[Isolated auditory hallucination in prepubertal children: Diagnostic framework and predictive value]

Area of Science:

• Child and Adolescent Psychiatry
• Clinical Psychology
• Neuroscience

Background:

• Isolated auditory hallucinations (IAH) are frequently observed in prepubertal children.
• Current clinical guidelines for managing IAH in this age group are lacking.
• IAH is often distressing for affected children.

Observation:

• The symptom is non-specific and can occur across various diagnoses.
• The most frequent manifestation is hearing one's name called, often linked to anxiety disorders.
• IAH can be a crucial indicator of an underlying psychiatric condition, particularly when severe or persistent.

Findings:

• IAH serves as a valuable clinical sign for identifying psychiatric disorders in children.
• Early detection is key, especially for complex, severe, or persistent symptoms.
• A 6-month observation period is recommended before initiating pharmacological treatment.

Implications:

• Medical and psychological follow-up are essential for children experiencing IAH.
• Psychological interventions may offer benefits for managing IAH.
• Medication use should be reserved for cases with identified underlying pathologies after thorough assessment.