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ABSTRACT
OBJECTIVE:
To study the effectiveness of coping strategies (monaural occlusion,auditory localisation and processing activity, humming and reading
aloud) and conventional occupational therapy in chronic drug resistant auditory hallucination in schizophrenia.
METHODOLOGY:
4 patients with mean age of 46 years were randomly selected from Thane MentalHospital, who underwent 7 weeks intervention divided into
3 phases. Each phase lasted for 1 week followed by 2 weeks of wash out period.duration of each session was 1.5 hours per day.
The changes in dimensions of auditory hallucinations were assessed on Auditory Hallucination Rating Scale (AHRS) pre and post each
phase. In phase 3 pre and post work performance scale(WPS) was also done.
RESULTS:
The mean score of AHRS was computed
Phase 1-Pre mean score = 32.5 , (SD± 0.568), Post mean score=23.75,
(SD± 0.768),Percentage improvement=19.89% .
Phase 2- Pre mean score = 32.5 , (SD± 0.568), Post mean score=24.50,
(SD± 0.596),Percentage improvement=18.18% .
Phase 3- Pre mean score = 27.00, (SD± 0.400), Post mean score=17.75,
(SD± 0.465),Percentage improvement=21.02% .
Phase 3 – Pre WPS mean score=28.75,(SD± 4.0311),Post WPS mean
score=38.75, (SD± 2.872), Percentage improvement=23.81%
CONCLUSION:
Auditory hallucinations reduced in phase 3 indicates that coping strategies alongwith conventional Occupational therapy is beneficial than
individual coping strategies.
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Table : 4.2 SUBJECT 2
10 Disruption 2 2 2 2 2 2 2 2 0 1.5
COMPONENTS OF WPS PRE POST
11 Control 2 2 3 2 2.25 2 2 3 0 1.75
Interest in activities Good Good
Interest in completion Good Good
Graph 3: Pre and Post mean score graph of AHRS after 1
Initial learning Fair Good
week of Conventional Occupational therapy + Ear muff +
Complexity and organization of tasks Fair Good
Humming Problem solving Fair Good
Concentration Fair Good
3.5 Retention and recall Poor Fair
Speed of performance Fair Good
Activity neatness Fair Good
3
Frustration tolerance Good Good
Work Tolerance Fair Good
2.5 Reaction to authority Good Good
Sociability with Therapist Fair Good
Sociability with patients Fair Good
2 TOTAL 31 41
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TOTAL 27 38
20
Table 4.1, 4.2, 4.3 and 4.4 show changes in work
performance scale after 1 week conventional occupational
15
therapy+earmuffs and auditory localisation and
processing+humming and reading aloud in phase 3 in
10
subject 1, 2, 3 and 4 respectively.
5
Graph 4 shows changes in pre and post scores of WPS of all
4 subjects in phase 3. In subject 1 WPS improved from 24 to
0
Subject 1 Subject 2 Subject 3 Subject 4 35, in subject 2 from 31 to 41 , in subject 3 from 27 to 38 and
in subject 4 from 33 to 41. The mean score of WPS was
Pre WPS score Post WPS score computed Phase 3 - Pre WPS mean score=28.75,(SD±
4.0311), Post WPS mean score=38.75, (SD± 2.872),
Percentage improvement=23.81%
RESULTS:
Phase 1: Earmuffs + auditory localization and processing. DISCUSSION:
Table 1 shows changes in pre and post AHRS mean scores In phase 1 all the four subjects were given earmuffs in left ear
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