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Patterns of Delusions and Hallucinations in Schizophrenia : Comparison between the 1990s and the 2000s  

Jung, Hyun-Jin (Department of Psychiatry, Hanyang Medical Center and College of Medicine, Hanyang University)
Kim, Daeho (Department of Psychiatry, Hanyang Medical Center and College of Medicine, Hanyang University)
Oh, Hyun Young (Department of Psychiatry, Hanyang Medical Center and College of Medicine, Hanyang University)
Park, Yong-Chon (Department of Psychiatry, Hanyang Medical Center and College of Medicine, Hanyang University)
Publication Information
Korean Journal of Biological Psychiatry / v.20, no.3, 2013 , pp. 80-85 More about this Journal
Abstract
Objectives Research suggests that content of delusion and hallucination in schizophrenia is influenced by culture and social environment. However, few studies investigated chronological change of delusions and hallucinations within a society. To investigate changes in delusions and hallucinations of schizophrenia according to time, we compared contents of symptoms between inpatients with schizophrenia at two different time frames. Methods All admissions to a psychiatric unit of Hanyang University Guri Hospital with discharge diagnoses of schizophrenia at two different five-year time frames (1996-2000 and 2006-2010) were reviewed. Using a checklist, adapted from the Scale for Assessment of Positive Symptoms, we investigated delusions and hallucinations of 247 patients (104 in the 1990s and 143 in the 2000s). Results Delusions and hallucinations of patients did not differ at two time frames. In women, however, auditory and somato-tactile hallucinations were significantly more frequent in the 1990s (p < 0.05). Conclusions Our findings support the literature emphasizing that content and frequency of hallucination may differ according to cultural environment. We speculate that attitude toward sex and defensiveness toward disclosure of symptoms may have contributed to interval difference.
Keywords
Schizophrenia; Delusions; Hallucination; Culture;
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1 McGrath J, Saha S, Chant D, Welham J. Schizophrenia: a concise overview of incidence, prevalence, and mortality. Epidemiol Rev 2008;30:67-76.   DOI
2 Chwastiak LA, Rosenheck RA, McEvoy JP, Keefe RS, Swartz MS, Lieberman JA. Interrelationships of psychiatric symptom severity, medical comorbidity, and functioning in schizophrenia. Psychiatr Serv 2006;57:1102-1109.   DOI
3 Bhugra D, Bhui K. Textbook of Cultural Psychiatry. London: Cambridge Univ. Press;2007. p.152-163.
4 Tseng WS, Streltzer J. Cultural Competence in Clinical Psychiatry. Arlington: American Psychiatric Publishing, Inc.;2004. p.253-267.
5 Kim KI. Culture and delusion. Ment Health Res 1992;1:51-62.
6 Choi JY, Kim KI. Schizophrenic delusions: changes in delusional contents related to times of onset [dissertation]. Seoul: Hanyang Univ.; 1999.
7 Murphy HB, Wittkower ED, Fried J, Ellenberger H. A Cross-cultural survey of schizophrenic symptomatology. Int J Soc Psychiatry 1963;9:237-249.   DOI
8 Wahass S, Kent G. Coping with auditory hallucinations: a cross-cultural comparison between western (British) and non-western (Saudi Arabian) patients. J Nerv Ment Dis 1997;185:664-668.   DOI
9 Kim KI, Park YC. A comparative study of persecutors in the dream and in the schizophrenic delusion. Ment Health Res 1983;1:91-98.
10 Al-Issa I. Sociocultural factors in hallucinations. Int J Soc Psychiatry 1978;24:167-176.   DOI
11 Chung WS. Clinical characteristics of schizophrenic hallucinations [dissertation]. Seoul: Hanyang Univ.;2001.
12 Suhail K, Cochrane R. Effect of culture and environment on the phenomenology of delusions and hallucinations. Int J Soc Psychiatry 2002;48:126-138.   DOI
13 Kim K. Delusions and hallucinations in East Asians with schizophrenia. WCPRR 2006;1:37-42.
14 Lee BY. Changes of the contents of schizophrenic delusions over the past 20 years in Korea. Korea Univ Med J 1985;22:207-218.
15 Klaf FS, Hamilton JG. Schizophrenia--a hundred years ago and today. J Ment Sci 1961;107:819-827.
16 Oh HY, Kim D, Park YC. Nature of persecutors and their behaviors in the delusions of schizophrenia: changes between the 1990s and the 2000s. Psychiatry Investig 2012;9:319-324.   DOI
17 Andreasen NC. Scale for the Assessment of Positive Symptoms (SAPS). Iowa City, IA: University of Iowa College of Medicine;1984.
18 Jang HI. Character of Korean's delusions. Ment Health Res 1992;11: 63-73.
19 Bauer SM, Schanda H, Karakula H, Olajossy-Hilkesberger L, Rudaleviciene P, Okribelashvili N, et al. Culture and the prevalence of hallucinations in schizophrenia. Compr Psychiatry 2011;52:319-325.   DOI
20 Uh HG, Kim KI. Chronological change of schizophrenic delusion: comparison between 1980-1982 and 1990-1992. Seoul J Psychiatry 1994;19:77-84.
21 Kim KI. Culture and Schizophrenia. Ment Health Res 1991;10:97- 118.
22 Uh HG, Kim KI. Chronological change of persecutors in schizophrenic delusion: comparison between 1980-1982 and 1990-1992. J Korean Neuropsychiatr Assoc 1993;32:195-201.