Multidimensional Relationship between Auditory Verbal Hallucinations and PANSS Factors of Psychopathology in the Patients with Schizophrenia.
- Author:
Sam Yi SHIN
1
;
Se Hyun KIM
;
Nam Young LEE
;
Tak YOUN
;
Yong Sik KIM
;
In Won CHUNG
Author Information
1. Department of Psychiatry, Dongguk University Ilsan Hospital, Goyang, Korea. ciw@duih.org
- Publication Type:Original Article
- Keywords:
Schizophrenia;
Psychopathology;
Auditory verbal hallucination
- MeSH:
Hallucinations*;
Humans;
Psychopathology*;
Schizophrenia*;
Voice;
Weights and Measures
- From:Journal of the Korean Society of Biological Psychiatry
2015;22(4):163-172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: This study was aimed to examine the multidimensional relationship between auditory verbal hallucinations (AVHs) and Positive and Negative Syndrome Scale (PANSS) factors of psychopathology in the patients with schizophrenia. And we explored the differences between assessments to hallucination by the clinicians and patients. METHODS: 82 patients with schizophrenia who were assessed by the Hamilton Program for Schizophrenia Voices Questionnaire (HPSVQ), Psychotic Symptom Rating Scale-Auditory Hallucination (PSYRATS-AHS), and the PANSS were recruited. Hwang's five-factor model of PANSS, items and total scores of hallucination scales, Kim's and Haddock's factor models of hallucination were applied to examine the correlations between psychopathology and AVHs. AVH-positive patients was 50 in PANSS-HPSVQ group and 24 in PANSS-PSYRATS-AHS. These two groups were separately analyzed. RESULTS: Among the five factors of the PANSS, negative and depression/anxiety factors were correlated with the total scores of HPSVQ and PSYRATS-AHS, and positive and autistic preoccupation factors were correlated only with the total score of PSYRATS-AHS. The activation factor was correlated with none of the total scores of HPSVQ/PSYRATS-AHS. These correlation patterns of a total score of HPSVQ/PSYRATS-AHS were same in the emotional factor of HPSVQ and physical factor of PSYRATS-AHS respectively. In the items which showed significant correlations, correlation coefficients of PANSS-PSYRATS-AHS group ranged between 0.406-0.755 and those of PANSS-HPSVQ ranged between 0.283-0.420. CONCLUSIONS: This study suggested that the psychopathological domains of schizophrenia were differentially correlated with AVHs and the assessment of AVHs by clinicians and patients showed substantial differences which should be integrated into the therapeutic interventions.
