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Personality and emotional response in schizophrenics with persistent auditory hallucination

Published online by Cambridge University Press:  16 April 2020

F.-W. Lung ,
B.-C. Shu  and
P.-F. Chen
F.-W. Lung*
Affiliation:
Department of Psychiatry, Kaohsiung Armed Forces General Hospital, No 2 Chung Cheng 1st road, 802 Kaohsiung, Taiwan Graduate Institute of Behavioral Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan Department of Psychiatry, National Defense Medical Center, Taipei, Taiwan Calo Psychiatric Center, Pingtung County, Taiwan
B.-C. Shu
Affiliation:
Institute of Allied Health Sciences and Department of Nursing, National Cheng Kung University, Tainan, Taiwan
P.-F. Chen
Affiliation:
Department of Psychiatry, Kaohsiung Armed Forces General Hospital, No 2 Chung Cheng 1st road, 802 Kaohsiung, Taiwan
*
*Corresponding author. Tel.: +886 7 7490056; fax: +886 7 7493767. E-mail address: forwey@seed.net.tw (F.W. Lung).
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Abstract

Personality has been proposed as having a possible effect on the reaction that patients have toward auditory hallucination. However, this factor has not been studied previously. Thus, this study investigated the relationship among demographics, personality, cognition and emotional response in schizophrenics with persistent auditory hallucination. One-hundred and fourteen subjects with persistent auditory hallucination completed the Eysenck Personality Questionnaire, the revised Beliefs about Voices Questionnaire and the Chinese-version Hospital Anxiety and Depression Scale. Structural equation model showed that personality had an effect on beliefs about the hallucination (malevolent or benevolent), which then affected the reaction of patients toward these voices (engages or resists). Their reaction will further affect the anxious or depressed state of the patients. When these hallucinations were categorized into the three levels of omnipotence, beliefs and reactions, the model was more significant than that of one-level model. Persistent auditory hallucination only accounted for a portion of the emotional distress when malevolent or benevolent voices were perceived, and personality characteristics accounted for the remaining emotional distress in schizophrenics. This model helped us understand the relationship between personality, cognition and affective symptoms, such that, when therapists decide what “trait” to change, they can determine at which point to intervene.

Keywords

Mental symptomEysenck Personality QuestionnaireBeliefs about Voices QuestionnaireHospital Anxiety and Depression ScalePersistent auditory hallucination
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 7 , October 2009 , pp. 470 - 475
Copyright
Copyright © Elsevier Masson SAS 2008

