Determinants of outcome in the pathways through care for children hearing voices
Determinants of outcome in the pathways through care for children hearing voices
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DOI：
10.1111/j.1369-6866.2004.00315.x
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发表时间：
2004-07-01
影响因子：
1.9
通讯作者：
Romme, M
中科院分区：
文献类型：
--
作者：
Escher, S;Morris, M;Romme, M
幻听或幻听通常与精神病理有关。在精神病学中，它被解释为一种疾病的症状，与个人的生活史无关。儿童期的声音幻觉发生在各种情况下，并有不同的长期结果。人们对这次经历的过程所知甚少。在这项研究中，在三年的时间里，我们对80名听到声音的儿童和青少年进行了四次采访，了解了声音的内容和他们对声音的整体体验，重点关注了通过护理途径取得有希望结果的决定因素。结果表明，在声音体验的背景下，对护理的需要不仅与高度的问题行为和相关的精神病负面症状有关，而且还独立地与对声音的焦虑、抑郁、分离和出现频率的评估有关。在为期三年的研究期间，60%的参与者的声音消失了。然而，声音消失与心理健康治疗过程之间的关系尚不明确。
Auditory hallucination, or hearing voices, is generally associated with psychopathology. In psychiatry it is inter-preted as a symptom of an illness, with no connection to the individual's life history. Voice hallucinations in childhood occur in a variety of contexts and have variable long-term outcomes. Little is known about the course of the experience. In this study, 80 children and youngsters hearing voices were interviewed on four occasions over a period of three years about the content of the voices and their overall experience of voices, focusing on the determinants for a promising outcome in the pathways through care. The results indicate that the need for care in the context of the experience of voices is associated not only with high levels of problem behaviour and associated negative symptoms of psychosis, but also, independently, with an appraisal of the voices in terms of anxiety, depression, dissociation and frequency of occurrence. In 60 per cent of the participants the voices disappeared during the three-year research period. The relationship between the disappearance of voices and the course of mental health treatment is, however, ambiguous.