Journal
JOURNAL OF NERVOUS AND MENTAL DISEASE
Volume 202, Issue 1, Pages 35-39Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/NMD.0000000000000064
Keywords
Schizophrenia; psychoeducation; normalization; auditory hallucinations; secondary delusions
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Funding
- Shiseikai Yagoto Hospital
- Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences
- Aichi Health Promotion Foundation
- Eli Lilly
- Japanese Ministry of Health Labor and Welfare [10103220]
- Japanese Ministry of Education, Science and Technology
- Asahi Kasei
- Dai-Nippon Sumitomo
- GlaxoSimthKline
- Janssen
- Otsuka
- Pfizer
- Schering-Plough
- Astellas
- AstraZeneca
- Meiji
- SanofiAventis
- Shionogi
- Takeda
- Kyorin
- Mochida
- MSD
- Tanabe-Mitsubishi
- Japan Foundation for Neuroscience and Mental Health
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Auditory hallucinations and delusions are core symptoms of schizophrenia, which interact with each other. The attribution of auditory hallucinations to other people is considered to lead to secondary delusions. This study examined whether brief psychoeducation can change the cognition of auditory hallucinations, particularly, their attribution, and thus alleviate secondary delusions. Twenty-two schizophrenic patients with auditory hallucinations were recruited in this open study. The intervention consisted of five sessions during the course of 4 weeks. Outcome measures were used to assess delusions, beliefs about auditory hallucinations, and depression. At the end of the intervention, statistically significant reduction was observed in both delusions and depression. Beliefs about hallucinations showed statistically significant improvement in terms of malevolence, omnipotence, and resistance but not in terms of benevolence and engagement. In conclusion, the present study suggests that psychoeducation might be useful in reducing secondary delusions without exacerbating a depressive state.
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