Journal articles on the topic 'Auditory hallucinations'
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Hoffman, Ralph E., Brian Pittman, R. Todd Constable, Zubin Bhagwagar, and Michelle Hampson. "Time course of regional brain activity accompanying auditory verbal hallucinations in schizophrenia." British Journal of Psychiatry 198, no. 4 (April 2011): 277–83. http://dx.doi.org/10.1192/bjp.bp.110.086835.
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BackgroundThe pathophysiology of auditory verbal hallucinations remains poorly understood.AimsTo characterise the time course of regional brain activity leading to auditory verbal hallucinations.MethodDuring functional magnetic resonance imaging, 11 patients with schizophrenia or schizoaffective disorder signalled auditory verbal hallucination events by pressing a button. To control for effects of motor behaviour, regional activity associated with hallucination events was scaled against corresponding activity arising from random button-presses produced by 10 patients who did not experience hallucinations.ResultsImmediately prior to the hallucinations, motor-adjusted activity in the left inferior frontal gyrus was significantly greater than corresponding activity in the right inferior frontal gyrus. In contrast, motor-adjusted activity in a right posterior temporal region overshadowed corresponding activity in the left homologous temporal region. Robustly elevated motor-adjusted activity in the left temporal region associated with auditory verbal hallucinations was also detected, but only subsequent to hallucination events. At the earliest time shift studied, the correlation between left inferior frontal gyrus and right temporal activity was significantly higher for the hallucination group compared with non-hallucinating patients.ConclusionsFindings suggest that heightened functional coupling between the left inferior frontal gyrus and right temporal regions leads to coactivation in these speech processing regions that is hallucinogenic. Delayed left temporal activation may reflect impaired corollary discharge contributing to source misattribution of resulting verbal images.
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Yanti, Dian Anggri, Tati Murni Karokaro, Kuat Sitepu, Pitriani ., and Wina Novita Br Purba. "EFEKTIVITAS TERAPI MUSIK KLASIK TERHADAP PENURUNAN TINGKAT HALUSINASI PADA PASIEN HALUSINASI PENDENGARAN DI RUMAH SAKIT JIWA PROF. DR.M. ILDREM MEDAN TAHUN 2020." JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) 3, no. 1 (October 31, 2020): 125–31. http://dx.doi.org/10.35451/jkf.v3i1.527.
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Increased illness causes problems in the health field one misbehaving in the from of auditory hallucinations. This can be overcome with pharmacological and non-pharmacological therapies. Non pharmacological therapy which can be used in the form of classical music therapy. The purpose of this research is to find out the effectiveness of classical music therapy to decrease the level of hallucinations in patients with auditory hallucinations. Type of this research is quantitative research uses quasi-experimental design with design research pre and post test without control. Sampling techniques in this study using a sample with a population of 22 respondents at Mental Hospital Prof. Dr. M. Ildrem Medan in 2020. The results of statistical analysis using the Paired t test indicates p value of 0,000 means that there is effectiveness in the administration of classical music therapy to decrease the level of hallucinations in patients with auditory hallucinations. The result is expected of music therapy to be one nursing intervention to decrease level hallucination with auditory of hallucination.
Keywords: Patients with hallucination, music therapy, level of auditory Hallucination.
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Cleghorn, J. M., E. S. Garnett, C. Nahmias, G. M. Brown, R. D. Kaplan, H. Szechtman, B. Szechtman, S. Franco, S. W. Dermer, and P. Cook. "Regional Brain Metabolism During Auditory Hallucinations in Chronic Schizophrenia." British Journal of Psychiatry 157, no. 4 (October 1990): 562–70. http://dx.doi.org/10.1192/bjp.157.4.562.
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Regions of the brain involved in language and attention were studied using [18F]-fluorodeoxyglucose in PET. In nine chronic DSM–III schizophrenic patients who had persistent auditory hallucinations, ten who had recovered from hallucinations and ten normal controls. In none of the regions examined was metabolic activity significantly different in hallucinating patients compared with that in other groups. However, a pattern of seven significant correlations of metabolic activity between language regions and between frontal and parietal cortex characterised the hallucinating but not the other groups. Three of the seven correlations were significantly greater in hallucinating patients than in the two other groups, and six were greater in hallucinating patients than controls. Metabolism in Broca's region and its right-hemisphere homologue correlated positively and significantly in the hallucinating group, as it did in anterior cingulate and left superior temporal areas, and in right frontal and parietal areas. Hallucination ratings correlated with metabolism in the anterior cingulate region.
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Kumari, Ranju, Suprakash Chaudhury, and Subodh Kumar. "Dimensions of Hallucinations and Delusions in Affective and Nonaffective Illnesses." ISRN Psychiatry 2013 (August 13, 2013): 1–10. http://dx.doi.org/10.1155/2013/616304.
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The aim of the study was to examine the dimensions of hallucinations and delusions in affective (manic episode, bipolar affective disorder, and depressive episode) and nonaffective disorders (schizophrenia, acute and transient psychotic disorders, and unspecified psychosis). Sixty outpatients divided equally into two groups comprising affective and nonaffective disorders were taken up for evaluation after screening, as per inclusion and exclusion criteria. Scores of 3 or above on delusion and hallucinatory behavior subscales of positive and negative syndrome scale were sufficient to warrant rating on the psychotic symptom rating scales with which auditory hallucination and delusion were assessed on various dimensions. Insight was assessed using the Beck cognitive insight scale (BCIS). There were no significant differences between the two groups on age, sex, marital status, education, and economic status. There were significant differences in total score and emotional characteristic subscale, cognitive interpretation subscale, and physical characteristic subscale of auditory hallucination scales in between the two groups. Correlation between BCIS-total and total auditory hallucinations score was negative (Spearman Rho −0.319; P<0.05). Hallucinating patients, more in nonaffective group, described a negative impact of hallucinating voices along with emotional consequences on their lives which lead to distress and disruption.
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Alvarez Perez, Purificacion, Maria Jose Garcia-Antelo, and Eduardo Rubio-Nazabal. "“Doctor, I Hear Music”: A Brief Review About Musical Hallucinations." Open Neurology Journal 11, no. 1 (February 28, 2017): 11–14. http://dx.doi.org/10.2174/1874205x01711010011.
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Auditory hallucinations are defined as the abnormal perception of sound in the absence of an external auditory stimulus. Musical hallucinations constitute a complex type of auditory hallucination characterized by perception of melodies, music, or songs. Musical hallucinations are infrequent and have been described in 0.16% of a general hospital population. The auditory hallucinations are popularly associated with psychiatric disorders or degenerative neurological diseases but there may be other causes in which the patient evolves favorably with treatment. With this clinical case we want to stress the importance of knowing the causes of musical hallucinations due to the unpredictable social consequences that they can have.
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Sujiah, Sujiah, Hernida Warni, and Adi Fikrinas. "The effectiveness of application of drawing activity occupational therapy against auditory hallucination symptoms." Media Keperawatan Indonesia 6, no. 2 (May 30, 2023): 83. http://dx.doi.org/10.26714/mki.6.2.2023.83-91.
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Auditory hallucinations are the most common hallucinations in schizophrenia, experienced by more than 60% of people with schizophrenia. Patients who have hallucinations often become irrational and lose control of their actions, which can lead to homicide, suicide, and environmental destruction. This study aims to examine the effects of occupational therapy drawing exercises on auditory hallucination symptoms. This study used a quasi-experimental control group technique with a sample size of 40 respondents. The results showed an impact of occupational therapy on drawing activity on auditory hallucinations symptoms, with a p-value of 0.000, and a significant difference in the reduction of auditory hallucinations symptoms between the intervention and control group after occupational therapy with a drawing activity. Patients with auditory hallucinations are advised to engage in occupational therapy drawing activities to alleviate their symptoms.
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Varese, F., E. Barkus, and R. P. Bentall. "Dissociation mediates the relationship between childhood trauma and hallucination-proneness." Psychological Medicine 42, no. 5 (September 6, 2011): 1025–36. http://dx.doi.org/10.1017/s0033291711001826.
