Askenazy Florence L, Lestideau Karine, Meynadier Anne, Dor Emmanuelle, Myquel Martine, Lecrubier Yves
Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent Fondation LENVAL, 57 avenue de la Californie, 06200 Nice, France.
Eur Child Adolesc Psychiatry. 2007 Sep;16(6):411-5. doi: 10.1007/s00787-006-0577-9. Epub 2007 Apr 28.
The aims of this study were to describe the phenomenology of auditory hallucinations in children, to establish links with DSM IV diagnoses and to explore development of the hallucinations over a 12-month period.
Outpatients aged 5- to 12-year-old were consecutively recruited. They were interviewed using a questionnaire investigating auditory hallucinations. DSM IV diagnoses were determined. Follow-up assessments were performed at 3, 6, 9 and 12 months.
Ninety children were recruited. Sixteen reported auditory hallucinations. In 53% we observed children's full recovery from hallucinations within 3 months and all of these suffered from anxiety disorders. In 30% hallucinations persisted over 12 months and all showed conduct disorders at this point in time. None was diagnosed as having schizophrenia.
Our study provides further evidence of the high prevalence of auditory hallucinations in pre-pubertal children presenting to psychiatric clinics. Two different patterns of development were seen. In one group the hallucinations seem unrelated to psychosis although they may be a manifestation of anxiety. In the second, much smaller, persistence of hallucinations appeared linked to conduct disorders.
本研究旨在描述儿童幻听的现象学，建立与《精神疾病诊断与统计手册》第四版（DSM-IV）诊断的联系，并探讨幻听在12个月期间的发展情况。
连续招募5至12岁的门诊患者。使用一份调查幻听的问卷对他们进行访谈。确定DSM-IV诊断。在3、6、9和12个月时进行随访评估。
招募了90名儿童。16名报告有幻听。我们观察到，53%的儿童在3个月内幻听完全恢复，所有这些儿童都患有焦虑症。30%的儿童幻听持续超过12个月，此时所有儿童都表现出行为障碍。无人被诊断为精神分裂症。
我们的研究进一步证明了到精神科诊所就诊的青春期前儿童中幻听的高患病率。观察到两种不同的发展模式。在一组中，幻听似乎与精神病无关，尽管它们可能是焦虑的一种表现。在另一组中，数量少得多，幻听的持续存在似乎与行为障碍有关。
