National and Specialist CAMHS, At-Risk and Forensic Service, South London and Maudsley NHS Foundation Trust, Michael Rutter Centre, Maudsley Hospital, London, UK.
Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Psychol Psychother. 2023 Jun;96(2):399-409. doi: 10.1111/papt.12446. Epub 2023 Feb 7.
At least one in four persons with bipolar disorder (BD) are estimated to have experienced auditory verbal hallucinations (AVH) or heard voices at some point. Yet few studies have investigated AVH in detail in this population. This preliminary study examined the phenomenology of AVH in BD to identify commonalities and differences relative to other psychiatric disorders where AVH are commonly reported.
Twenty-one participants diagnosed with BD were recruited across two international sites in the UK and Australia. All participants underwent a structured clinical interview to verify psychiatric diagnosis and completed standardised measures of symptomatology, including mood states. Phenomenological information of AVH was gathered using select questions from the comprehensive Mental Health Research Institute Unusual Perceptual Schedule (MUPS).
AVH experienced by this BD sample were broadly similar in form and content to characterisations reported in the schizophrenia spectrum disorders (SSD) in prior literature, with some exceptions including frequency, duration and the changeability of tone and content.
The study highlights possibly subtle differences in the experience of AVH in BD, including the potential influence of mood congruence as a pertinent clinical feature. Further research into these differences might inform adaptations to existing AVH interventions to ensure they are relevant for BD.
据估计，至少有四分之一的双相情感障碍（BD）患者在某个时候经历过听觉言语幻觉（AVH）或听到过声音。然而，很少有研究详细调查过该人群中的 AVH。这项初步研究检查了 BD 中的 AVH 现象学，以确定与其他常见报告 AVH 的精神障碍之间的共同点和差异。
在英国和澳大利亚的两个国际地点招募了 21 名被诊断为 BD 的参与者。所有参与者都接受了结构化的临床访谈，以验证精神诊断，并完成了症状的标准化测量，包括情绪状态。使用综合心理健康研究所异常知觉量表（MUPS）中的精选问题收集 AVH 的现象学信息。
该 BD 样本中经历的 AVH 在形式和内容上与先前文献中报道的精神分裂症谱系障碍（SSD）相似，但也存在一些例外，包括频率、持续时间以及语气和内容的可变性。
该研究强调了 BD 中 AVH 体验可能存在微妙的差异，包括情绪一致性作为一个相关临床特征的潜在影响。对这些差异的进一步研究可能会为现有 AVH 干预措施的调整提供信息，以确保它们与 BD 相关。