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BackgroundIt has been proposed that the relationship between childhood trauma and hallucinations can be explained by dissociative processes. The present study examined whether the effect of childhood trauma on hallucination-proneness is mediated by dissociative tendencies. In addition, the influence of dissociative symptoms on a cognitive process believed to underlie hallucinatory experiences (i.e. reality discrimination; the capacity to discriminate between internal and external cognitive events) was also investigated.MethodPatients with schizophrenia spectrum disorders (n=45) and healthy controls (with no history of hallucinations;n=20) completed questionnaire measures of hallucination-proneness, dissociative tendencies and childhood trauma, as well as performing an auditory signal detection task.ResultsCompared to both healthy and non-hallucinating clinical controls, hallucinating patients reported both significantly higher dissociative tendencies and childhood sexual abuse. Dissociation positively mediated the effect of childhood trauma on hallucination-proneness. This mediational role was particularly robust for sexual abuse over other types of trauma. Signal detection abnormalities were evident in hallucinating patients and patients with a history of hallucinations, but were not associated with pathological dissociative symptoms.ConclusionsThese results are consistent with dissociative accounts of the trauma-hallucinations link. Dissociation, however, does not affect reality discrimination. Future research should examine whether other cognitive processes associated with both dissociative states and hallucinations (e.g. deficits in cognitive inhibition) may explain the relationship between dissociation and hallucinatory experiences.
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Bagati, Dhruv, Shamshul Haque Nizamie, and Ravi Prakash. "Effect of Augmentatory Repetitive Transcranial Magnetic Stimulation on Auditory Hallucinations in Schizophrenia: Randomized Controlled Study." Australian & New Zealand Journal of Psychiatry 43, no. 4 (January 1, 2009): 386–92. http://dx.doi.org/10.1080/00048670802653315.
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Objective: Auditory hallucinations are a characteristic symptom of schizophrenia and are usually resistant to treatment. The present study was conducted to further support the findings that repetitive transcranial magnetic stimulation (rTMS) reduces auditory hallucinations, and to evaluate the effect of low-frequency rTMS on auditory hallucinations in schizophrenia. Methods: Forty schizophrenia patients were included in the study. Patients were randomized to control or experimental group. Low-frequency rTMS (1 Hz, 90% motor threshold) was applied to the left temporoparietal cortex of patients in the experimental group for 10 days following the standard guidelines as an addition to antipsychotic treatment. The control group received only antipsychotics. The changes in the psychopathology scores for the auditory hallucinations were recorded using auditory hallucination recording scale. The rater was blind to the intervention procedure. Results: A significant improvement was found in auditory hallucinations in the experimental group as compared to the control group. Conclusion: Left temporoparietal rTMS warrants further study as an intervention for auditory hallucinations. Data suggest that this intervention selectively alters neurobiological factors determining frequency of these hallucinations.
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Shergill, Sukhwinder S., Mick J. Brammer, Edson Amaro, Steve C. R. Williams, Robin M. Murray, and Phillip K. Mcguire. "Temporal course of auditory hallucinations." British Journal of Psychiatry 185, no. 6 (December 2004): 516–17. http://dx.doi.org/10.1192/bjp.185.6.516.
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SummaryWe used functional magnetic resonance imaging to examine how brain activity associated with auditory verbal hallucinations in schizophrenia changed during hallucinatory events. Activation in the left inferior frontal and right middle temporal gyri was evident 6–9s before the person signalled the onset of the hallucination, whereas activation in the bilateral temporal gyri and the left insula coincided with the perception of the hallucination. This supports the hypothesis that during hallucinations activation in cortical regions mediating the generation of inner speech may precede the engagement of areas implicated in the perception of auditory verbal material.
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Toh, Wei Lin, Neil Thomas, and Susan L. Rossell. "Comparing Primary Voice-Hearers with and without Hallucinations in Other Sensory Modalities." Psychopathology 54, no. 4 (2021): 214–20. http://dx.doi.org/10.1159/000517455.
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There has been burgeoning interest in studying hallucinations in psychosis occurring across multiple sensory modalities. The current study aimed to characterize the auditory hallucination and delusion profiles in patients with auditory hallucinations only versus those with multisensory hallucinations. Participants with psychosis were partitioned into groups with voices only (AVH; <i>n</i> = 50) versus voices plus hallucinations in at least one other sensory modality (AVH+; <i>n</i> = 50), based on their responses on the Scale for the Assessment of Positive Symptoms (SAPS). Basic demographic and clinical information was collected, and the Questionnaire for Psychotic Experiences (QPE) was used to assess psychosis phenomenology. Relative to the AVH group, greater compliance to perceived commands, auditory illusions, and sensed presences was significantly elevated in the AVH+ group. The latter group also had greater levels of delusion-related distress and functional impairment and was more likely to endorse delusions of reference and misidentification. This preliminary study uncovered important phenomenological differences in those with multisensory hallucinations. Future hallucination research extending beyond the auditory modality is needed.
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Rayner, Louise H., Kwang-Hyuk Lee, and Peter W. R. Woodruff. "Reduced attention-driven auditory sensitivity in hallucination-prone individuals." British Journal of Psychiatry 207, no. 5 (November 2015): 414–19. http://dx.doi.org/10.1192/bjp.bp.114.149799.
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BackgroundEvidence suggests that auditory hallucinations may result from abnormally enhanced auditory sensitivity.AimsTo investigate whether there is an auditory processing bias in healthy individuals who are prone to experiencing auditory hallucinations.MethodTwo hundred healthy volunteers performed a temporal order judgement task in which they determined whether an auditory or a visual stimulus came first under conditions of directed attention (‘attend-auditory’ and ‘attend-visual’ conditions). The Launay–Slade Hallucination Scale was used to divide the sample into high and low hallucination-proneness groups.ResultsThe high hallucination-proneness group exhibited a reduced sensitivity to auditory stimuli under the attend-auditory condition. By contrast, attention-directed visual sensitivity did not differ significantly between groups.ConclusionsHealthy individuals prone to hallucinatory experiences may possess a bias in attention towards internal auditory stimuli at the expense of external sounds. Interventions involving the redistribution of attentional resources would have therapeutic benefit in patients experiencing auditory hallucinations.
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Daryanto, Daryanto, Mohammad Syukri, Sri Martini, Sri Endriyani, and Mila Triana Sari. "Auditory hallucinations in schizophrenia: Psychoeducation among caregivers to help patients develop effective coping strategies." Malahayati International Journal of Nursing and Health Science 6, no. 5 (December 5, 2023): 374–83. http://dx.doi.org/10.33024/minh.v6i5.12881.
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Background: Hallucinations are common symptoms experienced by patients with schizophrenia. These hallucinations pose difficulties in control, becoming a burden for caregivers providing care. Meanwhile, psychoeducation utilizing modules and videos to treat auditory hallucinations has not been previously implemented. Psychoeducation is beneficial in managing caregiver burden, yet the psychoeducation content hasn't been specific to auditory hallucinations.Purpose: To determine the influence of psychoeducation using modules and videos to help patients develop effective coping strategies, and burden among caregiversMethod: A quantitative study with a pre-experimental design using a pre-test and post-test approach. This research was conducted to measure caregiver burden before and after the intervention. The intervention involved providing psychoeducation using modules and videos for caring for auditory hallucinations, while the control group received psychoeducation using only modules. The study was conducted at the outpatient clinic of Jambi Regional Mental Hospital from July to September 2023.Results: There was a significant difference in caregiver burden (p-value 0.000) in the intervention group before and after treatment. There was a significant difference in caregiver burden (p-value 0.000) in the control group before and after treatment. There was no significant difference in caregiver burden (p-value 0.161) between the intervention and control groups one month after the intervention.Conclusion: Psychoeducation with modules and videos can reduce caregiver burden in schizophrenia patients. Psychiatric nurses should educate caregivers using modules and videos for caring for auditory hallucinations as part of reducing the caregiving burden.Suggestion: Healthcare professionals should also provide psychoeducation using auditory hallucination care modules and videos to caregivers on managing the caregiving burden for individuals with schizophrenia experiencing auditory hallucinations. Caregivers are encouraged to understand the module book and video on auditory hallucination care as a form of continued care at home for individuals with schizophrenia experiencing auditory hallucinations.
