Mediation of the relationship between inner voice experiences and health-related quality of life |
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Authors: | England Margaret |
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Affiliation: | University of Windsor, Faculty of Nursing, 303 Health Education Centre, P.O. Box 33830, Detroit, MI 49232, USA. mengland@uwindsor.ca |
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Abstract: | PROBLEM: Appraisals tied to voice hearing and other subjective experiences pose serious challenges for nursing because of their implications for health and safety of voice hearers and others. METHOD: An exploratory, correlational design involving hierarchical analysis of data from 337 voice hearers. FINDINGS: Inner voice experiences and subjective-deficit symptoms each had significant negative, independent effects on perceptions of the integrity of the functional nervous system, self-esteem, and health-related quality of life. The combination of subjective-deficit symptoms, perceptions of the integrity of the functional nervous system and self-esteem significantly reduced the negative impact of inner voice experiences on health related quality of life (R2 = .511). Perceived integrity of the functional nervous system and self-esteem together almost completely attenuated the impact of voice hearing on subjects' health-related quality of life. CONCLUSION: These results highlight the need to develop strategies that can help voice hearers respond to inner experiences in a more positive manner. |
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