Nuraini Khoirotun Amanah, Muhammad Ari Arfianto

Culturally-Sensitive Nursing Intervention Using Islamic CBT for Auditory Hallucinations in a Final-Year University Student: A Case Report

Introduction

Culturally-sensitive nursing intervention using islamic cbt for auditory hallucinations in a final-year university student: a case report . Intervensi keperawatan sensitif budaya dengan Islamic CBT untuk halusinasi auditorik pada mahasiswa Muslim penderita skizofrenia. Laporan kasus ini menunjukkan potensi perbaikan.

Abstract

Laporan kasus eksploratif ini menelaah feasibility (kelayakan penerapan) Islamic Cognitive Behavioral Therapy (ICBT) sebagai intervensi keperawatan berbasis budaya untuk seorang mahasiswa Muslim yang mengalami halusinasi auditorik. Seorang laki-laki berusia 22 tahun dengan diagnosis skizofrenia menjalani enam sesi terstruktur ICBT yang difasilitasi oleh perawat jiwa bersertifikat, bersamaan dengan pengobatan farmakologis standar (risperidone dan olanzapine). Intervensi mengintegrasikan tawakkul (percaya kepada Allah), dzikir (mengingat Allah), serta refleksi Al-Qur’an dalam kerangka CBT. Penilaian menggunakan PSYRATS-AH, Dysfunctional Attitude Scale, WHOQOL-BREF, dan Spiritual Well-Being Scale, dilengkapi pemantauan rutinitas harian dan jurnal reflektif. Setelah intervensi, pasien menunjukkan perbaikan yang tampak secara klinis: berkurangnya distres akibat halusinasi, menurunnya keyakinan disfungsional, meningkatnya refleksi diri, serta kembalinya keterlibatan dalam ibadah, interaksi sosial, dan perencanaan akademik. Namun, perubahan ini tidak dapat semata-mata dikaitkan dengan ICBT, mengingat adanya terapi antipsikotik bersamaan dan durasi intervensi yang singkat. Laporan ini menegaskan potensi ICBT sebagai pendekatan keperawatan berbasis budaya yang dapat meningkatkan keterlibatan terapeutik dan reframing spiritual pada pasien Muslim. Penelitian lebih lanjut dengan desain terkontrol diperlukan untuk menilai efektivitas, menjaga kesetiaan intervensi, serta memperjelas batas kompetensi praktik keperawatan dalam pemberian terapi berbasis CBT

Review

This case report presents a compelling exploration of Islamic Cognitive Behavioral Therapy (ICBT) as a culturally-sensitive nursing intervention for auditory hallucinations in a Muslim university student. The authors effectively demonstrate the feasibility and potential benefits of integrating Islamic principles such as *tawakkul*, *dzikir*, and Quranic reflection within a CBT framework. The observed clinical improvements – including reduced distress from hallucinations, decreased dysfunctional beliefs, enhanced self-reflection, and renewed engagement in religious practices, social interaction, and academic planning – are encouraging. The structured nature of the six sessions, facilitated by a certified psychiatric nurse, along with the use of recognized assessment tools (PSYRATS-AH, DAS, WHOQOL-BREF, SWBS), provides a robust foundation for this initial investigation. However, the inherent limitations of a single-case report design prevent definitive conclusions regarding the sole efficacy of ICBT. The concurrent administration of standard pharmacological treatment (risperidone and olanzapine) makes it challenging to disentangle the specific contributions of the nursing intervention. Furthermore, the abstract acknowledges the short duration of the intervention, which might limit the sustainability of the observed changes. While the report highlights the potential for ICBT to improve therapeutic engagement and spiritual reframing, the need for more rigorous controlled studies is explicitly stated and essential to establish the intervention's effectiveness and generalizability. The discussion on clarifying "competence boundaries" for nursing practice in delivering CBT-based therapies also points to an important area for future professional development and guideline formulation. Despite these methodological caveats, this case report makes a valuable contribution by showcasing a novel and culturally congruent approach to mental health care. It underscores the critical importance of tailoring interventions to the spiritual and cultural context of patients, particularly within diverse populations. The findings provide a strong impetus for future research, advocating for larger-scale, controlled studies with long-term follow-up to fully evaluate the efficacy and cost-effectiveness of ICBT. This preliminary work suggests that integrating faith-based components can significantly enhance the therapeutic experience and outcomes for Muslim patients, paving the way for more holistic and person-centered mental health nursing practice.

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