Path analysis of effects of cognitive belief, acceptance and state anxiety on auditory hallucination symptom in patients with schizophrenia
10.3760/cma.j.cn115682-20191218-04644
- VernacularTitle:精神分裂症患者认知信念、接受度以及状态焦虑对幻听症状影响的路径分析
- Author:
Xingxing WANG
1
;
Zhongying SHI
Author Information
1. 上海交通大学护理学院 200025
- Keywords:
Schizophrenia;
Auditory hallucination;
Cognitive belief;
Acceptance;
Anxiety;
Path analysis
- From:
Chinese Journal of Modern Nursing
2020;26(12):1569-1574
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of cognitive belief, acceptance and state anxiety on auditory hallucination symptom in patients with schizophrenia and its effect path.Methods:From October 2018 to July 2019, a total of 133 inpatients with schizophrenia who had auditory hallucinations in a ClassⅢ Grade A psychiatric hospital in Shanghai were selected as research objects by the convenience sampling. They were investigated by General Information Questionnaire, Psychotic Symptoms Rating Scales Auditory Hallucinations (PSYRATS-AH) , Beliefs About Voices Questionnaire-Revised (BAVQ-R) and State Anxiety Inventory of State-Trait Anxiety Inventory (S-AI) .Results:The PSYRATS-AH score in 133 patients was (23.15±8.06) and BAVQ-R score was (8.62±10.21) . Bad cognition was dominant in 75.2% (100/133) patients, goodwill cognition was dominant in 18.8% (25/133) patients and two cognitions were in a balanced state in 6.0% (8/133) patients. The S-AI score of 133 patients was (41.50±13.50) . 45.9% (61/133) patients had mild anxiety, 46.6% (62/133) had moderate anxiety and 7.5% (10/133) had severe anxiety. In terms of acceptance, 43.6% (58/133) of patients could not tolerate auditory hallucinations, 42.9% (57/133) barely tolerated auditory hallucinations and 13.5% (18/133) could tolerate auditory hallucinations. Multiple regression analysis showed that cognitive belief, acceptance, and state anxiety were factors that affected the severity of auditory hallucinations, explaining 56.0% of the total variation ( F=57.024, P<0.001) . Correlation analysis found that severity of auditory hallucination was positively correlated with cognitive belief and state anxiety ( P<0.01) , but significantly negatively correlated with acceptance ( P<0.01) . Path analysis found that cognitive belief had direct and indirect effects on severity of auditory hallucination while acceptance and state anxiety had direct effects on them. Conclusions:The severity of auditory hallucination in inpatients with schizophrenia is moderate or above. The cognitive belief, acceptance and state anxiety of patients are important factors affecting the severity of auditory hallucination.
