与临床和非临床语音听者的听觉幻觉相关的现象学和认知特征
James M Gold1, Philip R Corlett2, Molly Erickson3
1Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Schizophrenia bulletin
|June 23, 2023
概括
听觉语言幻觉 (AVH) 在精神分裂症患者和非临床声音听者中是相似的. 然而,非临床语音听者不会经历与精神分裂症相关的认知缺陷或痛苦.
科学领域:
- 精神病学是一种精神病学.
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 听觉语言幻觉 (AVH) 是精神分裂症 (SZ) 的一个标志.
- 在不需要护理的情况下,非临床语音听者 (NCVH) 中也会发生AVH.
- 在NCVH和SZ (PSZ) 患者之间,AVH经历和其他SZ特征的重叠并未完全理解.
研究的目的:
- 为了比较NCVH和PSZ中AVH的感觉特征.
- 评估NCVH是否具有其他SZ特征,如妄想,认知障碍和负面症状.
- 确定NCVH与PSZ区分的因素.
主要方法:
- 招募了76名患有SZ/精神分裂情绪障碍 (PSZ),48名NCVH和51名健康对照的人.
- 管理的临床医生评价和自我报告的症状评估.
- 进行了集中认知评估.
主要成果:
- 在NCVH和PSZ中AVH具有类似的感觉特征.
- NCVH经历了较少的痛苦和对AVH更大的控制,很少听到两个声音交谈.
- NCVH表现出不寻常的信念,但缺乏偏执,一等症状,认知缺陷和PSZ中看到的负面症状.
结论:
- 在NCVH和PSZ中的AVH有相似之处,但有关键差异.
- 特定的AVH特征,而不仅仅是它们的存在,可能表明需要临床护理.
- NCVH与PSZ不同,缺乏共同的认知和动机缺陷,这表明AVH和不寻常的信念可以从更广泛的SZ表型中分离出来.
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