Hospital Universitario Virgen del Rocío (Spain).
Span J Psychol. 2014;17:E27. doi: 10.1017/sjp.2014.29.
Cognitive theories about auditory hallucinations maintain that inner speech is erroneously interpreted as coming from an external source. Few first-hand accounts of patients' experiences have been made, so there is limited knowledge of the process through which patients distinguish their auditory verbal hallucinations (AVHs) from ordinary thoughts. 89 individuals diagnosed with schizophrenia, some experiencing acute hallucinatory symptomatology (Sz-AVHs) and some who were not (Sz-noAVHs), were assessed along with 48 individuals from the general population using the Auditory Hallucinations Assessment Questionnaire (AHAQ; Cuevas-Yust, Rodríguez Martín, Ductor Recuerda, Salas Azcona, & León Gómez, 2006). The Schz-AVHs group reported hearing ordinary thoughts at the same volume as their auditory hallucinations (p = .53) and spoken words (p = .89). In contrast, the Sz-noAVHs and general population samples reported hearing spoken words louder than their own thoughts (p = .002; p = .04). In comparison to these last two groups, the Sz-AVHs group described the sound of their thoughts as louder. These findings are consistent with the cognitive hypothesis of auditory verbal hallucinations. Confusion identifying the source of auditory hallucinations could be due, in part, to "hearing" one's thoughts at the same volume as auditory hallucinations and spoken words.
关于听觉幻觉的认知理论认为，内部言语被错误地解释为来自外部来源。很少有患者体验的第一手资料，因此对于患者如何将他们的听觉言语幻觉 (AVH) 与普通思维区分开来，我们知之甚少。使用听觉幻觉评估问卷 (AHAQ; Cuevas-Yust、Rodríguez Martín、Ductor Recuerda、Salas Azcona 和 León Gómez，2006)，评估了 89 名被诊断为精神分裂症的个体，其中一些人有急性幻觉症状 (Sz-AVHs)，另一些人则没有 (Sz-noAVHs)，以及 48 名普通人群中的个体。Sz-AVHs 组报告说，他们听到的普通思维与他们的听觉幻觉 (p =.53) 和口语 (p =.89) 一样响亮。相比之下，Sz-noAVHs 和普通人群样本报告说，他们听到的口语比自己的思维更响亮 (p =.002;p =.04)。与后两组相比，Sz-AVHs 组描述自己思维的声音更大。这些发现与听觉言语幻觉的认知假说一致。识别听觉幻觉来源的困惑可能部分归因于“听到”自己的思维与听觉幻觉和口语一样响亮。
