North Wales Clinical Psychology Programme, School of Psychology, Bangor University, Bangor, UK.
Early Intervention in Psychosis Service, Betsi Cadwaladr University Health Board, UK.
Behav Cogn Psychother. 2020 Sep;48(5):584-597. doi: 10.1017/S1352465820000399. Epub 2020 Jun 29.
Evidence is emerging that beliefs about voices are influenced by broader schematic beliefs about the self and others. Similarly, studies indicate that the relationship an individual has with their voice may mirror wider patterns of relating observed in social relationships, which may be influenced by schematic beliefs.
This study examined associations between beliefs about voices and self and other schemas. Furthermore, associations between schemas and the perceived relationship between the hearer and their predominant voice were explored.
Forty-four voice-hearing participants were recruited across mental health services. Participants completed self-report measures of beliefs about voices, schema functioning, and relating between the hearer and their voice. Dimensions of voice experience, such as frequency and content, were assessed using a clinician-rated scale.
Beliefs about voices correlated with negative voice content and schemas. After controlling for negative voice content, schemas were estimated to predict between 1 and 17% of the variance in the six measured beliefs about voices; three of the associations reached statistical significance. Negative-self schema were the strongest predictors of beliefs about voices, whilst positive-self also showed potential relationships. Schemas also correlated with dimensions of relating between the hearer and their voice.
In line with previous research, this study provides evidence that schemas, particularly self-schema, may be important in the development of beliefs about voices. This study offers preliminary findings to suggest that schemas are also associated with the perceived relationship between the hearer and their voice.
越来越多的证据表明，个体对声音的信念受到自我和他人的更广泛的图式信念的影响。同样，研究表明，个体与声音的关系可能反映了在社会关系中观察到的更广泛的关系模式，而这些关系模式可能受到图式信念的影响。
本研究考察了与声音相关的信念与自我和他人图式之间的关联。此外，还探讨了图式与听者与主要声音之间感知关系之间的关联。
在精神卫生服务机构中招募了 44 名有幻听的参与者。参与者完成了关于声音信念、图式功能和听者与声音之间关系的自我报告测量。使用临床医生评定量表评估声音体验的维度，如频率和内容。
声音信念与负面声音内容和图式相关。在控制了负面声音内容后，图式估计可以预测六个测量声音信念中的 1%至 17%的方差；其中三个关联具有统计学意义。负面自我图式是声音信念的最强预测因素，而积极自我图式也显示出潜在的关系。图式还与听者与声音之间关系的维度相关。
与之前的研究一致，本研究提供了证据表明，图式，特别是自我图式，可能在声音信念的发展中很重要。本研究提供了初步发现，表明图式也与听者与声音之间感知关系相关。
