COGNITIVE THERAPY: A REALITY ORIENTATION MODEL FOR MENTAL ILLNESS PATIENTS THAT EXPERIENCED AUDITORY HALLUCINATIONS

Arum Pratiwi, Enita Dewi

Abstract


This research aim was to develop a model of reality orientation therapy on patients with schizophrenia who had auditory hallucinations. This design of the study was a sequential exploratory research which combines qualitative and quantitative approach. Respondents in this study were patients with schizophrenia who experience auditory hallucinations. Ten respondents who met the criteria were used as a population target in trials of therapeutic procedures. Five nurses who have experience treating patients in a mental hospital established as an expert on trial of instrument development.

Initially, the contents of the hallucinations were identified using "Beliefs about the Voices Questionnaire (BaVQ)" through interviews, and then were analysed using thematic analysis. The results of the analysis were the themes that used to develop a reality orientation therapy procedure. The procedure was applied for one month, three times every week for the respondents. Evaluation of treatment programs to the target population was evaluated using an anxiety scale and evaluation of instrument therapy using a content validity test which includes the step of designing, testing, validation, verification, and final validation.

The content validity test illustrated that application of reality orientation therapy had been developed from verification until final validation. The level of the patient's anxiety was statistically significant 1,078 (P 0.309). It can be concluded that there was no difference between the patient's anxiety before and after cognitive therapy reality orientation.

 

Key words: Cognitive therapy orientation reality, nursing intervention, auditory hallucination.


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References


Brink, P. J., & Wood, M. J. (2001). Basic steps in planning nursing research: From question to proposal. Jones & Bartlett Learning.

Chadwick, P. (2006). Person-based cognitive therapy for distressing psychosis, John Wiley & Sons Ltd.

Chadwick, P., Lees, S., & Birchwood, M. A. X. (2000). The revised beliefs about voices questionnaire (BAVQ-R). The British Journal of Psychiatry,177(3), 229-232. doi: 10.1192/bjp.177.3.229.

Cole, M. G., Dowson, L., Dendukuri, N., & Belzile, E. (2002). The prevalence and phenomenology of auditory hallucinations among elderly subjects attending an audiology clinic. International journal of geriatric psychiatry, 17(5), 444-452. doi: 10.1002/gps.618.

Clarke, V., & Braun, V. (2013). Teaching thematic analysis: Overcoming challenges and developing strategies for effective learning. The psychologist,26(2), 120-123.

Cole, M. G., Dowson, L., Dendukuri, N., & Belzile, E. (2002). The prevalence and phenomenology of auditory hallucinations among elderly subjects attending an audiology clinic. International journal of geriatric psychiatry, 17(5), 444-452.

Creswell, J.W. (2009). Research design; Qualitative, quantitative, and mix method approach, third edition, Los Angeles, SAGE.

Denzin, N. K., & Lincoln, Y. S. (2002). The qualitative inquiry reader. Sage.

Diatri, H. and Maramis, A. (2014). Indonesia aims to free the mentally ill from their shackles. Retrieved from: http://theconversation.com/indonesia-aims-to-free-the-mentally-ill-from-their-shackles-30078.

Dictionary.com (n.d).Insight. Retrieved from: http://dictionary.reference.com/browse/insight.

Faozi, E (2011). Laporan praktik pofesi keperawatan jiwa. UMS. Tidak dipublikasikan.

Fitzpatrick, J. J., & Wallace, M. (2012). Encyclopedia of nursing research, 3th edition. Springer Publishing Company.

Hugdahl, K. (2009). “Hearing voices”: Auditory hallucinations as failure of top‐down control of bottom‐up perceptual processes. Scandinavian journal of psychology, 50(6), 553-560. doi: 10.1111/j.1467-9450.2009.00775.x.

Johnson, B. and Christensen, L. (2010). Educational Research: Quantitative, Qualitative, and Mixed Approaches. ( 4th ed.) London: Sage Publications LTD.

Morrison, A. P. (2001). The interpretation of intrusions in psychosis: an integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy, 29(03), 257-276.

Penn, D. L., Meyer, P. S., Evans, E., Wirth, R. J., Cai, K., & Burchinal, M. (2009). A randomized controlled trial of group cognitive-behavioral therapy vs. enhanced supportive therapy for auditory hallucinations. Schizophrenia research, 109(1), 52-59.

Romansky, J.B., Lyons, J.S., Lehner, R.K., West, C.M. (2013). Factors Related to Psychiatric Hospital Readmission among Children and Adolecents in state Custody, Journal of Psychiatric Services, (54)3. doi: 10.1176/appi.ps.54.3.536.

Sproule, C. F. (2009). Rationale and research evidence supporting the use of content validation in personnel assessment. International Personnel Assessment Council monograph. Diterima dari: http://www.ipacweb.org/Resources/Documents/monographs/monograph_0901_sproule.pdf

Stuart, G. W. (2013). Principles and practice of psychiatric nursing. Elsevier Health Sciences.

Study.com. (2014). Auditory hallucinations. Diterima dari: http://study.com/academy/lesson/auditory-hallucinations-causes-treatment-types.html.

Townsend, M. C. (2014). Psychiatric mental health nursing: Concepts of care in evidence-based practice. (6th ed). FA Davis Company.

Videbeck, S. L. (2010). Psychiatric-mental health nursing. Lippincott Williams & Wilkins.

Vogt, D. S., King, D. W., & King, L. A. (2004). Focus groups in psychological assessment: enhancing content validity by consulting members of the target population. Psychological assessment, 16(3), 231.

Wahyuni, S., Yuliet, S. N., & Elita, V. (2012). Hubungan lama hari rawat dengan kemampuan pasien mengontrol halusinasi. Jurnal Ners Indonesia, 1(02).

Waters, F. (2010). Auditory Hallucinations in Psychiatric Illness. Diterima dari: http://www.psychiatrictimes.com/schizophrenia/auditory-hallucinations-psychiatric-illness/page/0/2.

Yuniartika, W (2010). Laporan praktik profesi keperawatan jiwa. UMS tidak dipublikasikan.

Zigmond, AS; Snaith, RP (1983). "The hospital anxiety and depression scale". Acta Psychiatrica Scandinavica 67 (6): 361–370. doi:10.1111/j.1600-0447.1983.tb09716.x.




DOI: http://dx.doi.org/10.24990/injec.v1i1.88

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