Department of Mental Health and Psychiatry, University Hospitals of Geneva, Geneva, Switzerland.
J Nerv Ment Dis. 2021 Dec 1;209(12):872-878. doi: 10.1097/NMD.0000000000001391.
Perceptions of patient's auditory verbal hallucinations (AVHs), commonly termed voices, have important impacts on their everyday lives. Despite research emphasizing the consequences of malevolent voices, preliminary results suggest that beliefs about voices may not be mutually exclusive. As such, we aimed to characterize the heterogeneity of beliefs about AVHs and describe their clinical correlates. We recruited 78 patients referred to a Voices group therapy for refractory and distressing voices. Based on the Revised Beliefs About Voices Questionnaire, clustering analysis yielded four subgroups of patients with distinct pattern of beliefs about AVHs. These subgroups differed significantly in terms of affective disturbances, engagement, and resistance to their voices. Furthermore, no significant changes in beliefs about voices were observed after 6 weeks. Results of the current study suggest that the heterogeneity regarding the beliefs about AVHs should be targeted in treatment to reduce their associated negative outcomes.
患者对听觉言语幻觉（AVH）的感知，通常被称为幻听，对他们的日常生活有重要影响。尽管研究强调了恶意幻听的后果，但初步结果表明，对幻听的看法可能并不相互排斥。因此，我们旨在描述 AVH 相关信念的异质性，并描述其临床相关性。我们招募了 78 名因难治性和困扰性幻听而被转介到声音小组治疗的患者。基于修订后的幻听信念问卷，聚类分析产生了具有不同 AVH 信念模式的四个患者亚组。这些亚组在情感障碍、参与度和对声音的抗拒方面存在显著差异。此外，在 6 周后，对声音的信念没有明显变化。本研究结果表明，在治疗中应针对 AVH 相关信念的异质性进行治疗，以减少其相关的负面后果。
