The relationship between appraisals of voices (auditory verbal hallucinations) and distress in voice-hearers with schizophrenia-spectrum diagnoses: A meta-analytic review
The relationship between appraisals of voices (auditory verbal hallucinations) and distress in voice-hearers with schizophrenia-spectrum diagnoses: A meta-analytic review
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精神分裂症谱系诊断的声音评估（幻听）与痛苦之间的关系：荟萃分析综述
DOI：
10.1016/j.schres.2021.02.013
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发表时间：
2021
影响因子：
4.5
通讯作者：
F. Varese
中科院分区：
文献类型：
--
作者：
A. Tsang;S. Bucci;Alison Branitsky;S. Kaptan;Sonya Rafiq;Samantha A. Wong;K. Berry;F. Varese
听觉语言幻觉(声音)的认知行为模型预测，对声音的解释决定了听话者所经历的痛苦程度。检查这些声音评估的贡献是提供有效的心理干预以管理令人痛苦的精神病症状的核心。这项荟萃分析综合了多项研究的证据，这些研究测试了精神分裂症患者的一系列评估与几种痛苦指标(与声音有关的痛苦和情绪痛苦)之间的关系。对截至2020年8月发表的文章进行数据库搜索(QicINFO、PubMed和Web of Science)。28项符合条件的研究，包括1497名临床参与者，研究了8种声音评估和痛苦之间的联系。在集中于对声音(恶意、权力、形而上学信念、关于失控的信念、声音侵扰性的信念)的不适应评价和信念的几个分析中，观察到中等到较大的汇总效应(r=0.30到0.50)，其中语音优势具有较大的汇总效应，r=0.58，95%CI[0.43，0.69]。积极的评价和信念对苦恼的负面影响很小。在考虑到与声音相关的痛苦、焦虑和抑郁的衡量标准的子组分析中，观察到的影响的程度是相似的。这项证据合成的发现广泛地证实了令人痛苦的声音的认知行为模型，但表明除了声音评估之外的其他因素也可能预测精神分裂症谱系障碍患者的幻觉经历造成的痛苦和损害。尽管如此，我们的研究结果证实，嗓音评估是精神病患者寻求帮助的声音听者治疗的一个重要和有意义的目标。
Cognitive-behavioural models of auditory verbal hallucinations (voices) predict that the interpretation of voices determines the levels of distress experienced by voice-hearers. Examining the contribution of these voice appraisals is central to the delivery of effective psychological interventions for the management of distressing psychotic symptoms. This meta-analysis synthesised evidence from studies that tested the relationship between a range of appraisals and several distress measures (voice-related and emotional distress) in individuals with schizophrenia-spectrum diagnoses. A database search (PsycINFO, PubMed and Web of Science) was conducted for articles published up to August 2020. Twenty-eight eligible studies, comprising of 1497 clinical participants examined the association between eight voice appraisals and distress. Moderate to large summary effects(rranging between 0.30 and 0.50) were observed in several analyses focusing on ‘maladaptive’ appraisals and beliefs about voices (malevolence, power, metaphysical beliefs, beliefs about loss of control, voice intrusiveness), with voice dominance having a large summary effect,r= 0.58, 95% CI [0.43, 0.69]. Positive appraisals and beliefs had small negative summary effects on distress. The magnitude of the observed effects was similar across subgroup analyses considering measures of voice-related distress, anxiety and depression. The findings of this evidence synthesis broadly corroborate cognitive-behavioural models of distressing voices, but suggested that factors other than voice appraisals may also predict the distress and impairment caused by hallucinatory experiences in people with schizophrenia-spectrum disorders. Nonetheless, our findings confirm that voice appraisals are an important and meaningful target for treatment in help-seeking voice hearers with psychosis.
影响因子：
6.7
作者：
ZIGMOND, AS;SNAITH, RP
通讯作者：
SNAITH, RP