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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >Characteristics of auditory hallucinations and associated factors in older adults with schizophrenia
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Characteristics of auditory hallucinations and associated factors in older adults with schizophrenia

机译：老年人精神分裂症的幻听特征及相关因素

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Objective: To examine the characteristics of auditory verbal hallucinations and associated factors in older adults with schizophrenia. Methods: One hundred ninetyeight persons aged 55 and older living in the community who had developed schizophrenia before age 45 years were assessed for the presence, topography, content, and subjective qualities of auditory hallucinations. George's social antecedent model of psychopathology was used to examine 17 predictor variables of auditory hallucinations. Results: Thirty-two percent experienced auditory verbal hallucinations. More than half heard voices daily, heard good/pleasant voices, or had command hallucinations; 25% obeyed "bad" voices, whereas 87% obeyed "good" voices. There were no significant differences in depression and social functioning between persons judging their voices to be good versus bad. In logistic regression analysis, depressive symptoms, Positive and Negative Syndrome Scale delusion score (>2), and male gender were associated with auditory verbal hallucinations. Conclusion: Older adults with schizophrenia had a lower rate of auditory verbal hallucinations than had been reported previously for younger persons with schizophrenia. For most features of auditory verbal hallucinations, older adults had similar rates to younger persons. However, older adults were more apt to judge their voices as good and more likely to obey the good voices than those voices perceived as bad. From a clinical standpoint, this may be construed as a potentially useful coping strategy. However, subjective judgments about voices did not significantly affect mood or functioning, and the presence of auditory verbal hallucinations was associated with more depressive symptoms.
机译：目的：探讨老年人精神分裂症的听觉幻觉特征及相关因素。方法：对居住在社区，年龄在45岁之前发展为精神分裂症的55岁及以上的一百九十八名患者进行了幻觉的出现，形态，内容和主观素质的评估。乔治的心理病理学先验模型用于检验听觉幻觉的17个预测变量。结果：百分之三十二的人经历了听觉的幻觉。每天有超过一半的人听到声音，听到良好/令人愉悦的声音，或产生幻觉; 25％的人服从“坏”的声音，而87％的人服从“好”的声音。判断声音好坏的人在抑郁和社交功能方面没有显着差异。在逻辑回归分析中，抑郁症状，正负综合症量表的妄想评分（> 2）和男性与听觉幻觉相关。结论：老年人精神分裂症的听觉幻觉发生率低于以前报告的年轻人精神分裂症。对于听觉幻觉的大多数特征，老年人与年轻人的发生率相似。但是，相比那些被认为不好的声音，老年人更倾向于判断自己的声音是否良好，并且更愿意听从好声音。从临床观点来看，这可以被解释为潜在有用的应对策略。但是，关于声音的主观判断并没有显着影响情绪或功能，并且听觉言语幻觉的出现与更抑郁的症状有关。

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