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Emotional Reactions to Simulations of Auditory Hallucinations

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Abstract

There is variability on how auditory hallucinations (AH) impact individuals, ranging from distress to comfort. A systematic study of how simulations of AH impact a non-clinical sample can address not only how AH simulations influence the general public, but also inform how actual AH influence individuals. Utilizing 504 undergraduates, different simulations of AH were presented to examine their impact on emotions and identify moderating variables. The simulations increased negative affect and decreased positive affect. Sex of the participant and differing levels of duration, volume, and context of the simulation did not influence the magnitude of the emotional responses. However, simulations with derogatory content led to greater increased negative affect and decreased positive affect than simulations with benevolent/neutral content. These results suggest that the content of simulations have a substantial effect, which is pertinent to administering simulations for training purposes and implementing psychosocial rehabilitation programs for those who hallucinate.

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Notes

  1. Effect size interpretations were based on Cohen’s (1988) guidelines: small (d = 0.20–0.49), medium (d = 0.50–0.79), and large (d = 0.80+). Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum Associates.

References

  • Banbury, S. P., Macken, W. J., Tremblay, S., & Jones, D. M. (2001). Auditory distraction and short-term memory: Phenomena. Human Factors, 43(1), 12–29.

    Article  PubMed  Google Scholar 

  • Banks, J., Ericksson, G., Burrage, K., Yellowlees, P., Ivermee, S., & Tichon, J. (2004). Constructing the hallucinations of psychosis in virtual reality. Journal of Network and Computer Applications, 27, 1–11.

    Article  Google Scholar 

  • Chadwick, P., & Birchwood, M. (1994). The omnipotence of voices: A cognitive approach to auditory hallucinations. British Journal of Psychiatry, 164, 190–201.

    Article  PubMed  Google Scholar 

  • Close, H., & Garety, P. (1998). Cognitive assessment of voices: Further developments in understanding the emotional impact of voices. British Journal of Clinical Psychology, 37, 173–188.

    PubMed  Google Scholar 

  • Copolov, D. L., Mackinnon, A., & Trauer, T. (2004). Correlates of the affective impact of auditory hallucinations in psychotic disorders. Schizophrenia Bulletin, 30, 163–171.

    PubMed  Google Scholar 

  • Csipke, E., & Kinderman, P. (2006). A longitudinal investigation of beliefs about voices. Behavioural and Cognitive Psychotherapy, 34, 365–369.

    Article  Google Scholar 

  • Deegan, P. E. (1996). Hearing voices that are distressing: A training and simulated experience. Lawrence: National Empowerment Center.

    Google Scholar 

  • Delespaul, P., deVries, M., & van Os, J. (2002). Determinants of occurrence and recovery from hallucinations in daily life. Social Psychiatry and Psychiatric Epidemiology, 37, 97–104.

    Article  PubMed  Google Scholar 

  • Fujita, F., Diener, E., & Sandvik, E. (1991). Gender differences in negative affect and well-being: The case of emotional intensity. Journal of Personality and Social Psychology, 61, 427–434.

    Article  PubMed  Google Scholar 

  • Haddock, G., McCarron, J., Tarrier, N., & Faragher, E. B. (1999). Scales to measure dimensions of hallucinations and delusions: The psychotic symptom rating scales (PSYRATS). Psychological Medicine, 29, 879–889.

    Article  PubMed  Google Scholar 

  • Hustig, H. H., & Hafner, R. J. (1990). Persistent auditory hallucinations and their relationship to delusions and mood. Journal of Nervous and Mental Disease, 178, 264–267.

    Article  PubMed  Google Scholar 

  • Johns, L. C., Hemsley, D., & Kuiper, E. (2002). A comparison of auditory hallucinations in a psychiatric and non-psychiatric group. British Journal of Clinical Psychology, 41, 81–86.

    Article  PubMed  Google Scholar 

  • Junginger, J., & Frame, C. L. (1985). Self-report of the frequency and phenomenology of verbal hallucinations. Journal of Nervous and Mental Disease, 173, 149–155.

    Article  PubMed  Google Scholar 

  • Kent, G., & Wahass, S. (1996). The content and characteristics of auditory hallucinations in Saudi Arabia and the UK: A cross-cultural comparison. Acta Psychiatrica Scandinavica, 94, 433–437.

