Department of Psychology, Durham University, South Road, Durham DH1 3LE, UK.
Clin Psychol Rev. 2011 Aug;31(6):983-92. doi: 10.1016/j.cpr.2011.05.004. Epub 2011 Jun 22.
Although an association between hallucinations and sexual abuse has been documented, the relation between specifically auditory verbal hallucinations (AVHs) and childhood sexual abuse (CSA) is less clear. This study reviewed quantitative studies of AVHs and CSA. 36% of psychiatric patients with AVHs, and 22% of non-psychiatric patients with AVHs, reported CSA. At least 16% of the general population with auditory hallucinations also reported CSA. The majority of studies reviewed found that those with AVHs were more likely to be survivors of CSA than individuals without AVHs. 56% of psychiatric patients with CSA reported AVHs, and at least 21% of the general population with CSA reported auditory hallucinations. A majority of studies found survivors of CSA were more likely to report AVHs than individuals without CSA. Ability to impute a causal role for CSA was impaired by such studies' failures to control for potentially confounding variables. Yet, studies of AVH content showed links between the content of voices and the content of CSA in some voice-hearers. It is concluded that although a clear association between CSA and AVHs exists, there is not yet reliable quantitative evidence of a causal relation. Implications for mental health professionals and for future research, are discussed.
虽然已经有文献证明幻觉与性虐待之间存在关联，但特定的听觉言语幻觉（AVH）与儿童期性虐待（CSA）之间的关系则不太明确。本研究回顾了关于 AVH 和 CSA 的定量研究。有 AVH 的精神科患者中，有 36%报告了 CSA，有 AVH 的非精神科患者中，有 22%报告了 CSA。至少有 16%的有听觉幻觉的普通人群也报告了 CSA。大多数综述研究发现，有 AVH 的人比没有 AVH 的人更有可能是 CSA 的幸存者。有 CSA 的精神科患者中，有 56%报告了 AVH，至少有 21%的有 CSA 的普通人群报告了听觉幻觉。大多数研究发现，CSA 的幸存者比没有 CSA 的人更有可能报告 AVH。这些研究未能控制潜在的混杂变量，从而削弱了将 CSA 归因于因果关系的能力。然而，对 AVH 内容的研究表明，在一些听到声音的人中，声音的内容与 CSA 的内容之间存在联系。因此，虽然 CSA 和 AVH 之间存在明确的关联，但目前还没有可靠的定量证据表明存在因果关系。讨论了这对心理健康专业人员和未来研究的意义。