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References

Bentall, RSlade, PReliability of a measure of disposition towards hallucination. Pers Individ Dif 1985;6(4):527–529CrossRefGoogle Scholar
Berenbaum, HFujita, FSchizophrenia and personality: exploring the boundaries and connections between vulnerability and outcome. J Abnorm Psychol 1994;103(1):148–158CrossRefGoogle ScholarPubMed
Buccheri, RTrygstad, LDowling, GHopkins, RWhite, KGriffin, JJet al.Long-term effects of teaching behavioral strategies for managing persistent auditory hallucinations in schizophrenia. J Psychosoc Nurs Ment Health Serv 2004;42(1):18–27CrossRefGoogle Scholar
Buccheri, RTrygstad, LDowling, GBehavioral management of command hallucinations to harm in schizophrenia. J Psychosoc Nurs Ment Health Serv 2007;45(9):46–54Google Scholar
Chadwick, PBirchwood, MJThe omnipotence of voices: a cognitive approach to auditory hallucinations. Br J Psychiatry 1994;164(2):190–201CrossRefGoogle ScholarPubMed
Chadwick, PLees, SBirchwood, MThe revised Beliefs about Voices Questionnaire (BAVQ-R). Br J Psychiatry 2000;177:229–232CrossRefGoogle Scholar
Chadwick, PSambrooke, SRasch, SDavies, EChallenging the omnipotence of voices: group cognitive behavior therapy for voices. Behav Res Ther 2000;38(10):993–1003CrossRefGoogle ScholarPubMed
Dinzeo, TJCohen, ASNienow, TMDocherty, NMStress and arousability in schizophrenia. Schizophr Res 2004;71(1):127–135CrossRefGoogle Scholar
Dinzeo, TJDocherty, NMNormal personality characteristics in schizophrenia: a review of the literature involving the FFM. J Nerv Ment Dis 2007;195(5):421–429Google ScholarPubMed
Eysenck, HJEysenck, SBGManual of the Eysenck Personality Questionnaire 1975 Hodder & Stoughton LondonGoogle Scholar
Garcia-Marti, GAguilar, EJLull, JJMarti-Bonmati, LEscarti, MJManjon, JVet al.Schizophrenia with auditory hallucinations: a voxel-based morphometry study. Prog Neuropsychopharmacol Biol Psychiatry 2008;32(1):72–80CrossRefGoogle ScholarPubMed
Gonzalez, JCAguilar, EJBerenguer, VLeal, CSanjuan, JPersistent auditory hallucinations. Psychopathology 2006;39(3):120–125CrossRefGoogle ScholarPubMed
Herran, ASierra-Biddle, DCuesta, MJSandoya, MVazquez-Barquero, JLCan personality traits help us explain disability in chronic schizophrenia?. Psychiatry Clin Neurosci 2006;60(5):538–545CrossRefGoogle ScholarPubMed
Hersh, KBorum, RCommand hallucinations, compliance and risk assessment. J Am Acad Psychiatry Law 1998;26(3):353–359Google ScholarPubMed
Hustig, HHHafner, RJPersistent auditory hallucinations and their relationship to delusions and mood. J Nerv Ment Dis 1990;178(4):264–267CrossRefGoogle Scholar
Jenner, JAvan de Willige, GWiersma, DEffectiveness of cognitive therapy with coping training for persistent auditory hallucinations: a retrospective study of attenders of a psychiatric out-patient department. Acta Psychiatr Scand 1998;98(5):384–389CrossRefGoogle ScholarPubMed
Junginger, JCommand hallucinations and the prediction of dangerousness. Psychiatr Serv 1995;46(9):911–914Google ScholarPubMed
Kasper, MERogers, RAdams, PADangerousness and command hallucinations: an investigation of psychotic inpatients. Bull Am Acad Psychiatry Law 1996;24(2):219–224Google ScholarPubMed
Kreyenbuhl, JMarcus, SCWest, JCWilk, JOlfson, MAdding or switching antipsychotic medications in treatment-refractory schizophrenia. Psychiatr Serv 2007;58(7):983–990CrossRefGoogle ScholarPubMed
Laurent, AGilvarry, CRussell, AMurray, RPersonality dimensions and neuropsychological performance in first-degree relatives of patients with schizophrenia and affective psychosis. Schizophr Res 2002;55(3):239–248CrossRefGoogle ScholarPubMed
Leung, CMHo, SKan, CSHung, CHChen, CNEvaluation of the Chinese version of the Hospital Anxiety and Depression Scale. A cross-cultural perspective. Int J Psychosom 1993;40(1–4):29–34Google ScholarPubMed
Leung, CMWing, YKKwong, PKLo, AShum, KValidation of the Chinese-Cantonese version of the Hospital Anxiety and Depression Scale and comparison with the Hamilton Rating Scale of Depression. Acta Psychiatr Scand 1999;100(6):456–461CrossRefGoogle Scholar
Lu, LUniversity transition: major and minor life stressors, personality characteristics and mental health. Psychol Med 1994;24(1):81–87CrossRefGoogle ScholarPubMed
Lysaker, PHBell, MDKaplan, EBryson, GPersonality and psychosocial dysfunction in schizophrenia: the association of extraversion and neuroticism to deficits in work performance. Psychiatry Res 1998;80(1):61–68CrossRefGoogle ScholarPubMed
Lysaker, PHBell, MDKaplan, EGreig, TCBryson, GJPersonality and psychopathology in schizophrenia: the association between personality traits and symptoms. Psychiatry 1999;62(1):36–48CrossRefGoogle Scholar
Lysaker, PHTaylor, ACPersonality dimensions in schizophrenia: associations with symptoms and coping concurrently and 12 months later. Psychopathology 2007;40(5):338–344CrossRefGoogle ScholarPubMed
Lysaker, PHWilt, MAPlascak-Hallberg, CDBrenner, CAClements, CAPersonality dimensions in schizophrenia: associations with symptoms and coping. J Nerv Ment Dis 2003;191(2):287–292CrossRefGoogle ScholarPubMed
Mackinnon, ACopolov, DLTrauer, TFactors associated with compliance and resistance to command hallucinations. J Nerv Ment Dis 2004;192(5):357–362CrossRefGoogle ScholarPubMed
Marti-Bonmati, LLull, JJGarcia-Marti, GAguilar, EJMoratal-Perez, DPoyatos, Cet al.Chronic auditory hallucinations in schizophrenic patients: MR analysis of the coincidence between functional and morphologic abnormalities. Radiology 2007;244(2):549–556CrossRefGoogle ScholarPubMed
Nicolson, SEMayberg, HSPennell, PBPersistent auditory hallucinations that are unresponsive to antipsychotic drugs. Am J Psychiatry 2006;163(7):1153–1159CrossRefGoogle ScholarPubMed
O’daly, OGFrangou, SChitnis, XShergill, SSBrain structural changes in schizophrenia patients with persistent hallucinations. Psychiatry Res 2007;156(1):15–21CrossRefGoogle ScholarPubMed
Persaud, RMarks, IA pilot study of exposure control of chronic auditory hallucination in schizophrenia. Br J Psychiatry 1995;167(1):45–50CrossRefGoogle Scholar
Rogers, RGillis, JRTurner, REFrise-Smith, TThe clinical presentation of command hallucinations in a forensic population. Am J Psychiatry 1990;147(10):1304–1307Google Scholar
Romme, MListening to the voice hearers. J Psychosoc Nurs Ment Health Serv 1998;36(9):40–44Google ScholarPubMed
Romme, MAEscher, ADHearing voices. Schizophr Bull 1989;15(2):209–216CrossRefGoogle ScholarPubMed
Sanjuan, JGonzalez, JCAguilar, EJLeal, CVan Os, JPleasurable auditory hallucinations. Acta Psychiatr Scand 2004;110(4):273–278CrossRefGoogle ScholarPubMed
Shergill, SSMurray, RMMcGuire, PKAuditory hallucinations: a review of psychological treatments. Schizophr Res 1998;32(3):137–150CrossRefGoogle ScholarPubMed
Soppitt, RWBirchwood, MDepression, beliefs, voice content and topography: a cross-sectional study of schizophrenic patients with auditory verbal hallucinations. J Ment Health 1997;6:525–532Google Scholar
Tien, AYDistributions of hallucinations in the population. Soc Psychiatry Psychiatr Epidemiol 1991;26(6):287–292CrossRefGoogle ScholarPubMed
Tzeng, DSLian, LCChang, CUYang, CYLee, GTPan, Pet al.Healthcare in schizophrenia: effectiveness and progress of a redesigned care network. BMC Health Serv Res 2007;7:129–137CrossRefGoogle ScholarPubMed
Van Os, JJones, PBNeuroticism as a risk factor for schizophrenia. Psychol Med 2001;31(6):1129–1134CrossRefGoogle Scholar
Zigmond, ASSnaith, RPThe hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67(6):361–370CrossRefGoogle ScholarPubMed
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