Dudley Robert, Denton Sophie, Mathewson Jennifer, Pervez Sairah, Aynsworth Charlotte, Dodgson Guy, Barclay Nicola
Early Intervention in Psychosis services, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, St. Nicholas Hospital, Jubilee Road, Gosforth, Newcastle Upon Tyne, NE3 3XT, United Kingdom; Department of Psychology, University of York, York, YO10 5DD UK.
At Risk Mental State Services, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Gosforth, Newcastle Upon Tyne, NE3 3XT, UK.
Psychiatry Res. 2023 Apr;322:115091. doi: 10.1016/j.psychres.2023.115091. Epub 2023 Feb 2.
Hallucinations can occur in single or multiple sensory modalities. Greater attention has been paid to single sensory experiences with a comparative neglect of hallucinations that occur across two or more sensory modalities (multisensory hallucinations). This study explored how common these experiences were in people at risk of transition to psychosis (n=105) and considered whether a greater number of hallucinatory experiences increased delusional ideation and reduced functioning, both of which are associated with a greater risk of transition to psychosis. Participants reported a range of unusual sensory experiences, with two or three being common. However, when a strict definition of hallucinations was applied, in which the experience has the quality of a real perception and in which the person believes them to be real experiences, then multisensory experiences were rare and when reported, single sensory hallucinations in the auditory domain were most common. The number of unusual sensory experiences or hallucinations was not significantly associated with greater delusional ideation or poorer functioning. Theoretical and clinical implications are discussed.
幻觉可出现在单一或多种感觉模态中。人们更多地关注单一感觉体验,而相对忽视了跨两种或更多感觉模态出现的幻觉(多感觉幻觉)。本研究探讨了这些体验在有向精神病转变风险的人群(n = 105)中有多常见,并考虑了更多的幻觉体验是否会增加妄想观念并降低功能,这两者都与向精神病转变的更高风险相关。参与者报告了一系列不同寻常的感觉体验,其中两三种较为常见。然而,当采用严格的幻觉定义时,即体验具有真实感知的性质且个体认为它们是真实体验,那么多感觉体验很少见,而且在有报告的情况下,听觉领域的单感觉幻觉最为常见。不同寻常的感觉体验或幻觉的数量与更强烈的妄想观念或更差的功能并无显著关联。本文讨论了其理论和临床意义。