Jerez de la Frontera Hospital, Cádiz.
CIBERSAM, Madrid.
J Nerv Ment Dis. 2020 Aug;208(8):587-592. doi: 10.1097/NMD.0000000000001183.
Auditory verbal hallucinations (AVHs) in schizophrenia have been characterized by their negative emotional valence. However, positive hallucinations have also been described. The objective of the current study is to explore the prevalence, course, characteristics, and associations of positive and useful voices. The Positive and Useful Voices Inquiry and some clinical and functioning instruments were administered to a sample of 68 patients with schizophrenia or schizoaffective disorder presenting with AVHs. Both the lifetime and current prevalences of positive and useful voices were high. Although AVHs tended to remain stable, there was a trend to decrease over time. The strongest positive attributions of such voices were that they help patients to feel important, amuse them, and help them to conduct their studies and carry out their profession. They seem to be mainly related to more grandiosity and to worse general functioning. Interference with biological and psychological treatments and the need for personalized formulations in patients with auditory hallucinations are discussed.
精神分裂症中的听觉言语幻觉（AVHs）的特点是其负性情绪效价。然而，也有描述过正性幻觉。本研究的目的是探索阳性和有用声音的患病率、病程、特征和关联。对 68 名出现 AVHs 的精神分裂症或分裂情感障碍患者进行了阳性和有用声音调查及一些临床和功能工具的评估。阳性和有用声音的终身和现患率均很高。尽管 AVHs 趋于稳定，但随着时间的推移有下降的趋势。对这些声音的最强的积极归因是它们帮助患者感到重要、娱乐他们，并帮助他们进行研究和从事职业。它们似乎主要与更夸大和更差的一般功能有关。讨论了听觉幻觉患者的生物和心理治疗干扰以及个体化治疗方案的需要。
