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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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