Frederick J, Cotanch P
Issues Ment Health Nurs. 1995 May-Jun;16(3):213-24. doi: 10.3109/01612849509006936.
Even with the best treatment available in the United States, people with schizophrenia often remain troubled by auditory hallucinations. Given the less than optimal results of traditional mental health care, the following exploratory study was conducted. A convenience sample of 33 adult outpatients with schizophrenia were interviewed to elicit what (if any) self-help strategies they used for coping with auditory hallucinations. The patients were all being treated at a community mental health clinic. The self-help strategies reported by the patients included (a) physiological changes, (b) cognitive processes, and (c) behavioral changes. The strategies were then rank-ordered by frequency of use and self-reported effectiveness. Various self-help strategies used by subgroups were examined. Men used techniques that were more isolative, and women used more interpersonal techniques to cope with their auditory hallucinations. Participants hearing hostile "voices" (both men and women) tended to use substances such as alcohol and prescribed medications. The results of this study may be used to increase understanding of socially appropriate self-help coping strategies in patients with schizophrenia who experience auditory hallucinations.
即使在美国可获得最佳治疗，精神分裂症患者仍常受幻听困扰。鉴于传统精神卫生保健效果欠佳，开展了以下探索性研究。对33名成年精神分裂症门诊患者进行了便利抽样访谈，以了解他们用于应对幻听的自助策略（若有的话）。这些患者均在社区精神卫生诊所接受治疗。患者报告的自助策略包括：（a）生理变化，（b）认知过程，以及（c）行为改变。然后根据使用频率和自我报告的有效性对这些策略进行排序。研究了各亚组使用的各种自助策略。男性使用的技巧更具孤立性，而女性使用更多人际技巧来应对幻听。听到敌意“声音”的参与者（包括男性和女性）倾向于使用酒精和处方药等物质。本研究结果可用于增进对有幻听的精神分裂症患者社会适宜性自助应对策略的理解。
