Effect of antipsychotic on the dimension of auditory hallucination among patients with schizophrenia

Ismail, Norhajar and Wahab, Suzaily and Mat Zin, Nora (2025) Effect of antipsychotic on the dimension of auditory hallucination among patients with schizophrenia. IIUM Medical Journal Malaysia, 24 (4). pp. 114-122. ISSN 1823-4631 E-ISSN 2735-2285

Preview	PDF (Article) - Published Version Download (443kB) | Preview
	PDF (WOS) - Supplemental Material Restricted to Registered users only Download (261kB) | Request a copy

Abstract

INTRODUCTION: Auditory hallucination (AH) is the most common type of hallucinations in individuals with schizophrenia. Assessing the multidimensional aspects of AH provides more precise insights, particularly regarding associated psychological sequelae. This study aimed to examine the short-term effects of antipsychotics treatment on the emotional, cognitive and physical dimension of AH. MATERIALS AND METHODS:A total of 74 patients with schizophrenia with relapsing episodes were recruited. The Psychotic Symptoms Rating Scale subscale Auditory Hallucination.(PSYRATS-AH) was administered at baseline, and after 2 weeks and 4 weeks of treatment. Patients were treated with atypical, typical, or a combination of both types of antipsychotics. The emotional, cognitive and physical components of PSYRATS-AH were analysed. RESULTS: Most participants were Malay (89.2%), single (63.5%), unemployed (70%), and on atypical antipsychotic treatment (71.6%). At 4 weeks, there was a significant reduction in overall AH scores compared to baseline. Both atypical and combination antipsychotic regimen showed a significant difference in all three components, namely emotional (χ2=43.9, p<0.05 and χ2=27.8, p<0.05), cognitive (χ2=34.1, p<0.05 and χ2=19.0, p<0.05), and physical (χ2=39.5,p<0.05 and χ2=30.5, p<0.05). However, those on typical antipsychotic showed a poorer response in the physical component (χ2=5.4,p>0.05). CONCLUSION: Atypical and combination antipsychotic regimen demonstrated greater effectiveness in improving the emotional, cognitive, and physical dimension of AH. Typical antipsychotics alone were less effective, particularly in addressing physical symptoms. These findings support the preferential use of atypical antipsychotics managing the multidimensional aspects of AH in schizophrenia.

Item Type:	Article (Journal)
Uncontrolled Keywords:	auditory hallucination, PSYRATS, antipsychotic, schizophrenia
Subjects:	R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Psychiatry
Depositing User:	Dr Nora Mat Zin
Date Deposited:	18 Dec 2025 16:18
Last Modified:	18 Dec 2025 16:19
Queue Number:	2025-12-Q958
URI:	http://irep.iium.edu.my/id/eprint/125897

Actions (login required)

View Item