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老年人的视幻觉:评估而非内容或现象学影响痛苦程度。

Visual Hallucinations in Older People: Appraisals but not Content or Phenomenology Influence Distress.

作者信息

Lai Stephanie, Bruce Vicki, Collerton Daniel

机构信息

Northumberland,Tyne and Wear NHS Foundation Trust,UK.

Newcastle University,UK.

出版信息

Behav Cogn Psychother. 2016 Nov;44(6):705-710. doi: 10.1017/S1352465815000727. Epub 2015 Nov 4.

DOI:10.1017/S1352465815000727
PMID:26530689
Abstract

BACKGROUND

A previous study (Gauntlett-Gilbert and Kuipers, 2005) has suggested that distress associated with complex visual hallucinations (CVHs) in younger adults with psychosis may more strongly relate to appraisals of meaning than to the content of the hallucination. However, visual hallucinations are most commonly seen in the disorders of later life, where this relationship has not been investigated.

AIM

To establish if there is a relationship between appraisals of CVHs and distress in older, non-psychotic people with CVHs.

METHOD

All variables were measured using a semi-structured interview and were compared between a high distress group (n = 16) and a low distress group (n = 19).

RESULTS

The high distress group rated their hallucinations as more malevolent and omnipotent, with greater negative implications for physical and mental health. There was no significant difference between groups on ratings of hallucination content (independently rated), frequency, awareness or control.

CONCLUSION

Appraisals of CVHs are linked to distress.

摘要

背景

先前的一项研究(Gauntlett-Gilbert和Kuipers,2005年)表明,患有精神病的年轻人中,与复杂视幻觉(CVH)相关的痛苦可能与意义评估的关联比与幻觉内容的关联更强。然而,视幻觉最常见于晚年的疾病中,而这种关系尚未得到研究。

目的

确定在患有CVH的老年非精神病患者中,CVH评估与痛苦之间是否存在关联。

方法

所有变量均通过半结构化访谈进行测量,并在高痛苦组(n = 16)和低痛苦组(n = 19)之间进行比较。

结果

高痛苦组将他们的幻觉评为更具恶意和全能,对身心健康有更大的负面影响。两组在幻觉内容评分(独立评分)、频率、意识或控制方面没有显著差异。

结论

CVH评估与痛苦有关。

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