Patterns used by Schizophrenic Patients to Cope with Auditory Hallucination

Author

Psychiatric Nursing and Mental Health, Faculty of Nursing, Port Said University

Abstract

Background: Many patients with psychotic disorders experience persistent auditory hallucinations despite rigorous pharmacological treatment. Aim: This study was to assess patterns used by schizophrenic patients to cope with auditory hallucination Methods: Analytical descriptive research design was utilized for the current study.The study was carried out at National Centered for Mental Health - Fhais Hospital - Jordan. Which affiliated to the Ministry of Health at Jordan Governorate. A convenient sample of 55 patients from pervious mentioned setting. Two tools were utilized to collect data for this study(Coping with auditory hallucinations. socio-demographic and clinical data interview schedule). Results: The results revealed that, the acceptance of the voices cognitive strategy which was significantly associated with the employment status of patients. Also the behavioral coping strategies, it was found that, performing home tasks or hobbies was significantly related to sex. Also marital status was significantly associated with walking, standing or setting strategy and whispering strategy. In addition, praying or doing other religious activities strategy was significantly related to educational level. Conclusion and Recommendation: The study concluded that Jordan Schizophrenic Patients used several coping strategies to take care of auditory hallucinations. There were many significant correlations between coping strategies and socio- demographic and/ or clinical characteristics. Thus, the study recommended continuing learning program for nurses in the form of workshops, conferences and review update to help schizophrenic patients cope successfully with auditory hallucinations.

Keywords


Chaudhury S (2010): Hallucinations: Clinical aspects and management Ind Psychiatry J. 2010 Jan-Jun; 19(1): 5–12.

 
Cockshutt G (2004): Choices for voices: A voice hearer's perspective on hearing voices. Cogn Neuro psychiatr. 9:9–11.

Higuera V & Krucik G (2014): What Do You Want to Know About Schizophrenia?   October 20, 2014.

 
Jenner JA, Nienhuis FJ, van de Willige G, Wiersma D (2006): “Hitting” voices of schizophrenia patients may lastingly reduce persistent auditory hallucinations and their burden: 18 month outcome of a randomized control trial. Can J Psychiatry. 2006;51:169–77.
Kneisl C, Trigoboff E (2013):Contemporary Psychiatric – Mental Health Nursing, 3rd ed, Boston, Newyork
 
 Leede-Smith S ,   Barkus E (2013): A comprehensive review of auditory verbal hallucinations: lifetime prevalence, correlates and mechanisms in healthy and clinical individuals. ; 7: 367. Front Hum Neurosci.
Lennox BR, Park SB, Medley I, Morris PG, Jones PB (2000): The functional anatomy of auditory hallucinations in schizophrenia. Psychiatry Res100:13–20.
LuhrmannT  (2014): Hallucinatory 'voices' shaped by local culture, Stanford anthropologist says, July 16, luhrmann@stanford.edu.
Mohamed (2009): Coping strategies with auditory hallucination in schizophrenic patients. AAMJ, 7 (1).
Nolen-Hoeksema, S (2014): Abnormal Psychology (6e ed.). McGraw-Hill.p. 283.
Pontillo M,  De Crescenzo F,  Vicari S,  Pucciarini M, Averna R, Santonastaso O, and  Armando M (2016): Cognitive behavioural therapy for auditory hallucinations in schizophrenia: A review .World J Psychiatry. 6(3): 372–380.

 

Row C (2003): Advice for Consumers and Those who Want to Help, Reprinted from "Self-Management" issue of Visions Journal, 1 (18), pp. 27-   8.

Spingh G, Sharan P, Kulhara P, (2002):  Coping with hallucinations in schizophrenia: a correlational study. Hong Kong Journal Psychiatry, 12 (3) 5-11.
 Tsai Y,  Ku Y (2005):Self-Care Symptom Management Strategies for Auditory Hallucinations Among Inpatients with Schizophrenia at a Veterans' Hospital in Taiwan. School of Nursing, Chang Gung University, Taiwan, Nursing Department, Taoyuan Veterans Hospital, Taiwan , 19(4) 194– 99.
Trower P, Birchwood M, Meaden A, Byrne S, Nelson A, Ross K.(2004): Cognitive Therapy for Command Hallucinations: Randomised Controlled Trial. British Journal of Psychiatry. 184:312–320.