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创伤后应激障碍和精神病患者跨感觉领域的幻觉。

Hallucinations across sensory domains in people with post-traumatic stress disorder and psychosis.

作者信息

Dudley Robert, White Sarah, Miskin Rebecca, Oakes Libby, Longden Eleanor, Steel Craig, Swann Sarah, Underwood Raphael, Peters Emmanuelle

机构信息

Early Intervention in Psychosis services, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, St. Nicholas Hospital, Jubilee Road, Gosforth, Newcastle Upon Tyne, NE3 3XT, UK; Department of Psychology, University of York, York, YO10 5DD UK.

Early Intervention in Psychosis services, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, St. Nicholas Hospital, Jubilee Road, Gosforth, Newcastle Upon Tyne, NE3 3XT, UK.

出版信息

Psychiatry Res. 2024 Dec;342:116229. doi: 10.1016/j.psychres.2024.116229. Epub 2024 Oct 11.

Abstract

Auditory hallucinations are common in people with histories of adversity, possibly indicating a causal relationship. However, hallucinations occur in multiple sensory modalities and the relationship between trauma and hallucinations in other sensory domains is less explored. We examined the occurrence of hallucinatory experiences in different sensory modalities in people with psychosis who also met criteria for Post-Traumatic Stress Disorder (n = 67). Particular attention was paid to the number of modalities reported and whether the experiences were linked to the person's adversity. This linkage was explored in two ways. First, it was predicted that those people reporting more trauma experiences and symptoms of PTSD would report a greater number of hallucination modalities. Second, we examined if there was content or thematic linkage between the trauma and the hallucinatory experiences. There were high levels of reported auditory (89.6 %), visual (58.2 %) and tactile (46.3 %) hallucinations. Hallucinations in two or more modalities were the norm (71.6 % of the participants). The number of hallucination modalities was moderately associated with a greater number of past traumas and PTSD symptoms. There was a high degree of content and thematic linkage between the trauma and the hallucinations. The linkage between trauma and auditory hallucinations extends to other sensory domains.

摘要

幻觉在有过逆境经历的人群中很常见,这可能表明存在因果关系。然而,幻觉会出现在多种感觉模态中,而创伤与其他感觉领域幻觉之间的关系则较少被探究。我们调查了符合创伤后应激障碍标准的精神病患者(n = 67)在不同感觉模态中幻觉体验的发生情况。特别关注了所报告的模态数量以及这些体验是否与个体的逆境相关。这种关联从两个方面进行了探究。首先,预计那些报告更多创伤经历和创伤后应激障碍症状的人会报告更多的幻觉模态。其次,我们研究了创伤与幻觉体验之间是否存在内容或主题上的关联。报告的听觉幻觉(89.6%)、视觉幻觉(58.2%)和触觉幻觉(46.3%)的发生率很高。两种或更多模态的幻觉是常态(71.6%的参与者)。幻觉模态的数量与更多的既往创伤和创伤后应激障碍症状呈中度相关。创伤与幻觉之间存在高度的内容和主题关联。创伤与听觉幻觉之间的关联延伸到了其他感觉领域。

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