Internal versus external auditory hallucinations in schizophrenia: symptom and course correlates.
Internal versus external auditory hallucinations in schizophrenia: symptom and course correlates.
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DOI：
10.1080/13546805.2014.991387
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发表时间：
2015
影响因子：
1.7
通讯作者：
Moe A
中科院分区：
文献类型：
--
作者：
Docherty NM;Dinzeo TJ;McCleery A;Bell EK;Shakeel MK;Moe A
与精神分裂症相关的幻听在现象学上是多种多样的。“外”幻觉通常被认为反映了比“内”幻觉更严重的精神病理学，但经验支持一直模棱两可。我们在97名经历幻听的稳定的精神分裂症或情感性精神障碍门诊患者的样本中，研究了“内部”和“外部”幻觉与（a）幻觉的其他特征，（B）其他症状的严重程度，和（c）疾病过程变量的关系。内幻觉患者与外幻觉患者在其他症状的严重程度上没有差异。然而，他们报告说，他们的幻觉在情感上更消极，更痛苦，更持久，更不可控，也不太可能随着时间的推移而缓解。他们也更有可能听到评论、交谈或命令的声音。然而，他们也更有可能洞察到自己声音的自发性。内幻觉患者的年龄并不大，但发病年龄较晚。幻听特征的差异与该疾病的其他特征的差异相关，因此可能与识别相对于其潜在疾病过程更同质的患者亚组有关。
The auditory hallucinations associated with schizophrenia are phenomenologically diverse. “External” hallucinations classically have been considered to reflect more severe psychopathology than “internal” hallucinations, but empirical support has been equivocal. We examined associations of “internal” v. “external” hallucinations with (a) other characteristics of the hallucinations, (b) severity of other symptoms, and (c) course of illness variables, in a sample of 97 stable outpatients with schizophrenia or schizoaffective disorder who experienced auditory hallucinations. Patients with internal hallucinations did not differ from those with external hallucinations on severity of other symptoms. However, they reported their hallucinations to be more emotionally negative, distressing, and long-lasting, less controllable, and less likely to remit over time. They also were more likely to experience voices commenting, conversing, or commanding. However, they also were more likely to have insight into the self-generated nature of their voices. Patients with internal hallucinations were not older, but had a later age of illness onset. Differences in characteristics of auditory hallucinations are associated with differences in other characteristics of the disorder, and hence may be relevant to identifying subgroups of patients that are more homogeneous with respect to their underlying disease processes.
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影响因子：
3.6
作者：
Dening, TR;Berrios, GE
通讯作者：
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影响因子：
5.3
作者：
Daalman, Kirstin;Boks, Marco P. M.;Sommer, Iris E. C.
通讯作者：
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影响因子：
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作者：
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通讯作者：
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作者：
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通讯作者：
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影响因子：
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作者：
Hunter, MD;Griffiths, TD;Woodruff, PWR
通讯作者：
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