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躯体和性创伤后慢性创伤后应激障碍(PTSD)成年幸存者中听觉幻觉的发生率。

Prevalence of auditory pseudohallucinations in adult survivors of physical and sexual trauma with chronic post-traumatic stress disorder (PTSD).

机构信息

Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK. Electronic address: http://www.mrc-cbu.cam.ac.uk.

Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK; Cambridgeshire and Peterborough NHS Foundation Trust, UK.

出版信息

Behav Res Ther. 2018 Dec;111:113-118. doi: 10.1016/j.brat.2018.10.015. Epub 2018 Oct 30.

Abstract

Auditory Verbal Hallucinations (AVHs) are commonly associated with psychosis but are also reported in post-traumatic stress disorder (PTSD). Hearing voices after the experience of stress has been conceptualised as a dissociative experience. Brewin and Patel's (2010) seminal study reported that hearing voices is relatively common in PTSD, as hearing voices was associated with PTSD in half and two thirds of military veterans and survivors of civilian trauma, respectively. The authors conceptualised these voices as "auditory pseudohallucinations." To build upon this work, we administered Brewin and Patel's' interview to adult survivors (n = 40) of physical and sexual trauma with chronic PTSD, and healthy controls (n = 39). In contrast to previous findings, only 5% (n = 2) of our PTSD sample reported recently hearing a voice that was consistent with an auditory pseudohallucination, with no reports in our control group. Thus, no support was provided for auditory pseudohallucinations as a significant symptom in this population.

摘要

听觉幻觉(AVHs)通常与精神病有关,但也有报道称其与创伤后应激障碍(PTSD)有关。在经历压力后听到声音被概念化为一种分离体验。Brewin 和 Patel(2010)的开创性研究报告称,在 PTSD 中听到声音是相对常见的,因为分别有一半和三分之二的退伍军人和民事创伤幸存者的 PTSD 与听到声音有关。作者将这些声音概念化为“听觉假性幻觉”。为了在此基础上进一步研究,我们对患有慢性 PTSD 的身体和性创伤的成年幸存者(n=40)和健康对照组(n=39)进行了 Brewin 和 Patel 的访谈。与之前的发现相反,我们 PTSD 样本中只有 5%(n=2)的人报告最近听到了一个与听觉假性幻觉一致的声音,而对照组中没有人报告。因此,在该人群中,听觉假性幻觉作为一个重要症状并没有得到支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c5/6259581/0701e371a6d9/gr1.jpg

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