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Hallucinations in visually impaired individuals: an analysis of the National Comorbidity Survey Replication
Yoshihiro Kinoshita1, Masao Tsuchiya, Norito Kawakami
1Department of Psychiatry, University of Southampton, Royal South Hants Hospital, Brintons Terrace, Southampton, SO14 0YG, UK. ykino@island.dti.ne.jp
Insights
Visual impairments can trigger both visual and auditory hallucinations. Hallucinations in visually impaired individuals are linked to age, with visual hallucinations more common in those over 60 and auditory hallucinations in those under 39.
Area of Science:
- Neuroscience
- Ophthalmology
- Psychiatry
Background:
- Charles Bonnet syndrome (CBS) involves complex visual hallucinations linked to vision loss.
- CBS is often associated with elderly visually impaired individuals, with hallucinations typically limited to the visual modality.
Purpose of the Study:
- To investigate the association between visual impairments and both visual and auditory hallucinations in the general population.
- To determine if age influences the development of these hallucinations in visually impaired individuals.
Main Methods:
- Utilized data from the National Comorbidity Survey Replication (NCS-R) in the United States.
- Examined associations between visual impairments and hallucinations across different age groups.
Main Results:
- Visual impairments were associated with visual hallucinations in the elderly (over 60) and auditory hallucinations in younger adults (18-39).
- The prevalence of visual hallucinations in visually impaired respondents was 12.8%, and auditory hallucinations was 7.1%.
Conclusions:
- Visual impairments serve as a trigger for both visual and auditory hallucinations.
- Age is a significant factor, correlating visual hallucinations with older age and auditory hallucinations with younger age in visually impaired individuals.
Objective:
Charles Bonnet syndrome (CBS) is by complex visual hallucinations and ocular pathology causing vision loss. It has been considered that CBS occurs frequently in elderly visually handicapped patients and the hallucinations are limited to the visual modality. Three hypotheses we examined were: (1) whether visual impairments are associated with visual hallucinations (2) whether visual impairments are associated with auditory hallucinations (3) whether the development of visual and auditory hallucinations in patients with visual impairments is associated with age.
Method:
Data from the National Comorbidity Survey Replication (NCS-R) in the United States were used to examine whether associations between visual impairments and visual hallucinations can be found in the general population, and whether such influences of visual impairments are limited to the visual modality and to specific age groups.
Results:
Prevalence of visual and auditory hallucinations in respondents with visual impairments were 12.8% (95% Confidence Interval (CI)=3.4-22.2%) and 7.1% (95%CI=2.6-11.6%) respectively. Although the point estimates were substantive, the odds ratios between visual impairments and existence of visual hallucinations or auditory hallucinations were not statistically significant (odds ratio (OR)=2.43, 95%CI=0.92-6.44, P=0.07 and OR=2.16, 95%CI=0.87-5.33, P=0.10, respectively) in the whole sample. Association between visual impairments and visual hallucination was significant (OR=3.09, 95%CI=1.06-8.99, P<0.05) only in the elderly (age group 60-), while significant association was found between visual impairments and auditory hallucinations in a younger age group (age group 18-39, OR=13.25, 95%CI=2.99-58.75, P<0.001).
Conclusion:
Visual impairments act as a trigger for both visual and auditory hallucinations. In patients with visual impairments, the presence of visual hallucinations was associated with an age over 60, while the existence of auditory hallucinations was associated with an age under 39.
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