Intersections of phenomenology, voice beliefs and distress in bipolar disorder: a comparison with schizophrenia.

IF 2 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavioural and Cognitive Psychotherapy Pub Date : 2024-01-01 Epub Date: 2023-09-26 DOI:10.1017/S1352465823000395

Lindsay Smith, Susan L Rossell, Neil Thomas, Wei Lin Toh

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引用次数: 0

Abstract

Background: Auditory verbal hallucinations (AVH), or voice-hearing, can be a prominent symptom during fluctuating mood states in bipolar disorder (BD).

Aims: The current study aimed to: (i) compare AVH-related distress in BD relative to schizophrenia (SCZ), (ii) examine correlations between phenomenology and voice beliefs across each group, and (iii) explore how voice beliefs may uniquely contribute to distress in BD and SCZ.

Method: Participants were recruited from two international sites in Australia (BD=31; SCZ=50) and the UK (BD=17). Basic demographic-clinical information was collected, and mood symptoms were assessed. To document AVH characteristics, a 4-factor model of the Psychotic Symptoms Rating Scale and the Beliefs about Voices Questionnaire-Revised were used. Statistical analyses consisted of group-wise comparisons, Pearson's correlations and multiple hierarchical regressions.

Results: It was found that AVH-related distress was not significantly higher in BD than SCZ, but those with BD made significantly more internal attributions for their voices. In the BD group, AVH-related distress was significantly positively correlated with malevolence, omnipotence and resistance, However, only resistance, alongside mania and depressive symptoms, significantly contributed to AVH-related distress in BD.

Discussion: Our findings have several clinical implications, including identification of voice resistance as a potential therapeutic target to prioritise in BD. Factoring in the influence of mood symptoms on AVH-related distress as well as adopting more acceptance-oriented therapies may also be of benefit.

查看原文本刊更多论文

双相情感障碍中现象学、声音信念和痛苦的交叉：与精神分裂症的比较。

背景：在双相情感障碍（BD）的情绪波动过程中，听觉言语幻觉（AVH）或语音听力可能是一种突出的症状。目的：目前的研究旨在：（i）比较BD与精神分裂症（SCZ）的AVH相关痛苦，（ii）研究各组现象学与声音信念之间的相关性，以及（iii）探索声音信念如何独特地导致BD和SCZ的痛苦。方法：参与者从澳大利亚（BD=31；SCZ=50）和英国（BD=17）的两个国际站点招募。收集基本的人口统计学临床信息，并评估情绪症状。为了记录AVH的特征，使用了精神症状评定量表的四因素模型和修订的声音信念问卷。统计分析包括分组比较、皮尔逊相关性和多层次回归。结果：BD患者的AVH相关痛苦并不显著高于SCZ，但BD患者对自己的声音做出了显著更多的内部归因。在BD组中，AVH相关的痛苦与恶毒、无所不能和抵抗力显著正相关。然而，只有抵抗力，以及躁狂和抑郁症状，才对BD的AVH相关痛苦有显著影响。讨论：我们的发现具有几个临床意义，包括将声音抵抗确定为BD中优先考虑的潜在治疗靶点。考虑到情绪症状对AVH相关痛苦的影响，以及采用更多以接受为导向的治疗也可能是有益的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioural and Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

5.60%

发文量

期刊介绍： An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.