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BAKER, CAROLINE A., and ANTHONY P. MORRISON. "Cognitive processes in auditory hallucinations: attributional biases and metacognition." Psychological Medicine 28, no. 5 (September 1998): 1199–208. http://dx.doi.org/10.1017/s0033291798007314.
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Background. Cognitive models suggest that auditory hallucinations are experienced when mental events are misattributed to an external source; therefore, this study was designed to examine attributional biases in patients experiencing auditory hallucinations. The study also examined the role of metacognitive beliefs in the experience of auditory hallucinations, as some theories have implicated metacognition in the development and maintenance of auditory hallucinations.Methods. Fifteen participants with a diagnosis of schizophrenia experiencing auditory hallucinations were compared with 15 non-hallucinating schizophrenics and 15 non-psychiatric control subjects on several measures, including an immediate source monitoring task and a questionnaire assessing metacognitive beliefs.Results. Results indicated that patients experiencing hallucinations exhibited the predicted bias towards misattributing internal events to an external source, as measured by ratings of internality of responses in a word association task. All groups had lower perceived levels of internality and control for emotionally salient words, which provides further evidence for the importance of emotional content in hallucinations. Patients experiencing hallucinations were found to score higher than the other two groups on metacognitive beliefs about uncontrollability and danger and positive beliefs about worry. In addition, a logistic regression analysis showed that beliefs about uncontrollability and danger were predictive of whether subjects experienced auditory hallucinations or not.Conclusions. These results offer considerable support to cognitive bias models of auditory hallucinations, particularly those that implicate metacognition.
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Patimah, Siti. "Aplikasi Terapi Bercakap - Cakap Pada Tn. N dengan Gangguan Persepsi Sensori: Halusinasi Pendengaran di Jampang Kulon." JURNAL LENTERA 4, no. 1 (July 31, 2021): 6–10. http://dx.doi.org/10.37150/jl.v4i1.1382.
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Problemsof mental health nursing that may arise in response to mental disorders experienced by an individual include the risk of violent behavior, self-care deficits, social isolation and impaired sensory perception: hallucinations. The hallucinations themselves consist of auditory hallucinations, visual hallucinations, tactile hallucinations, tasting hallucinations, and olfactory hallucinations. Auditory hallucination is a stimulus or stimulus disorder in which the client hears voices that do not exist, especially human voices, usually the client hears the voices of people according to what the client thinks which then orders the client to do something that can sometimes harm oneself, others, and the environment. In the assessment stage, data were obtained showing the client experiencing sensory perception disorders: auditory hallucinations, which were obtained from the precipitation factor. The client often heard voices without any form when the client was alone. Mr. N has 4 nursing problems including sensory perception disorders: auditory hallucinations, risk of violent behavior, social isolation and low self-esteem, but the author focuses on one diagnosis, namely the problem of hallucinations. The action taken is to practice conversational therapy with other people to reduce the patient's level of hallucinations. The conclusion of the given action has been reached where the client is able to converse with other people when the client experiences hallucinations.
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Bartels-Velthuis, Agna A., Jack A. Jenner, Gerard van de Willige, Jim van Os, and Durk Wiersma. "Prevalence and correlates of auditory vocal hallucinations in middle childhood." British Journal of Psychiatry 196, no. 1 (January 2010): 41–46. http://dx.doi.org/10.1192/bjp.bp.109.065953.
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BackgroundHearing voices occurs in middle childhood, but little is known about prevalence, aetiology and immediate consequences.AimsTo investigate prevalence, developmental risk factors and behavioural correlates of auditory vocal hallucinations in 7- and 8-year-olds.MethodAuditory vocal hallucinations were assessed with the Auditory Vocal Hallucination Rating Scale in 3870 children. Prospectively recorded data on pre- and perinatal complications, early development and current problem behaviour were analysed in children with auditory vocal hallucinations and matched controls.ResultsThe 1-year prevalence of auditory vocal hallucinations was 9%, with substantial suffering and problem behaviour reported in 15% of those affected. Prevalence was higher in rural areas but auditory vocal hallucinations were more severe and had greater functional impact in the urban environment. There was little evidence for associations with developmental variables.ConclusionsAuditory vocal hallucinations in 7- and 8-year-olds are prevalent but mostly of limited functional impact. Nevertheless, there may be continuity with more severe psychotic outcomes given the serious suffering in a subgroup of children and there is evidence for a poorer prognosis in an urban environment.
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Karadjo, Halisa, and Agusrianto Agusrianto. "Penerapan Terapi Psikoreligius Dzikir Terhadap Kontrol Halusinasi Pada Asuhan Keperawatan Pasien Dengan Halusinasi Pendengaran DiRumah Sakit Madani Palu." Madago Nursing Journal 3, no. 2 (November 30, 2022): 50–56. http://dx.doi.org/10.33860/mnj.v3i2.1559.
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Introduction : Schizophrenia is a major disorder in thought processes and disharmony between thought processes, affect and emotions. Schizophrenia has the main symptom of decreased sensory perception, namely hallucinations. Hallucinations consist of several kinds, one of which is auditory hallucinations. Auditory hallucinations are hearing voices or complete conversations between two or more people in which the client is asked to do something. The purpose of this study was to apply psychoreligious dhikr therapy to the control of hallucinations in the care of patients with auditory hallucinations at Madani Hospital Palu. Research method: Descriptive research with a case study approach. Results: Respondents were able to control hallucinations by rebuking hallucinations, conversing with other people, performing scheduled activities especially psychoreligious therapy and teaching patients to take medication correctly independently, when evaluating the patient said he could control hallucinations independently. Conclusion: The application of dhikr psychoreligious therapy can control hallucinations in hallucinating patients at Madani Hospital Palu.
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Ocklenburg, Sebastian, René Westerhausen, Marco Hirnstein, and Kenneth Hugdahl. "Auditory Hallucinations and Reduced Language Lateralization in Schizophrenia: A Meta-analysis of Dichotic Listening Studies." Journal of the International Neuropsychological Society 19, no. 4 (January 18, 2013): 410–18. http://dx.doi.org/10.1017/s1355617712001476.
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AbstractReduced left-hemispheric language lateralization has been proposed to be a trait marker for schizophrenia, but the empirical evidence is ambiguous. Recent studies suggest that auditory hallucinations are critical for whether a patient shows reduced language lateralization. Therefore, the aim of the study was to statistically integrate studies investigating language lateralization in schizophrenia patients using dichotic listening. To this end, two meta-analyses were conducted, one comparing schizophrenia patients with healthy controls (n = 1407), the other comparing schizophrenia patients experiencing auditory hallucinations with non-hallucinating controls (n = 407). Schizophrenia patients showed weaker language lateralization than healthy controls but the effect size was small (g = −0.26). When patients with auditory hallucinations were compared to non-hallucinating controls, the effect size was substantially larger (g = −0.45). These effect sizes suggest that reduced language lateralization is a weak trait marker for schizophrenia as such and a strong trait marker for the experience of auditory hallucinations within the schizophrenia population. (JINS, 2013, 19, 1–9.)
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Persaud, Rajendra, and Isaac Marks. "A Pilot Study of Exposure Control of Chronic Auditory Hallucinations in Schizophrenia." British Journal of Psychiatry 167, no. 1 (July 1995): 45–50. http://dx.doi.org/10.1192/bjp.167.1.45.
