Listening to voices: understanding and self-management of auditory verbal hallucinations in young adults
Listening to voices: understanding and self-management of auditory verbal hallucinations in young adults
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倾听声音：年轻人对幻听的理解和自我管理
DOI：
10.1080/17522439.2021.1964583
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发表时间：
2021
期刊：
影响因子：
1.2
通讯作者：
Denno P
中科院分区：
文献类型：
--
作者：
Denno P
背景听觉言语幻觉（AVH）是精神病的一个标志性症状，但也影响到许多其他临床人群。患者对AVH的理解和自我管理可能在诊断组之间存在差异，随着时间的推移而变化，并影响临床结局。本研究旨在探讨青少年对AVH的认识和自我管理。参与者完成日记和照片启发任务，并在深入访谈中讨论由此产生的材料。使用传统的内容analysis.ResultsThree主题衍生。(1)寻找答案，形成身份认同-倾听声音的人试图解释他们的经历，从而为声音和他们自己构建身份认同。解释来自参与者的生活故事和信仰体系。(2)应对目标-患者的自我管理策略多种多样，反映了AVH的多种负面体验，例如令人痛苦的声音，压倒性的情绪或对代理的威胁。(3)前景-参与者形成了对AVH生活的整体看法。与禁用AVH的排斥和绝望与“接受”或整合，描述为积极的，理想的，或material. DiscussionTrans-diagnosis共性的理解和自我管理的AVH突出。这些为个体治疗和进一步研究提供了目标。
BackgroundAuditory Verbal Hallucinations (AVH) are a hallmark of psychosis, but affect many other clinical populations. Patients’ understanding and self-management of AVH may differ between diagnostic groups, change over time, and influence clinical outcomes. This study aimed to explore patients’ understanding and self-management of AVH in a young adult clinical population.Methods35 participants were purposively sampled from a youth mental health service. Participants completed diary and photo-elicitation tasks, and the resulting materials were discussed at in-depth interviews. Themes were derived using conventional content analysis.ResultsThree themes emerged. (1) Searching for answers, forming identities – voice-hearers sought to explain their experiences, resulting in the construction of identities for voices and themselves. Explanations were drawn from participants’ life-stories and belief-systems. (2) Coping goals – patients’ self-management strategies were diverse, reflecting the diverse negative experience of AVH, e.g. as distressing sounds, overwhelming emotions, or as threats to agency. (3) Outlook – participants formed an overall outlook on their life with AVH. Resignation and hopelessness in connection with disabling AVH are contrasted with “acceptance” or integration, described as positive, ideal, or mature.DiscussionTrans-diagnostic commonalities in understanding and self-management of AVH are highlighted. These offer targets for individual therapies and further research.
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影响因子：
6.6
作者：
Johns LC;Kompus K;Connell M;Humpston C;Lincoln TM;Longden E;Preti A;Alderson-Day B;Badcock JC;Cella M;Fernyhough C;McCarthy-Jones S;Peters E;Raballo A;Scott J;Siddi S;Sommer IE;Larøi F
通讯作者：
Larøi F
DOI：
--
发表时间：
1999
期刊：
影响因子：
--
作者：
Benjamin Knudson;A. Coyle
通讯作者：
A. Coyle
首发精神病中的幻听：现象学调查
影响因子：
5.4
作者：
R. Upthegrove;J. Ives;M. Broome;K. Caldwell;S. Wood;F. Oyebode
通讯作者：
F. Oyebode
影响因子：
3.2
作者：
de Jager, Adele;Rhodes, Paul;Hayward, Mark
通讯作者：
Hayward, Mark
声音聆听者的心理灵活性和非评判性接受：与全能和痛苦的关系
DOI：
--
发表时间：
2014
期刊：
Australian and New Zealand journal of psychiatry (Print)
影响因子：
--
作者：
E. Morris;P. Garety;E. Peters
通讯作者：
E. Peters