Course of auditory vocal hallucinations in childhood: 5-year follow-up study
Course of auditory vocal hallucinations in childhood: 5-year follow-up study
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DOI：
10.1192/bjp.bp.110.086918
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发表时间：
2011-10-01
影响因子：
10.5
通讯作者：
Wiersma, Durk
中科院分区：
文献类型：
--
作者：
Bartels-Velthuis, Agna A.;van de Willige, Gerard;Wiersma, Durk
背景：在一项针对7- 8岁儿童的听觉声乐幻觉基线研究中，仅观察到有限的功能影响。目的探讨听声幻觉的5年病程、预测因素、5年发病率及其危险因素。方法在平均5.1年的随访期后，对337名12岁和13岁儿童的幻听和相关症状进行重新评估。结果5年生存率为24%，5年发病率为9%，城区新增病例较多。根据儿童行为检查表，在精神病理学的临床范围内，持续的和偶发的幻听都与问题行为有关，特别是在随访中，以及其他精神病症状，特别是在基线时。持续性可通过基线听觉声乐幻觉严重程度预测，特别是在声音的外部归因和听到多种声音方面，并且与较差的小学考试成绩和较低的中学水平相关。结论儿童期中期首次发病的听声幻觉并不少见，并与精神病理和行为共病有关。同样，儿童期持续存在的声音幻听并不罕见，并与精神病理、行为和认知改变有关。
BackgroundIn a baseline study among 7- and 8-year-old children with auditory vocal hallucinations, only limited functional impact was observed.AimsTo assess 5-year course and predictors of auditory vocal hallucinations, as well as 5-year incidence and its risk factors.MethodA sample of 337 children, 12 and 13 years of age, were reassessed on auditory vocal hallucinations and associated symptoms after a mean follow-up period of 5.1 years.ResultsThe 5-year persistence and incidence rates were 24% and 9% respectively, with more new cases arising in urban areas. Both persistent and incident auditory vocal hallucinations were associated with problem behaviour in the clinical range of psychopathology as measured with the Child Behavior Checklist, particularly at follow-up, as well as with other psychotic symptoms, particularly at baseline. Persistence was predicted by baseline auditory vocal hallucinations severity, particularly in terms of external attribution of voices and hearing multiple voices, and was associated with worse primary school test scores and lower secondary school level.ConclusionsFirst onset of auditory vocal hallucinations in middle childhood is not uncommon and is associated with psychopathological and behavioural comorbidity. Similarly, persistence of auditory vocal hallucinations in childhood is not uncommon and is associated with psychopathological, behavioural and cognitive alterations.