The Experience of Patients with Schizophrenia Treated with Repetitive Transcranial Magnetic Stimulation for Auditory Hallucinations

Introduction. Auditory hallucinations are a common symptom experience of individuals with psychotic disorders and are often experienced as persistent, distressing, and disruptive. This case series examined the lived experiences of four individuals treated (successfully or unsuccessfully) with low-fr...

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Main Authors: Priya Subramanian, Amer Burhan, Luljeta Pallaveshi, Abraham Rudnick
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2013/183582
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author Priya Subramanian
Amer Burhan
Luljeta Pallaveshi
Abraham Rudnick
author_facet Priya Subramanian
Amer Burhan
Luljeta Pallaveshi
Abraham Rudnick
author_sort Priya Subramanian
collection DOAJ
description Introduction. Auditory hallucinations are a common symptom experience of individuals with psychotic disorders and are often experienced as persistent, distressing, and disruptive. This case series examined the lived experiences of four individuals treated (successfully or unsuccessfully) with low-frequency (1 Hz) rTMS for auditory hallucinations. Methods. A phenomenological approach was used and modified to involve some predetermined data structuring to accommodate for expected cognitive impairments of participants and the impact of rTMS on auditory hallucinations. Data on thoughts and feelings in relation to the helpful, unhelpful, and other effects of rTMS on auditory hallucinations, on well-being, functioning, and the immediate environment were collected using semistructured interviews. Results. All four participants noted some improvements in their well-being following treatment and none reported a worsening of their symptoms. Only two participants noted an improvement in the auditory hallucinations and only one of them reported an improvement that was sustained after treatment completion. Conclusion. We suggest that there are useful findings in the study worth further exploration, specifically in relation to the role of an individual’s acceptance and ownership of the illness process in relation to this biomedical intervention. More mixed methods research is required to examine rTMS for auditory hallucinations.
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spelling doaj-art-1c11f415cfbe40819b9a2413aeb4ab152025-02-03T07:25:50ZengWileyCase Reports in Psychiatry2090-682X2090-68382013-01-01201310.1155/2013/183582183582The Experience of Patients with Schizophrenia Treated with Repetitive Transcranial Magnetic Stimulation for Auditory HallucinationsPriya Subramanian0Amer Burhan1Luljeta Pallaveshi2Abraham Rudnick3Department of Psychiatry, Regional Mental Health Care-London, Western University, London, ON, N6A 4H1, CanadaDepartment of Psychiatry, Regional Mental Health Care-London, Western University, London, ON, N6A 4H1, CanadaDepartment of Psychiatry, Regional Mental Health Care-London, Western University, London, ON, N6A 4H1, CanadaDepartment of Psychiatry, University of British Columbia, Vancouver Island Health Authority, Victoria, BC, V8R 4Z3, CanadaIntroduction. Auditory hallucinations are a common symptom experience of individuals with psychotic disorders and are often experienced as persistent, distressing, and disruptive. This case series examined the lived experiences of four individuals treated (successfully or unsuccessfully) with low-frequency (1 Hz) rTMS for auditory hallucinations. Methods. A phenomenological approach was used and modified to involve some predetermined data structuring to accommodate for expected cognitive impairments of participants and the impact of rTMS on auditory hallucinations. Data on thoughts and feelings in relation to the helpful, unhelpful, and other effects of rTMS on auditory hallucinations, on well-being, functioning, and the immediate environment were collected using semistructured interviews. Results. All four participants noted some improvements in their well-being following treatment and none reported a worsening of their symptoms. Only two participants noted an improvement in the auditory hallucinations and only one of them reported an improvement that was sustained after treatment completion. Conclusion. We suggest that there are useful findings in the study worth further exploration, specifically in relation to the role of an individual’s acceptance and ownership of the illness process in relation to this biomedical intervention. More mixed methods research is required to examine rTMS for auditory hallucinations.http://dx.doi.org/10.1155/2013/183582
spellingShingle Priya Subramanian
Amer Burhan
Luljeta Pallaveshi
Abraham Rudnick
The Experience of Patients with Schizophrenia Treated with Repetitive Transcranial Magnetic Stimulation for Auditory Hallucinations
Case Reports in Psychiatry
title The Experience of Patients with Schizophrenia Treated with Repetitive Transcranial Magnetic Stimulation for Auditory Hallucinations
title_full The Experience of Patients with Schizophrenia Treated with Repetitive Transcranial Magnetic Stimulation for Auditory Hallucinations
title_fullStr The Experience of Patients with Schizophrenia Treated with Repetitive Transcranial Magnetic Stimulation for Auditory Hallucinations
title_full_unstemmed The Experience of Patients with Schizophrenia Treated with Repetitive Transcranial Magnetic Stimulation for Auditory Hallucinations
title_short The Experience of Patients with Schizophrenia Treated with Repetitive Transcranial Magnetic Stimulation for Auditory Hallucinations
title_sort experience of patients with schizophrenia treated with repetitive transcranial magnetic stimulation for auditory hallucinations
url http://dx.doi.org/10.1155/2013/183582
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