Shiraishi Nao, Watanabe Norio, Kinoshita Yoshihiro, Kaneko Atsuko, Yoshida Shinichi, Furukawa Toshiaki A, Akechi Tatsuo
*Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan; †Department of Psychiatry, Shinshu University School of Medicine, Matsumoto, Japan; ‡Shiseikai Yagoto Hospital, Nagoya, Japan; and §Department of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, Japan.Dr Watanabe is now at the Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology & Psychiatry, Kodaira, Tokyo, Japan.
J Nerv Ment Dis. 2014 Jan;202(1):35-9. doi: 10.1097/NMD.0000000000000064.
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.
幻听和妄想是精神分裂症的核心症状，二者相互影响。将幻听归因于他人被认为会导致继发性妄想。本研究探讨了简短的心理教育是否能改变对幻听的认知，尤其是其归因，从而减轻继发性妄想。在这项开放性研究中招募了22名有幻听的精神分裂症患者。干预措施包括在4周内进行5次治疗。使用结果测量来评估妄想、对幻听的信念以及抑郁情况。干预结束时，妄想和抑郁均出现了具有统计学意义的降低。在恶意、全能和抵抗方面，对幻听的信念有统计学意义的改善，但在善意和参与方面没有。总之，本研究表明心理教育可能有助于减少继发性妄想而不加重抑郁状态。
