Abstract
The purpose of this study was to provide a basis for the cognitive behavioral therapy of patients suffering from hallucinations and delusions by using a questionnaire focusing on the cognition, emotion, and coping skills of psychiatric nurses dealing with these patients. First, we selected cognitive, emotional, and coping items from the existing literature and preliminary studies and made a 43-item questionnaire. We then surveyed 161 psychiatric nurses, assessed the survey's reliability and validity, and developed a 33-item questionnaire. Next, we used the new questionnaire to survey 272 psychiatric nurses and compared the factors with their attributes. Four cognitive or emotional factors were extracted, namely: "feeling psychologically threatened," "increasingly feeling that duties impose a burden," "doubt about ability to self-tackle," and "feeling of difficulty with correspondence." Four coping factors were extracted, namely: "positive and collaborative coping," "coping with patients' denial of symptoms," "coping without active listening," "coping with refusal involvement." There was a negative correlation between "increasingly feeling that duties impose a burden" and "positive and collaborative coping." The results differed significantly by gender, career length, and position. The results implied that those who had had long careers and were in managerial positions tended to cope with patients in a positive and collaborative manner. We consider this coping to be similar to cognitive behavioral therapy.