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BackgroundMany patients complain less of their auditory hallucinations per se than of lack of control of the experiences. There is reason to believe that a non-distraction (exposure) approach could help patients gain more control over persistent auditory hallucinations and teach them that their experience is a form of thinking and has no external source. This study is a pilot test of that idea.MethodFive DSM–III–R schizophrenic outpatients with medication-resistant auditory hallucinations improved with a mean of 31 hour-long sessions over 3 months of therapist-guided exposure to their hallucinations and situations likely to evoke them.ResultsImprovement was greatest in patients' anxiety and sense of control over their hallucinations, less in social use of leisure and hallucinating time.ConclusionsThese mildly encouraging pilot results warrant a controlled study of exposure for drug-resistant chronic auditory hallucinations and other psychotic experiences which are associated with anxious avoidance.
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Linszen, M. M. J., G. A. van Zanten, R. J. Teunisse, R. M. Brouwer, P. Scheltens, and I. E. Sommer. "Auditory hallucinations in adults with hearing impairment: a large prevalence study." Psychological Medicine 49, no. 1 (March 20, 2018): 132–39. http://dx.doi.org/10.1017/s0033291718000594.
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AbstractBackgroundSimilar to visual hallucinations in visually impaired patients, auditory hallucinations are often suggested to occur in adults with hearing impairment. However, research on this association is limited. This observational, cross-sectional study tested whether auditory hallucinations are associated with hearing impairment, by assessing their prevalence in an adult population with various degrees of objectified hearing impairment.MethodsHallucination presence was determined in 1007 subjects aged 18–92, who were referred for audiometric testing to the Department of ENT-Audiology, University Medical Center Utrecht, the Netherlands. The presence and severity of hearing impairment were calculated using mean air conduction thresholds from the most recent pure tone audiometry.ResultsOut of 829 participants with hearing impairment, 16.2% (n = 134) had experienced auditory hallucinations in the past 4 weeks; significantly more than the non-impaired group [5.8%; n = 10/173; p < 0.001, odds ratio 3.2 (95% confidence interval 1.6–6.2)]. Prevalence of auditory hallucinations significantly increased with categorized severity of impairment, with rates up to 24% in the most profoundly impaired group (p < 0.001). The corrected odds of hallucination presence increased 1.02 times for each dB of impairment in the best ear. Auditory hallucinations mostly consisted of voices (51%), music (36%), and doorbells or telephones (24%).ConclusionsOur findings reveal that auditory hallucinations are common among patients with hearing impairment, and increase with impairment severity. Although more research on potential confounding factors is necessary, clinicians should be aware of this phenomenon, by inquiring after hallucinations in hearing-impaired patients and, conversely, assessing hearing impairment in patients with auditory hallucinations, since it may be a treatable factor.
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Adhikari, Baikuntha Raj, S. Mishra, S. Nepal, and N. Sapkota. "Psychotic symptoms in bipolar disorder: Two years’ retrospective study." Health Renaissance 13, no. 1 (August 6, 2017): 49–57. http://dx.doi.org/10.3126/hren.v13i1.17947.
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Background: Psychosis in bipolar disorder is common but still not well understood. There is paucity of literature from our country and none from this institute which serves the eastern part of Nepal.Objective: To describe the hallucinations and delusions in bipolar disorders in our place.Methods: Patients-record files of bipolar disorders with psychosis discharged in two years’ time from 2012 to 2014 were analysed. Patients with unipolar depression, recurrent depressive disorder, serious organic illness, and primary substance use disorders were excluded. Information was collected in a structured performa. Association of delusion and hallucination was observed.Results: During the study period, ninety-five patients with bipolardisorder had psychosis. Hallucination was present in 29 (30.5%) cases, and out of these 23 (79.3%) were cases of mania. In 26 (89.7%) patients, the hallucinations were mood congruent. The median duration of appearance of hallucination was 10 days and appeared early in mania. Among hallucinations, auditory verbal hallucinations were present in all 29 patients. Delusions were present in 77 (81.1%) of patients, and grandiose delusions were the most common. Grandiose delusions tended to occur even in the absence of hallucinations. Conclusion: Psychosis is common in bipolar disorder. Grandiose delusions are the most common delusion and are relatively independent of hallucination. The auditory verbal hallucinations are the most common type of hallucination. Hallucinations in mania tend to manifest earlier than in bipolar depression and mixed episode, and most of the hallucinations in bipolar disorder are mood congruent. Health Renaissance 2015;13 (1): 49-57
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Verma, Gaurav, Mehul Brahmbhatt, Ganpat Kodarbhai Vankar, and Minakshi Nimesh Parikh. "Auditory Hallucinations: A Phenomenological Study." Asian Journal of Medical Sciences 12, no. 5 (May 1, 2021): 75–82. http://dx.doi.org/10.3126/ajms.v12i5.34011.
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Background: Auditory hallucinations are common feature in psychotic disorder and have also given diagnostic importance. These hallucinations can be rated on different dimensions both quantitatively and qualitatively, so here comes phenomenological aspect. Study of phenomenological aspects may lead to more understanding about them and further can help in management of distressing auditory hallucinations.
Aims and Objectives: The aims and objectives of the current study was as follows- 1. To explore the phenomenology of auditory hallucination in schizophrenia spectrum disorder. 2. To find out clinical correlation of auditory hallucination with other psychotic symptoms. 3. To find out factor structure of PSYRATS (Psychotic Symptom Rating Scale) and their correlation with PANSS and its subscales.
Materials and Methods: One hundred patients, who had schizophrenia spectrum diagnoses attending general hospital psychiatry unit in India having auditory verbal hallucination (AVH) in last seven days were studied. Phenomenology was assessed by using Psychotic Symptoms Rating Scale (PSYRATS) and Positive and Negative Syndrome Scale (PANSS). Pearson correlation for the psychotic symptoms, Dimensions of psychotic symptoms on PSYRATS were explored by principal component analysis.
Results: In study 82% patients had schizophrenia. More than one third patients heard voices continuously, in more than two-third patients voices were coming from outside head only, had no control over them, and had same loudness as one’s own voice. One third patients had AVH (Auditory Verbal Hallucinations) with all negative content, 19% had AVH commanding nature. 79% had delusions, 96% had hallucinatory behavior. Bipolar index showed dominance of positive symptoms. 80% reported depression. On principal component analysis three factors found, all three factors were positively correlated with positive subscale and total PANSS score. None of three factors were correlated with negative subscale of PANSS.
Conclusion: In this study of AVH phenomenology among schizophrenia spectrum disorders, most dimensions of AVH correlated well with one another. On principal component analysis three factor structure of PSYRATS was found.
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Fröhlich, F., T. N. Burrello, J. M. Mellin, A. L. Cordle, C. M. Lustenberger, J. H. Gilmore, and L. F. Jarskog. "Exploratory study of once-daily transcranial direct current stimulation (tDCS) as a treatment for auditory hallucinations in schizophrenia." European Psychiatry 33, no. 1 (2016): 54–60. http://dx.doi.org/10.1016/j.eurpsy.2015.11.005.
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AbstractBackgroundAuditory hallucinations are resistant to pharmacotherapy in about 25% of adults with schizophrenia. Treatment with noninvasive brain stimulation would provide a welcomed additional tool for the clinical management of auditory hallucinations. A recent study found a significant reduction in auditory hallucinations in people with schizophrenia after five days of twice-daily transcranial direct current stimulation (tDCS) that simultaneously targeted left dorsolateral prefrontal cortex and left temporo-parietal cortex.HypothesisWe hypothesized that once-daily tDCS with stimulation electrodes over left frontal and temporo-parietal areas reduces auditory hallucinations in patients with schizophrenia.MethodsWe performed a randomized, double-blind, sham-controlled study that evaluated five days of daily tDCS of the same cortical targets in 26 outpatients with schizophrenia and schizoaffective disorder with auditory hallucinations.ResultsWe found a significant reduction in auditory hallucinations measured by the Auditory Hallucination Rating Scale (F2,50 = 12.22, P < 0.0001) that was not specific to the treatment group (F2,48 = 0.43, P = 0.65). No significant change of overall schizophrenia symptom severity measured by the Positive and Negative Syndrome Scale was observed.ConclusionsThe lack of efficacy of tDCS for treatment of auditory hallucinations and the pronounced response in the sham-treated group in this study contrasts with the previous finding and demonstrates the need for further optimization and evaluation of noninvasive brain stimulation strategies. In particular, higher cumulative doses and higher treatment frequencies of tDCS together with strategies to reduce placebo responses should be investigated. Additionally, consideration of more targeted stimulation to engage specific deficits in temporal organization of brain activity in patients with auditory hallucinations may be warranted.
