Phenomenological and Cognitive Features Associated With Auditory Hallucinations in Clinical and Nonclinical Voice Hearers.
Phenomenological and Cognitive Features Associated With Auditory Hallucinations in Clinical and Nonclinical Voice Hearers.
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DOI：
10.1093/schbul/sbad083
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发表时间：
2023-11-29
影响因子：
6.6
通讯作者：
Bansal, Sonia
中科院分区：
文献类型：
--
作者：
Gold, James M.;Corlett, Philip R.;Erickson, Molly;Waltz, James A.;August, Sharon;Dutterer, Jenna;Bansal, Sonia
听觉言语幻觉（AVH）是精神分裂症（SZ）的主要特征。然而，AVH也发生在不需要护理的一小部分普通人群中，称为非临床听者（NCVH）。我们试图确定AVH在NCVH和精神分裂症患者（PSZ）中的相似程度，并评估NCVH在多大程度上共享SZ的其他特征，如妄想信念、认知障碍和阴性症状。我们招募了76名被DSM-V诊断为SZ/分裂情感性障碍的患者（PSZ； 49人患有当前AVH， 27人没有），48人患有NCVH， 51名健康对照。参与者接受了广泛的临床管理和自我报告的症状评估和集中的认知评估。NCVH和PSZ的AVH具有非常相似的感觉特征。NCVH经历的痛苦更少，对他们的AVH有更好的控制，而且，不像PSZ，很少听到两个声音互相说话。NCVH表现出广泛的根深蒂固的不寻常的信仰，但较少报告偏执狂，以及较少的一级症状，如被动和自我体验的改变。NCVH未显示认知缺陷或阴性症状的证据。NCVH和PSZ的AVH既有重要的相似之处，也有明显的差异。AVH的具体特征，而不是存在，似乎决定了护理的需要。NCVH不具有PSZ中所见的认知和动机缺陷。这些结果表明，AVH和不寻常的信念可以从更广泛的SZ表型中分离出来。
Auditory verbal hallucinations (AVH) are central features of schizophrenia (SZ). However, AVH also occur in a small percentage of the general population who do not have a need for care, termed nonclinical voice hearers (NCVH). We sought to determine the degree to which the experience of AVH was similar in NCVH and in people with schizophrenia (PSZ) and evaluate the degree to which NCVH shared other features of SZ such as delusional beliefs, cognitive impairment, and negative symptoms. We recruited 76 people with a DSM-V diagnosis of SZ/schizoaffective disorder (PSZ; 49 with current AVH, 27 without), 48 NCVH, and 51 healthy controls. Participants received a broad battery of clinician-administered and self-report symptom assessments and a focused cognitive assessment. The AVH of NCVH and PSZ shared very similar sensory features. NCVH experienced less distress, had greater control over their AVH, and, unlike PSZ, rarely heard 2 voices speaking to each other. NCVH demonstrated a wide range of deeply held unusual beliefs, but reported less paranoia, and fewer first-rank symptoms such as passivity and alterations in self-experience. NCVH showed no evidence of cognitive deficits or negative symptoms. The AVH in NCVH and PSZ demonstrate important similarities as well as clear differences. Specific features, rather than the presence, of AVH appear to determine the need for care. NCVH do not share the cognitive and motivational deficits seen in PSZ. These results suggest that AVH and unusual beliefs can be separated from the broader phenotype of SZ.
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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
影响因子：
2.9
作者：
Larøi F
通讯作者：
Larøi F
影响因子：
3.8
作者：
McNiel, DE;Eisner, JP;Binder, RL
通讯作者：
Binder, RL
影响因子：
6.9
作者：
Goghari, V. M.;Harrow, M.;Rosen, C.
通讯作者：
Rosen, C.
影响因子：
4.3
作者：
LAUNAY, G;SLADE, P
通讯作者：
SLADE, P