their caregivers. A pilot study - Report - MDSpire

The ECHO study: compassion-focused therapy for young voice hearers and their caregivers. A pilot study

  • By

  • Maja Kargaard Musaeus

  • Charles Heriot-Maitland

  • Vibeke Fuglsang Bliksted

  • July 10, 2026

  • 0 min

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Clinical Report: ECHO Study on Compassion-Focused Therapy for Voice Hearing

Overview

The ECHO study investigates the feasibility and efficacy of a manualized compassion-focused therapy (CFT) for adolescents experiencing auditory hallucinations. The study includes a treatment group of 60 adolescents aged 13-18 and a clinical comparison group of 20 individuals aged 18-20 with first-episode schizophrenia.

Background

Voice hearing is a phenomenon that can occur in various psychiatric disorders, affecting a significant percentage of adolescents. The ECHO study aims to explore the application of compassion-focused therapy in this population.

Data Highlights

The study involves a total of 80 participants, with 60 adolescents aged 13-18 and 20 individuals aged 18-20. Data will be collected at four time points: 3 months prior to treatment, immediately before treatment, immediately after treatment, and at 1 month follow-up.

Key Findings

  • The ECHO study utilizes a 10-session manualized CFT specifically designed for voice hearing.
  • Caregivers participate in half of the therapy sessions to foster understanding and communication about voice hearing.
  • Data collection focuses on social cognition, perceived social safeness, social connectedness, general well-being, auditory hallucinations, and compassion.
  • The study employs a mirror-image approach, allowing participants to serve as their own controls.
  • Compassion-focused therapy aims to help individuals develop inner warmth and self-compassion.

Clinical Implications

The involvement of caregivers in the treatment process may enhance understanding and support for adolescents experiencing voice hearing.

Conclusion

The ECHO study addresses the needs of young individuals experiencing auditory hallucinations through compassion-focused therapy.

Related Resources & Content

  1. ECHO Study, ClinicalTrials.gov, 2023 -- ECHO Study Protocol
  2. Frontiers in Psychiatry — Family psychoeducation to support patients with psychotic illness: two-year outcomes from a pre–post longitudinal pilot study
  3. Frontiers in Psychiatry — Effectiveness of a culturally adapted psychoeducational intervention for family caregivers of children with hematologic malignancy: a randomized controlled trial
  4. DIGITAL HEALTH — Exploring caregiver experiences with the altitudes digital mental health program: A thematic analysis
  5. BMC Psychiatry (Springer) — Emotional Expressions and Caregiving Perceptions in Families of Individuals with Psychotic Disorders: A Cross-Sectional Analysis
  6. NICE Guidelines for Psychosis and Schizophrenia in Children and Young People
  7. Prevalence of Psychotic Experiences in Children and Adolescents
  8. The effectiveness of non-pharmacological treatments for auditory verbal hallucinations in schizophrenia spectrum disorders: A systematic review and meta-analysis - PubMed

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