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Nayani, Tony H., and Anthony S. David. "The auditory hallucination: a phenomenological survey." Psychological Medicine 26, no. 1 (January 1996): 177–89. http://dx.doi.org/10.1017/s003329170003381x.
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SynopsisA comprehensive semi-structured questionnaire was administered to 100 psychotic patients who had experienced auditory hallucinations. The aim was to extend the phenomenology of the hallucination into areas of both form and content and also to guide future theoretical development. All subjects heard ‘voices’ talking to or about them. The location of the voice, its characteristics and the nature of address were described. Precipitants and alleviating factors plus the effect of the hallucinations on the sufferer were identified. Other hallucinatory experiences, thought insertion and insight were examined for their inter-relationships. A pattern emerged of increasing complexity of the auditory–verbal hallucination over time by a process of accretion, with the addition of more voices and extended dialogues, and more intimacy between subject and voice. Such evolution seemed to relate to the lessening of distress and improved coping. These findings should inform both neurological and cognitive accounts of the pathogenesis of auditory hallucinations in psychotic disorders.
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Ramdani, Reski, Basmalah Basmalah, Rusli Abdullah, and Ekayanti H. Ahmad. "Application of Capable Individual Therapy in Hearing Hallucination Patients." Jurnal Ilmiah Kesehatan Sandi Husada 12, no. 1 (June 1, 2023): 117–22. http://dx.doi.org/10.35816/jiskh.v12i1.911.
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Introduction: Hallucinations are symptoms of mental disorders in which the patient experiences sensory changes in perception, feels false sensations in the form of sound, sight, taste, touching or shaming, the client feels a stimulus that does not exist. Objective: Knowing the application of individual therapy to auditory hallucination patients. Method: Quality research using the descriptive method of case study research. Results: Shows that with individual therapy, the patient can distract the patient so that he can control the hallucinations he experiences. Conclusion: That individual therapy in auditory hallucination patients can effectively control hallucinations. Recommendations should consider creating a new policy for nurses, particularly room nurses, to perform continuously to reduce the frequency of people with mental health conditions
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Weber, Sarah, Helene Hjelmervik, Alexander R. Craven, Erik Johnsen, Rune Kroken, Else-Marie Løberg, Lars Ersland, Kristiina Kompus, and Kenneth Hugdahl. "M146. NEUROCHEMICAL MODULATION OF AUDITORY CORTEX FUNCTIONAL CONNECTIVITY IN PATIENTS WITH AUDITORY VERBAL HALLUCINATIONS." Schizophrenia Bulletin 46, Supplement_1 (April 2020): S191. http://dx.doi.org/10.1093/schbul/sbaa030.458.
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Abstract Background Auditory hallucinations have been linked to aberrant functioning of the left superior temporal gyrus (STG) and are associated with impaired cognitive control regulated by areas in the prefrontal cortex. However, the mechanisms behind these dysfunctions are still unclear. Methods The current study combined resting state connectivity fMRI with MR spectroscopy (MRS) in a sample of 81 psychosis patients to explore how neurochemical correlates of auditory hallucinations modulate left STG functioning. The analyses were focused on glutamate (Glu) and gamma-aminobutyric acid (GABA), two neurotransmitters with excitatory and inhibitory functions, respectively, since these have previously been implicated in psychosis. Results Glu and GABA showed differential relationships with left STG connectivity in patients with and without hallucinations. Specifically, Glu concentration in the anterior cingulate cortex (ACC) was positively related to functional connectivity between the left and right temporal lobe in hallucinating patients only. In contrast, GABA concentration in the ACC was negatively related to connectivity between the left and right temporal lobe in non-hallucinating patients only. Discussion These findings support a recently proposed model of interhemispheric temporal lobe miscommunication in auditory hallucinations and indicate prefrontal neurochemical modulation as a potential underlying mechanism. The results can further be integrated with previously suggested excitatory/inhibitory imbalances as neurochemical modulators in AVH.
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Musiek, Frank, Tee Marie Ballingham, Barry Liu, Jennifer Paulovicks, Brooke Swainson, Kevin Tyler, Kristin Vasil, and Jeffrey Weihing. "Auditory hallucinations." Hearing Journal 60, no. 9 (September 2007): 32–52. http://dx.doi.org/10.1097/01.hj.0000295756.39258.41.
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Blom, Jan Dirk, and Iris E. C. Sommer. "Auditory Hallucinations." Cognitive and Behavioral Neurology 23, no. 1 (March 2010): 55–62. http://dx.doi.org/10.1097/wnn.0b013e3181b2791e.
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Brébion, G., R. I. Ohlsen, R. A. Bressan, and A. S. David. "Source memory errors in schizophrenia, hallucinations and negative symptoms: a synthesis of research findings." Psychological Medicine 42, no. 12 (April 27, 2012): 2543–54. http://dx.doi.org/10.1017/s003329171200075x.
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BackgroundPrevious research has shown associations between source memory errors and hallucinations in patients with schizophrenia. We bring together here findings from a broad memory investigation to specify better the type of source memory failure that is associated with auditory and visual hallucinations.MethodForty-one patients with schizophrenia and 43 healthy participants underwent a memory task involving recall and recognition of lists of words, recognition of pictures, memory for temporal and spatial context of presentation of the stimuli, and remembering whether target items were presented as words or pictures.ResultsFalse recognition of words and pictures was associated with hallucination scores. The extra-list intrusions in free recall were associated with verbal hallucinations whereas the intra-list intrusions were associated with a global hallucination score. Errors in discriminating the temporal context of word presentation and the spatial context of picture presentation were associated with auditory hallucinations. The tendency to remember verbal labels of items as pictures of these items was associated with visual hallucinations. Several memory errors were also inversely associated with affective flattening and anhedonia.ConclusionsVerbal and visual hallucinations are associated with confusion between internal verbal thoughts or internal visual images and perception. In addition, auditory hallucinations are associated with failure to process or remember the context of presentation of the events. Certain negative symptoms have an opposite effect on memory errors.
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Rieger, Kathryn, Marie-Helene Rarra, Laura Diaz Hernandez, Daniela Hubl, and Thomas Koenig. "Neurofeedback-Based Enhancement of Single-Trial Auditory Evoked Potentials: Treatment of Auditory Verbal Hallucinations in Schizophrenia." Clinical EEG and Neuroscience 49, no. 6 (March 23, 2018): 367–78. http://dx.doi.org/10.1177/1550059418765810.
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Auditory verbal hallucinations depend on a broad neurobiological network ranging from the auditory system to language as well as memory-related processes. As part of this, the auditory N100 event-related potential (ERP) component is attenuated in patients with schizophrenia, with stronger attenuation occurring during auditory verbal hallucinations. Changes in the N100 component assumingly reflect disturbed responsiveness of the auditory system toward external stimuli in schizophrenia. With this premise, we investigated the therapeutic utility of neurofeedback training to modulate the auditory-evoked N100 component in patients with schizophrenia and associated auditory verbal hallucinations. Ten patients completed electroencephalography neurofeedback training for modulation of N100 (treatment condition) or another unrelated component, P200 (control condition). On a behavioral level, only the control group showed a tendency for symptom improvement in the Positive and Negative Syndrome Scale total score in a pre-/postcomparison ( t(4) = 2.71, P = .054); however, no significant differences were found in specific hallucination related symptoms ( t(7) = −0.53, P = .62). There was no significant overall effect of neurofeedback training on ERP components in our paradigm; however, we were able to identify different learning patterns, and found a correlation between learning and improvement in auditory verbal hallucination symptoms across training sessions ( r = 0.664, n = 9, P = .05). This effect results, with cautious interpretation due to the small sample size, primarily from the treatment group ( r = 0.97, n = 4, P = .03). In particular, a within-session learning parameter showed utility for predicting symptom improvement with neurofeedback training. In conclusion, patients with schizophrenia and associated auditory verbal hallucinations who exhibit a learning pattern more characterized by within-session aptitude may benefit from electroencephalography neurofeedback. Furthermore, independent of the training group, a significant spatial pre-post difference was found in the event-related component P200 ( P = .04).
