Beavan Vanessa, Read John
First Episode Psychosis Team, St. Lukes Community Mental Health Centre, Auckland, New Zealand.
J Nerv Ment Dis. 2010 Mar;198(3):201-5. doi: 10.1097/NMD.0b013e3181d14612.
The content of auditory hallucinations is sometimes dismissed as having little diagnostic/therapeutic importance. There is growing evidence that voice content may be crucial to understanding and working therapeutically with this experience. The aim of the present study is to explore, in a general population sample, the content and impact of voice-hearers' auditory hallucinations. A self-selected sample of 154 participants completed questionnaires about voice-hearing. A subsample of 50 participants completed semi-structured interviews. Participants experienced a range of voice content of high personal relevance, with most experiencing both positive and negative content. Voice content was the only significant predictor of emotional distress and the strongest predictor of contact with mental health services. These findings suggest that content is an important characteristic of auditory hallucinations and should be explored with voice-hearers who find themselves in clinical settings.
幻听的内容有时被认为诊断/治疗价值不大。越来越多的证据表明,声音内容对于理解这种体验并进行治疗性干预可能至关重要。本研究的目的是在一般人群样本中探索幻听者幻听的内容及其影响。154名参与者自行选择完成了关于幻听的问卷调查。50名参与者的子样本完成了半结构化访谈。参与者经历了一系列与个人高度相关的声音内容,大多数人同时经历了积极和消极的内容。声音内容是情绪困扰的唯一重要预测因素,也是与心理健康服务机构接触的最强预测因素。这些发现表明,内容是幻听的一个重要特征,对于身处临床环境中的幻听者,应探究其幻听内容。