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Musical hallucinations: prevalence in psychotic and nonpsychotic outpatients
Haggai Hermesh1, Shai Konas, Roni Shiloh
1Outpatient Department, Geha Mental Health Center, Rabin Medical Center, Beilinson Campus, Petach Tiqva 49100, Israel.
Background:
Musical hallucinations have been considered a rare manifestation of psychotic states or brain and hearing abnormalities. However, an obsessive-compulsive disorder (OCD) assessment tool refers to musical hallucinations and our preliminary study showed that about one third of OCD patients experienced musical hallucinations.
Aims:
To elucidate the lifetime prevalence of musical hallucinations among psychotic and nonpsychotic psychiatric outpatients.
Methods:
Lifetime experience of musical hallucinations was examined with a specially designed structured interview in 190 consecutive outpatients with diagnoses of anxiety, affective, and schizophrenia disorders.
Results:
Musical hallucinations occurred in more than one fifth of all diagnoses. The prevalence of musical hallucinations was highest in OCD patients (41%). Musical hallucinations were significantly more frequent with more comorbid disorders, and logistic regression revealed that this finding was mainly due to OCD combined with either social phobia or schizophrenia.
Conclusion:
Musical hallucinations are more common among psychiatric patients than previously reported and are more suggestive of OCD than of other mental disorders.
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