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Cheah, S. Y., B. R. Lawford, R. M. Young, C. P. Morris, and J. Voisey. "Dysbindin (DTNBP1) variants are associated with hallucinations in schizophrenia." European Psychiatry 30, no. 4 (June 2015): 486–91. http://dx.doi.org/10.1016/j.eurpsy.2015.01.008.
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AbstractBackground:Dystrobrevin binding protein 1 (DTNBP1) is a schizophrenia susceptibility gene involved with neurotransmission regulation (especially dopamine and glutamate) and neurodevelopment. The gene is known to be associated with cognitive deficit phenotypes within schizophrenia. In our previous studies, DTNBP1 was found associated not only with schizophrenia but with other psychiatric disorders including psychotic depression, post-traumatic stress disorder, nicotine dependence and opiate dependence. These findings suggest that DNTBP1 may be involved in pathways that lead to multiple psychiatric phenotypes. In this study, we explored the association between DTNBP1 SNPs (single nucleotide polymorphisms) and multiple psychiatric phenotypes included in the Diagnostic Interview of Psychosis (DIP).Methods:Five DTNBP1 SNPs, rs17470454, rs1997679, rs4236167, rs9370822 and rs9370823, were genotyped in 235 schizophrenia subjects screened for various phenotypes in the domains of depression, mania, hallucinations, delusions, subjective thought disorder, behaviour and affect, and speech disorder. SNP-phenotype association was determined with ANOVA under general, dominant/recessive and over-dominance models.Results:Post hoc tests determined that SNP rs1997679 was associated with visual hallucination; SNP rs4236167 was associated with general auditory hallucination as well as specific features including non-verbal, abusive and third-person form auditory hallucinations; and SNP rs9370822 was associated with visual and olfactory hallucinations. SNPs that survived correction for multiple testing were rs4236167 for third-person and abusive form auditory hallucinations; and rs9370822 for olfactory hallucinations.Conclusion:These data suggest that DTNBP1 is likely to play a role in development of auditory related, visual and olfactory hallucinations which is consistent with evidence of DTNBP1 activity in the auditory processing regions, in visual processing and in the regulation of glutamate and dopamine activity.
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Hoffman, Ralph E., Adam W. Anderson, Maxine Varanko, John C. Gore, and Michelle Hampson. "Time course of regional brain activation associated with onset of auditory/verbal hallucinations." British Journal of Psychiatry 193, no. 5 (November 2008): 424–25. http://dx.doi.org/10.1192/bjp.bp.107.040501.
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SummaryThe time course of brain activation prior to onset of auditory/ verbal hallucinations was characterised using functional magnetic resonance imaging in six dextral patients with schizophrenia. Composite maps of pre-hallucination periods revealed activation in the left anterior insula and in the right middle temporal gyrus, partially replicating two previous case reports, as well as deactivation in the anterior cingulate and parahippocampal gyri. These findings may reflect brain events that trigger or increase vulnerability to auditory/verbal hallucinations.
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Rosmiati, Rosmiati, Mohamad Saoky Miswar, and Aulia Ridla Fauzi. "The Effect of Application of Group Activity Therapy Session 1-2 on Controlling Hallucinations." Asy-Syifa : Journal of Science and Technology Nursing 1, no. 2 (September 30, 2023): 57–63. http://dx.doi.org/10.52221/asyjstn.v1i2.350.
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Hallucinatory disorders are one of the nursing problems that can be found in patients with mental disorders. One of the most common types of hallucinations is auditory hallucinations. Auditory hallucinations can be ringing sounds or noises that have no meaning, but are more often heard as a meaningful word or sentence. One therapy for hallucinations is Group Activity Therapy (TAK). Objective: To determine the effect of group activity therapy sessions 1-2 on controlling hallucinations. Methods: This study uses a quantitative method with a quasi experiment. Sampling with purposive sampling technique is as many as 6 respondents. This study was conducted on March 15-23 2022. Results: showed that patients with hallucinations were able to control hallucinations after the implementation of TAK Sessions 1-2 with the results of comparative analysis, the pretest 3.7, posttest 8.4 and p value=0.01. Conclusion: there is an effect of group activity therapy sessions 1-2 on controlling hallucinations in hallucinating patients.
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Masyriatul Munawaroh, Tri Susilowati, and Wahyu Reknoningsih. "Penerapan Terapi Murattal Al-Qur’an Terhadap Tingkat Skala Halusinasi Pendengaran pada Pasien Skizofrenia di RSJD Dr. RM. Soedjarwadi Provinsi Jawa Tengah." Sehat Rakyat: Jurnal Kesehatan Masyarakat 2, no. 3 (August 28, 2023): 442–48. http://dx.doi.org/10.54259/sehatrakyat.v2i3.1963.
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The prevalence of schizophrenia mental disorder reaches 1.7% of a thousand Indonesian population with a total of 400,000 sufferers. Schizophrenia has an impact on sufferers, one of which is hallucinations. Sufferers listen to murattal Al-Qur'an as a way to reduce hallucinations. To find out the results of applying Al-Qur'an murattal therapy to the level of auditory hallucination scale in schizophrenic patients at RSJD Dr. RM. Soedjarwadi Central Java Province. This research includes descriptive research with case studies. The results before implementing the murattal Al-Qur'an level of the auditory hallucination scale on Mr. M is moderate with an AHRS score of 16 and Mr. R is heavy with an AHRS score of 23. After implementing the murattal Al-Qur'an the level of the auditory hallucination scale on Mr. M is mild with an AHRS score of 9 and Mr. R is moderate with an AHRS score of 15. In the application that has been carried out, there are developments in 2 respondents, namely experiencing a decrease in the level of hallucinations of sufferers after listening to murattal Al-Qur'an. There is a comparison of development between the levels of the hallucination scale after and before listening to the murattal Al-Qur'an.
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Hunter, Michael D., Jessica K. Smith, Nita Taylor, William Woods, Sean A. Spence, Timothy D. Griffiths, and Peter W. R. Woodruff. "Laterality Effects in Perceived Spatial Location of Hallucination-Like Voices." Perceptual and Motor Skills 97, no. 1 (August 2003): 246–50. http://dx.doi.org/10.2466/pms.2003.97.1.246.
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Aydin and colleagues reported a reversal of physiological ‘right-ear advantage' in a group of right-handed patients with schizophrenia, using an auditory acuity test. In schizophrenia, auditory hallucinations may appear to be spatially located inside or outside the patient's head. Here we show, using virtual acoustic space techniques, that normal right-handed subjects have a right-ear advantage for correctly locating the ‘source' of hallucination-like voices as from either inside or outside the head. We propose a model for understanding lateralised, external hallucinations in schizophrenia based upon reversal of normal cortical asymmetry for auditory spatial processing.
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Thomas-Tran, Emily Phu, Jane Thomas-Tran, Ivy Phu Tran, and Rona J. Hu. "Racial Differences in Auditory Hallucination Content and Attitudes: An Advancement in Cultural Psychiatry and Clinical Application of Social Determinants of Health." Advances in Social Sciences Research Journal 10, no. 10 (October 27, 2023): 205–16. http://dx.doi.org/10.14738/assrj.1010.15743.
