Efficacy of electroconvulsive therapy in treating auditory verbal hallucinations in a deaf patient with schizophrenia: A case report.

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2025-06-19 DOI:10.5498/wjp.v15.i6.105934

Juan Wang, Juan Li, Yan-Ge Wei, Xin-Xin Lu, Zhao-Hui Zhang

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引用次数: 0

Abstract

Background: Auditory verbal hallucinations (AVHs) are believed to be characteristic symptoms of schizophrenia. The prevalence of AVHs in deaf patients with schizophrenia is comparable to that in patients with schizophrenia who have normal hearing ability. AVHs in deaf patients with schizophrenia require treatment.

Case summary: A 22-year-old deaf woman with schizophrenia had experienced AVHs for 3 months. Her psychotic symptoms were not alleviated by antipsychotic medication alone. Modified electroconvulsive therapy in combination with antipsychotic drugs effectively alleviated her AVHs and disorganized behavior. During outpatient follow-up for 6 months, her condition have remained stable, and she has been able to take care of herself.

Conclusion: Treatment with modified electroconvulsive therapy was found to be safe and might be indicated for deaf patients whose symptoms are not well managed with antipsychotic medication alone. Deaf people might be unable to communicate through spoken language; therefore, to make proper diagnoses and provide appropriate treatment for these patients, psychiatrists must have patience and seek to understand patients' mental state.

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电休克疗法治疗失聪精神分裂症患者听言语幻觉的疗效：1例报告。

背景：听觉言语幻觉（AVHs）被认为是精神分裂症的典型症状。失聪精神分裂症患者的AVHs患病率与听力正常的精神分裂症患者相当。失聪精神分裂症患者的房颤需要治疗。病例总结：一名22岁患有精神分裂症的失聪女性经历了3个月的房颤。单靠抗精神病药物不能缓解她的精神病症状。改良电惊厥治疗联合抗精神病药物有效缓解了AVHs和紊乱行为。门诊随访6个月，患者病情稳定，已能自理。结论：改良电休克治疗是安全的，适用于单纯使用抗精神病药物治疗症状不佳的聋人。聋人可能无法通过口语进行交流；因此，为了对这些患者做出正确的诊断和提供适当的治疗，精神科医生必须有耐心，并寻求了解患者的精神状态。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.