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Original Article
Effects of Listening to Music on Auditory Hallucination and Psychiatric Symptoms in People with Schizophrenia
Hyun-Joo Na, Soo Yang
Journal of Korean Academy of Nursing 2009;39(1):62-71.
DOI: https://doi.org/10.4040/jkan.2009.39.1.62
Published online: February 28, 2009

1Research Assistant, College of Nursing, The Catholic University of Korea, Seoul, Korea.

2Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Yang, Soo. College of Nursing, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Korea. Tel: 82-2-590-1290, Fax: 82-2-590-1297, sooy@catholic.ac.kr
• Received: September 1, 2008   • Accepted: January 19, 2009

Copyright © 2009 Korean Society of Nursing Science

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  • 17 Scopus
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  • Purpose
    The purpose of this study was to explore the effects of listening to music in inpatients diagnosed with schizophrenia, on their auditory hallucinations, and positive and negative symptoms.
  • Methods
    A quasi-experimental research design with 2×2 cross-over trial and convenience sample was used. Eleven patients (Group AB) listened to music followed by a wash out period and then a usual care period, and 12 patients (Group BA) had a usual care period followed by a wash out period and then listened to music. For one week those who were in the experimental period listened to individualized music using an MP3 player whenever they heard hallucinations.
  • Results
    There was a statistically significant decrease in the frequency of auditory hallucinations after listening to the music. There was a decrease in the mean scores for positive symptoms, negative symptoms, and general psychopathology after listening to music, but only negative symptoms showed a statistically significant decrease. The treatment effects on scores for positive symptoms, negative symptoms, and general psychopathology were greater in Group BA than Group AB.
  • Conclusion
    These findings suggest that listening to music may be useful for managing auditory hallucinations in schizophrenia inpatients.
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Figure 1
Research design.
Period I=Group AB listened to music and Group BA had usual care; Washout period=This period was to prevent carry-over effect of period I; Period II=Group BA listened to music and Group AB had usual care; CAHQ=The Characteristic of Auditory Hallucination Questionnaire; PANSS=Positive and Negative Syndrome Scale.
jkan-39-62-g001.jpg
Table 1
General Characteristics and Homogeneity Test between Two Groups
jkan-39-62-i001.jpg

*Fisher's exact test.

Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music.

Table 2
Homogeneity of Research Variables between Two Groups
jkan-39-62-i002.jpg

Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music; CAHQ=The Characteristic of Auditory Hallucination Questionnaire; PANSS=Positive and Negative Syndrome Scale.

Table 3
Comparison of Change in CAHQ between Two Groups
jkan-39-62-i003.jpg

*p<.05.

Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music; CAHQ=The Characteristic of Auditory Hallucination Questionnaire.

Table 4
Comparison of Change in PANSS between Two Groups
jkan-39-62-i004.jpg

*p<.05.

Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music; PANSS=Positive and Negative Syndrome Scale.

Figure & Data

REFERENCES

    Citations

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    Effects of Listening to Music on Auditory Hallucination and Psychiatric Symptoms in People with Schizophrenia
    Image
    Figure 1 Research design. Period I=Group AB listened to music and Group BA had usual care; Washout period=This period was to prevent carry-over effect of period I; Period II=Group BA listened to music and Group AB had usual care; CAHQ=The Characteristic of Auditory Hallucination Questionnaire; PANSS=Positive and Negative Syndrome Scale.
    Effects of Listening to Music on Auditory Hallucination and Psychiatric Symptoms in People with Schizophrenia

    General Characteristics and Homogeneity Test between Two Groups

    *Fisher's exact test.

    Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music.

    Homogeneity of Research Variables between Two Groups

    Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music; CAHQ=The Characteristic of Auditory Hallucination Questionnaire; PANSS=Positive and Negative Syndrome Scale.

    Comparison of Change in CAHQ between Two Groups

    *p<.05.

    Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music; CAHQ=The Characteristic of Auditory Hallucination Questionnaire.

    Comparison of Change in PANSS between Two Groups

    *p<.05.

    Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music; PANSS=Positive and Negative Syndrome Scale.

    Table 1 General Characteristics and Homogeneity Test between Two Groups

    *Fisher's exact test.

    Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music.

    Table 2 Homogeneity of Research Variables between Two Groups

    Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music; CAHQ=The Characteristic of Auditory Hallucination Questionnaire; PANSS=Positive and Negative Syndrome Scale.

    Table 3 Comparison of Change in CAHQ between Two Groups

    *p<.05.

    Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music; CAHQ=The Characteristic of Auditory Hallucination Questionnaire.

    Table 4 Comparison of Change in PANSS between Two Groups

    *p<.05.

    Group AB=patients listened to music followed by usual care period; Group BA=patients had usual care period followed by listening to music; PANSS=Positive and Negative Syndrome Scale.


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