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Background: Minimal prior literature compares the hallucinatory experiences of individuals from different racial backgrounds living within the same geographic area. Understanding differences of hallucinatory content and attitudes is essential to tailoring clinical advice for patients. We aim to investigate the differences in hallucinatory content and attitudes toward hallucinations for individuals of different races receiving care from the same academic institution. Methods: Cross-sectional study using an institutional database, randomly selected patient charts from 2008-2020. Inclusion criteria: age 10+ years, primary psychotic disorder, known race, documented auditory hallucination content. Excluded patients with hallucinations of non-psychiatric origin. Racial cohorts White, Black, Hispanic, and Asian each had n=50. Due to database limitations, Native American/Alaska Natives had n=8, Native Hawaiian/Pacific Islander had n=7. Hallucination content and perception of symptoms (positive or negative) compared between cohorts using chi-square test of independence and multinomial regression. Findings: Blacks had the most hallucinations of violence, including police violence, and racism. Native Hawaiian/Pacific Islanders were most likely to have hallucinations of nature and medical violence. Hispanics had the most religious hallucinations. Asians had more derogatory hallucinations. Whites had more hallucinations of government violence. Native Hawaiians/Pacific Islanders were most likely to have a positive attitude towards hallucinations (positive:negative 3:4). Whites were least likely (positive:negative 1:11). Interpretation: Patients from different racial backgrounds in one geographic area experience auditory hallucinations differently. Appreciating these differences may improve trauma-informed care and cultural humility.
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Penagaluri, Praveen, Kristin L. Walker, and Rif S. El-Mallakh. "Hallucinations, Pseudohallucinations, and Severity of Suicidal Ideation Among Emergency Psychiatry Patients." Crisis 31, no. 1 (January 2010): 53–56. http://dx.doi.org/10.1027/0227-5910/a000002.
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Aims: This study investigated relative relationships between auditory hallucinations and nonpsychotic hallucinations (pseudohallucinations), and suicidal risk. Methods: A sample of 206 consecutive patients seen in an emergency psychiatric service was evaluated for the presence and intensity of hallucinatory experiences (the hallucination item of the Positive and Negative Symptoms Scale), suicidal intensity (the suicide item of the Montgomery Asberg Depression Rating Scale), and cumulative suicide risk (the total number of risk factors). Results: Individuals with nonpsychotic hallucinations experienced greater intensity of suicidal ideation versus subjects with no hallucinations or subjects with psychotic hallucinations (p = .0001). Conclusions: Pseudohallucinosis is associated with higher intensity of suicidal ideation compared with psychotic hallucinations or no hallucinations.
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Matsumoto, Yoshihiro, Nobutaka Ayani, Yurinosuke Kitabayashi, and Jin Narumoto. "Longitudinal Course of Illness in Congenitally Deaf Patient with Auditory Verbal Hallucination." Case Reports in Psychiatry 2022 (February 12, 2022): 1–3. http://dx.doi.org/10.1155/2022/7426850.
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Auditory verbal hallucination is one of the core symptoms of schizophrenia, same as delusions, and also occurs in many other psychiatric disorders. Significant numbers of people with congenital deafness experience auditory verbal hallucinations; however, there are only a few reports regarding the course of psychosis in people with congenital deafness. Herein, we report the case of a patient with congenital deafness and auditory verbal hallucinations whose diagnosis was changed from psychotic major depression to schizophrenia 7 years after the onset of the disease. His psychotic symptoms decreased when his primary medication was changed from an antidepressant to antipsychotic drugs, based on the change of diagnosis. In the treatment of congenitally deaf patients with auditory verbal hallucinations, the inability to communicate through spoken language may interfere with proper diagnosis and treatment. The ability to collect detailed information in ways other than through verbal language is imperative for psychiatrists to determine the appropriate diagnosis and treatment for these patients during the longitudinal course of illness.
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Ng, Petrus, Ricky W. K. Chun, and Angela Tsun. "Recovering from Hallucinations: A Qualitative Study of Coping with Voices Hearing of People with Schizophrenia in Hong Kong." Scientific World Journal 2012 (2012): 1–8. http://dx.doi.org/10.1100/2012/232619.
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Auditory hallucination is a positive symptom of schizophrenia and has significant impacts on the lives of individuals. People with auditory hallucination require considerable assistance from mental health professionals. Apart from medications, they may apply different lay methods to cope with their voice hearing. Results from qualitative interviews showed that people with schizophrenia in the Chinese sociocultural context of Hong Kong were coping with auditory hallucination in different ways, including (a) changing social contacts, (b) manipulating the voices, and (c) changing perception and meaning towards the voices. Implications for recovery from psychiatric illness of individuals with auditory hallucinations are discussed.
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Kumar, Devvarta, and Ganesan Venkatasubramanian. "Metacognition and Mindfulness Integrated Therapy Reduces Severity of Hallucination in a Patient Not Taking Antipsychotic Medication." Journal of Cognitive Psychotherapy 32, no. 3 (August 2018): 192–202. http://dx.doi.org/10.1891/0889-8391.32.3.192.
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Psychological interventions have proven efficacy in treating psychotic symptoms such as delusions and hallucinations. However, the efficacy of these interventions has primarily been evaluated in the context of their use as an adjunct to antipsychotics or on patients who do not respond to adequate trials of antipsychotics. There is paucity of research about the effectiveness of psychological interventions in patients who do not take antipsychotics either because they are not willing to take medications or are not able to tolerate antipsychotics due to the side effects. We report here the case of a patient who had distressing auditory hallucinations and was not able to take antipsychotic medications because of severe reactions. She responded to metacognition and mindfulness integrated therapy for auditory hallucination. A total of eight sessions of therapy with the major focus on enhancement of metacognitive insight into the mechanisms of genesis and maintenance of hallucinations followed by encouraging the patient to use mindfulness-based strategies and regular self-monitoring of hallucinatory experiences were conducted. The patient was assessed pre–post intervention on the auditory hallucination subscale of the Psychotic Symptom Rating Scale (PSYRATS). There was significant improvement as reflected by more than 50% reduction in the PSYRATS score. This case highlights that metacognition and mindfulness integrated therapy has the potential to help patients with hallucination who do not take antipsychotic medications. The insight building helps in developing a detached approach towards hallucinatory experiences which, in turn, reduces distress caused by the hallucinations.
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Dwiranto, Uyun, Nunung Rachmawati, and Sutedjo. "Study of Perceptual Sensory Disorders : A Case Study of Schizoaffective Patient." Health Media 2, no. 2 (July 1, 2021): 11–16. http://dx.doi.org/10.55756/hm.v2i2.61.
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There are 2% to 9% general populations in the United States of America hospitalized due to schizoaffective disorders. Hallucination is a schizoaffective symptom. Based on the Grhasia Yogyakarta mental hospital file in the last 3 years there were 2723 (19,7 %) patients who experienced sensory perception disorders: hallucinations/illusion. Patients with hallucinations if left untreated can injure themselves and others, ineffective individual handling, interpersonal disorder withdraws, self-care disorder. This documentation study was conducted to evaluate the characteristics and implementation of nursing care in patients with auditory hallucination. This documentation study uses a descriptive qualitative methode that describes a case by utilizing a nursing case report in 2017. The results showed that the patient often listened to voices, talked to himself, and suddenly laughed. The problem of sensory perception was impaired. The auditory hallucinations were partially resolved. The description of sensory perception disorder was obtained after observation.
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HADDOCK, G., J. McCARRON, N. TARRIER, and E. B. FARAGHER. "Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS)." Psychological Medicine 29, no. 4 (July 1999): 879–89. http://dx.doi.org/10.1017/s0033291799008661.
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Background. Scales to measure the severity of different dimensions of auditory hallucinations and delusions are few. Biochemical and psychological treatments target dimensions of symptoms and valid and reliable measures are necessary to measure these.Method. The inter-rater reliability and validity of the Psychotic Symptom Rating Scales (PSYRATS: auditory hallucination subscale and delusions subscale), which measure several dimensions of auditory hallucinations and delusions were examined in this study.Results. The two scales were found to have excellent inter-rater reliability. Their validity as compared with the KGV scale (Krawiecka et al. 1977) was explored.Conclusions. It is concluded that the PSYRATS are useful assessment instruments and can complement existing measures.
