Department of Biomedical Sciences of Cells and Systems, University Medical Center Groningen, Groningen, The Netherlands.
Graduate School of Medical Sciences (Research School of Behavioral and Cognitive Neurosciences), University of Groningen, Groningen, The Netherlands.
Schizophr Bull. 2023 Feb 24;49(12 Suppl 2):S33-S40. doi: 10.1093/schbul/sbac034.
Patients with hearing impairment (HI) may experience hearing sounds without external sources, ranging from random meaningless noises (tinnitus) to music and other auditory hallucinations (AHs) with meaningful qualities. To ensure appropriate assessment and management, clinicians need to be aware of these phenomena. However, sensory impairment studies have shown that such clinical awareness is low.
An online survey was conducted investigating awareness of AHs among clinicians and their opinions about these hallucinations.
In total, 125 clinicians (68.8% audiologists; 18.4% Ear-Nose-Throat [ENT] specialists) across 10 countries participated in the survey. The majority (96.8%) was at least slightly aware of AHs in HI. About 69.6% of participants reported encountering patients with AHs less than once every 6 months in their clinic. Awareness was significantly associated with clinicians' belief that patients feel anxious about their hallucinations (β = .018, t(118) = 2.47, P < .01), their belief that clinicians should be more aware of these hallucinations (β =.018, t(118) = 2.60, P < .01), and with confidence of clinicians in their skills to assess them (β = .017, t(118) = 2.63, P < .01). Clinicians felt underequipped to treat AHs (Median = 31; U = 1838; PFDRadj < .01).
Awareness of AHs among the surveyed clinicians was high. Yet, the low frequency of encounters with hallucinating patients and their belief in music as the most commonly perceived sound suggest unreported cases. Clinicians in this study expressed a lack of confidence regarding the assessment and treatment of AHs and welcome more information.
听力受损（HI）患者可能会听到没有外部声源的声音，范围从随机无意义的噪音（耳鸣）到有意义的音乐和其他听觉幻觉（AHs）。为了确保进行适当的评估和管理，临床医生需要了解这些现象。然而，感觉损伤研究表明，这种临床意识较低。
进行了一项在线调查，调查了临床医生对 AHs 的认识及其对这些幻觉的看法。
共有来自 10 个国家的 125 名临床医生（68.8%为听力学家；18.4%为耳鼻喉科专家）参与了这项调查。大多数（96.8%）人对 HI 患者的 AHs 至少有轻微的认识。约 69.6%的参与者报告称，他们在诊所中每 6 个月遇到的患有 AHs 的患者不到一次。意识与临床医生认为患者对其幻觉感到焦虑的信念（β=0.018，t（118）=2.47，P<.01）、他们认为临床医生应该更加意识到这些幻觉的信念（β=0.018，t（118）=2.60，P<.01）以及临床医生对自己评估这些幻觉的能力的信心显著相关（β=0.017，t（118）=2.63，P<.01）。临床医生觉得自己没有能力治疗 AHs（中位数=31；U=1838；PFDRadj<.01）。
在接受调查的临床医生中，对 AHs 的认识较高。然而，与幻觉患者的接触频率较低，以及他们认为音乐是最常见的感知声音，表明存在未报告的病例。本研究中的临床医生对 AHs 的评估和治疗缺乏信心，并欢迎更多信息。
