音乐幻觉,二次错觉和缺乏洞察力:来自队列研究的结果
Milou A Buijk1, René F Lauw1, Jan Adriaan F Coebergh2,3
1Parnassia Psychiatric Institute, The Hague, Netherlands.
Frontiers in psychiatry
|October 16, 2023
概括
带有妄想的音乐幻觉很少见,影响6%的患者. 认知障碍可能导致这些症状,而抗精神病药物在治疗中显示出潜在的益处.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 音乐幻觉通常不会伴随着妄想.
- 然而,一些患者会对音乐的起源产生错觉,导致严重的社会后果.
- 本研究的重点是音乐幻觉的罕见子集与二次错觉和缺乏洞察力.
研究的目的:
- 扩大对音乐幻觉与二次错觉的理解.
- 探索这种情况的关联,潜在机制和潜在的治疗方法.
- 研究认知障碍和抗精神病治疗的作用.
主要方法:
- 在荷兰进行的音乐幻觉的队列研究 (2010-2023).
- 参与者填写了问卷,包括MuHa问卷,劳内-斯莱德幻觉量表 (LSHS),分裂型人格问卷 (SPQ),汉密尔顿抑郁症评分量表 (HDRS) 和迷你精神状态检查 (MMSE).
- 进行了神经成像 (脑部MRI),脑电图 (EEG) 和听力学测试.
主要成果:
- 6% (5/81) 的患者出现了音乐幻觉,二次妄想和缺乏洞察力.
- 这些患者是女性,老年人,听力受损者,并被诊断患有认知障碍.
- 在三名患者的里斯比里治疗对幻觉和妄想产生了积极的影响.
结论:
- 有幻觉的音乐幻觉的病理生理学是多因素的.
- 认知障碍是二次错觉和缺乏洞察力的可能原因之一.
- 抗精神病药似乎是有益的,但由于样本大小小小和risperidone在老年痴呆患者的禁忌,需要进一步的研究.
相关概念视频
Positive Symptoms Schizophrenia: Hallucinations and Delusions
65
Schizophrenia is a complex psychiatric disorder characterized by a range of symptoms that significantly impact cognition, behavior, and emotional regulation. Among these, the positive symptoms stand out as they involve the addition or exaggeration of normal mental functions, deviating markedly from typical behavior and perception. Hallucinations and delusions are prominent positive symptoms, each profoundly affecting the individual's experience of reality.
Hallucinations
Hallucinations in...
Hallucinations
Hallucinations in...
65
Positive Symptoms of Schizophrenia: Hallucinations and Delusions
136
Schizophrenia is a complex mental health disorder that can manifest with various positive symptoms, including thought, movement, and behavior disorders. These symptoms significantly disrupt cognitive and motor functions, leading to profound effects on an individual's ability to engage with the world.
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
136
Psychological and Sociocultural Causes of Schizophrenia
95
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
95
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
700
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
700
Schizophrenia
95
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
95
Psychosis and Antipsychotic Drugs: Overview
291
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
291