    Article  PubMed  Google Scholar 

  • Lennox, B. R., Park, S. B., Medley, I., Morris, P. G., & Jones, P. B. (2000). The functional anatomy of auditory hallucinations in schizophrenia. Psychiatry Research: Neuroimaging, 100, 13–20.

    Article  PubMed  Google Scholar 

  • Leudar, I., Thomas, P., McNally, D., & Glinski, A. (1997). What voices can do with words: Pragmatics of verbal hallucinations. Psychological Medicine, 27, 885–898.

    Article  PubMed  Google Scholar 

  • Mantovani, F., Castelnuovo, G., Gaggioli, A., & Riva, G. (2003). Virtual reality training for health-care professionals. CyberPsychology and Behavior, 6, 389–395.

    Article  PubMed  Google Scholar 

  • Miller, L. J., O’Connor, E., & DiPasquale, T. (1993). Patients’ attitudes toward hallucinations. American Journal of Psychiatry, 150, 584–588.

    PubMed  Google Scholar 

  • Nayani, T. H., & David, A. S. (1996). The auditory hallucination: A phenomenological survey. Psychological Medicine, 26, 177–189.

    Article  PubMed  Google Scholar 

  • Ohayon, M. M. (2000). Prevalence of hallucinations and their pathological associations in the general population. Psychiatry Research, 97, 153–164.

    Article  PubMed  Google Scholar 

  • Oulis, P., Mamounas, J., Hatzimanolis, J., & Christodoulou, G. N. (1997). A clinical study of auditory hallucinations. Psychiatriki, 8, 177–186.

    Google Scholar 

  • Rector, N. A., & Seeman, M. V. (1992). Auditory hallucinations in women and men. Schizophrenia Research, 7, 233–236.

    Article  PubMed  Google Scholar 

  • Ritsher, J. B., Lucksted, A., Otilingam, P. G., & Grajales, M. (2004). Hearing voices: Explanations and implications. Psychiatric Rehabilitation Journal, 27, 219–227.

    Article  PubMed  Google Scholar 

  • Salame, P., & Baddeley, A. (1982). Disruption of short-term memory by unattended speech: Implications for the structure of working memory. Journal of Verbal Learning and Verbal Behavior, 22, 150–164.

    Article  Google Scholar 

  • Salame, P., & Baddeley, A. (1987). Noise, unattended speech and short-term memory. Ergonomics, 30, 1185–1194.

    Article  PubMed  Google Scholar 

  • Salame, P., & Baddeley, A. (1989). Effects of background noise on phonological short-term memory. The Quarterly Journal of Experimental Psychology, 41A, 107–122.

    Google Scholar 

  • Salame, P., & Baddeley, A. (1990). The effects of irrelevant speech on immediate free recall. Bulletin of the Psychonomic Society, 28, 540–542.

    Google Scholar 

  • Sanjuan, J., Gonzalez, J. C., Aguilar, E. J., Leal, C., & van Os, J. (2004). Pleasurable auditory hallucinations. Acta Psychiatrica Scandinavica, 110, 273–278.

    Article  PubMed  Google Scholar 

  • Sells, D. J., & Martin, R. B. (2001). Gender and modality differences in experiencing and emotional expression. Canadian Journal of Counselling, 35, 176–188.

    Google Scholar 

  • Sharma, R. P., Dowd, S. M., & Janicak, P. G. (1999). Hallucinations in the acute schizophrenic-type psychosis: Effects of gender and age of illness onset. Schizophrenia Research, 37, 91–95.

    Article  PubMed  Google Scholar 

  • Turkington, D., Kingdon, D., & Weiden, P. J. (2006). Cognitive behavior therapy for schizophrenia. American Journal of Psychiatry, 163, 365–373.

    Article  PubMed  Google Scholar 

  • van Os, J., Hanssen, M., Bijl, R. V., & Ravelli, A. (2000). Strauss (1969) revisited: A psychosis continuum in the general population? Schizophrenia Research, 45, 11–20.

    Article  PubMed  Google Scholar 

  • Watson, D., & Clark, L. A. (1994). The PANAS-X: Manual for the positive and negative affect scheduleexpanded form. Iowa City: University of Iowa (unpublished manual).

    Google Scholar 

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Correspondence to Seth A. Brown.

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Brown, S.A. Emotional Reactions to Simulations of Auditory Hallucinations. J Psychopathol Behav Assess 30, 307–314 (2008). https://doi.org/10.1007/s10862-008-9085-1

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