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Marshall, Brenda, Julie Bliss, Benjamin Evans, and Oksana Dukhan. "Fostering Transformation by Hearing Voices: Evaluating a 6-Second, Low-Fidelity Simulation." Journal of the American Psychiatric Nurses Association 24, no. 5 (January 11, 2018): 426–32. http://dx.doi.org/10.1177/1078390317750749.
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BACKGROUND: The stigma of psychosis, with the accompanying symptoms of auditory and visual hallucinations, can affect a nurse’s ability to provide safe, effective care. Increasing knowledge of the patient’s perspective during auditory hallucinations can increase the nurse’s ability to be empathetic and engage in a therapeutic alliance. OBJECTIVE: To evaluate the efficacy of a six-second auditory hallucination simulation to increase empathy in preclinical undergraduate nursing students. DESIGN: This descriptive, content analysis, qualitative study evaluated narratives written by students in a pre-licensure baccalaureate nursing student population, assessing empathy, insight, knowledge, and therapeutic communication. Students experienced the 6-second auditory hallucination simulation as part of preclinical instruction, and then they wrote a self-reflection. RESULTS: More than 200 self-reflections were collected, with a randomized final sample of 82 narratives evaluated. CONCLUSION: Self-reflections indicated that the experience of the 6-second hearing voices simulation increased efficacy, insight, knowledge, and intention to use therapeutic communication.
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Mellin, Juliann M., Sankaraleengam Alagapan, Caroline Lustenberger, Courtney E. Lugo, Morgan L. Alexander, John H. Gilmore, L. Fredrik Jarskog, and Flavio Fröhlich. "Randomized trial of transcranial alternating current stimulation for treatment of auditory hallucinations in schizophrenia." European Psychiatry 51 (June 2018): 25–33. http://dx.doi.org/10.1016/j.eurpsy.2018.01.004.
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AbstractBackground:Approximately 30% of patients with schizophrenia experience auditory hallucinations that are refractory to antipsychotic medications. Here, we evaluated the feasibility and efficacy of transcranial alternating current stimulation (tACS) that we hypothesized would improve auditory hallucination symptoms by enhancing synchronization between the frontal and temporo-parietal areas of the left hemisphere.Method:22 participants were randomized to one of three arms and received twice daily, 20 min sessions of sham, 10 Hz 2 mA peak-to-peak tACS, or 2 mA tDCS over the course of 5 consecutive days. Symptom improvement was assessed using the Auditory Hallucination Rating Scale (AHRS) as the primary outcome measure. The Positive and Negative Syndrome Scale (PANSS) and the Brief Assessment of Cognition in Schizophrenia (BACS) were secondary outcomes.Results:Primary and secondary behavioral outcomes were not significantly different between the three arms. However, effect size analyses show that tACS had the greatest effect based on the auditory hallucinations scale for the week of stimulation (1.31 for tACS; 1.06 and 0.17, for sham and tDCS, respectively). Effect size analysis for the secondary outcomes revealed heterogeneous results across measures and stimulation conditions.Conclusions:To our knowledge, this is the first clinical trial of tACS for the treatment of symptoms of a psychiatric condition. Further studies with larger sample sizes are needed to better understand the effect of tACS on auditory hallucinations.
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Agustin, Nanda Leoni, Enggal Hadi Kurniyawan, Amalia Kusumaningsih, and Fitrio Deviantony. "The Effectiveness of Occupational Therapy : Drawing on Mrs. “K” on The Ability to Control Auditory Hallucinations in The Flamboyant Room Dr. RSJ. Radjiman Wediodiningrat Lawang." D'Nursing and Health Journal (DNHJ) 3, no. 2 (September 23, 2022): 1–11. http://dx.doi.org/10.61595/dnursing.v3i2.423.
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Introduction: Hallucinations are defined as perceptual disturbances in which an object is not stimulated from outside, this sensory perception disorder covers all five senses. One effort that can be done to overcome hallucination is by occupational drawing therapy. Drawing therapy can release the patient’s emotions, express themselves through non-verbal ways and build communication. This final scientific paper aims to determine the drawing strategy for reducing hearing hallucination symptoms. Method: The research design uses a qualitative case study. This case study explores a problem in patients with sensory percepyion disorders: auditory hallucination with a sample of 1 person. Result: After 3 days of drawing therapy, there were changes in the symptoms that appeared in Mrs. “K” before and after being given the intervention of occupational therapy drawing, where before being given therapeutic therapy there were 12 symptoms (85%) from 14 symptoms and after the intervention was given 3 symptoms (22%).Therapy can minimize the patient’s interaction with his own world, remove thoughts, feeling, or emotions that have been influencing, unconscious behavior, motivate and provide joy, entertainment, and attention to the mind from hallucinations so that the mind does not focus on the hallucinations. Conclusion: Drawing therapy is effective in reducing auditory therapy is effective in reducing auditory symptoms in schizophrenic patients.
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Amaliah, Siti Lia, and Aprilla Dewi Kencana Wungu. "KEPATUHAN MINUM OBAT PADA PASIEN SKIZOFRENIA DENGAN GANGGUAN PERSEPSI SENSORI HALUSINASI PENDENGARAN." MIDWINERSLION Jurnal Kesehatan STIKes Buleleng 9, no. 1 (April 1, 2024): 43–47. http://dx.doi.org/10.52073/mjksb.v9i1.383.
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Introduction: Hallucinations are a false stimulus that can only be felt by the sufferer and cannot be felt by other people. The purpose of writing this scientific paper is to describe the implementation of nursing in implementing medication adherence in schizophrenic patients with auditory hallucination sensory perception disorders. Method: The type of research used is descriptive type. In collecting scientific writing data using interview and observation methods. In this writing, one of the respondents who was diagnosed with hallucinatory sensory perception disorder was taken. The research instrument used nursing care sheets and observation sheets. The research results obtained at the time of assessment, obtained nursing problems sensory perception disorders auditory hallucinations. Result: Result in this study after implementing the implementation of taking medication for 3 days, clients can control hallucinations and there is a decrease in signs and symptoms of hallucinations. Conclusion: The conclusion of the action of implementing medication adherence is proven to be effective in reducing signs and symptoms of hallucinations.
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Oladiran, Oreoluwa, Ifeanyi Nwosu, Steve Obanor, Chinyere Ogbonna-Nwosu, and Brian Le. "Anaplastic Pleomorphic Xanthoastrocytoma Presenting with Musical Hallucination." Case Reports in Neurological Medicine 2018 (November 11, 2018): 1–4. http://dx.doi.org/10.1155/2018/6428492.
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Musical hallucinations are a relatively rare form of auditory hallucination characterized by hearing of music in the absence of any external stimuli. This phenomenon has been linked to both psychiatric and structural lesions. We present the case of a previously healthy young male whose presentation with musical hallucinations led to the diagnosis of a rare tumour, anaplastic pleomorphic xanthoastrocytoma.
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ERICKSON, GERALD D. "Controlling Auditory Hallucinations." American Journal of Psychiatry 146, no. 3 (March 1989): 406—a—407. http://dx.doi.org/10.1176/ajp.146.3.406-a.
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Khan, A. M., T. Clark, and F. Oyebode. "Unilateral Auditory Hallucinations." British Journal of Psychiatry 152, no. 2 (February 1988): 297–98. http://dx.doi.org/10.1192/bjp.152.2.297.
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Gordon, A. G. "Unilateral auditory hallucinations." British Journal of Psychiatry 153, no. 2 (August 1988): 263–64. http://dx.doi.org/10.1192/bjp.153.2.263b.
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Novak, Melissa A., and David Petron. "Auditory Hallucinations Football." Medicine & Science in Sports & Exercise 43, Suppl 1 (May 2011): 187. http://dx.doi.org/10.1249/01.mss.0000400499.52917.d2.
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