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A study of coping with auditory hallucinations in schizophrenics
1Assistant Professor, Institute of Mental Health, Kilpauk, Madras-600 010.
Indian Journal of Psychiatry
|October 4, 2011
Summary
Schizophrenia patients use various coping strategies for auditory hallucinations. Factors like voice characteristics and patient traits influence orientation and useful coping behaviors, while specific voice elements correlate with suicidal ideation.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Auditory hallucinations are a common symptom in schizophrenia.
- Understanding patient coping mechanisms is crucial for treatment.
Purpose of the Study:
- To examine coping strategies for auditory hallucinations in schizophrenia patients.
- To identify factors associated with general orientation and useful coping behaviors.
- To explore predictors of suicidal ideation in this population.
Main Methods:
- Study involved 30 patients diagnosed with schizophrenia.
- Data collected on patient demographics, illness characteristics, voice properties, and coping behaviors.
- Statistical analysis to identify associations between variables.
Main Results:
- Patient age, personality, illness duration, voice characteristics (position, loudness, pitch), and interference with activities were linked to general orientation.
- Systematic coping behavior proved beneficial.
- Socio-economic status and degree of interference influenced the choice of effective orientation.
- Arousal manipulation and attention control were found to be advantageous.
- Neuroticism, voice interference, emotional intensity, 'third person' voices, and voice anticipation correlated with suicidal ideation.
Conclusions:
- Patient and voice-related factors significantly influence orientation and coping in auditory hallucinations.
- Systematic, attention-focused coping strategies can be beneficial.
- Specific voice experiences and psychological traits are associated with increased risk for suicidal ideation, necessitating targeted interventions.
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