Need for Care, Adversity Exposure and Perceived Stress in Clinical and Healthy Voice-hearers

Overview

Journal Psychol Med

Publisher Cambridge University Press

Specialty Psychology

Date 2020 Jul 21

PMID 32686627

Citations 3

Authors

David Baumeister

Thomas Ward

Philippa Garety

Mike Jackson

Craig Morgan

Monica Charalambides

Paul Chadwick

Oliver Howes

Emmanuelle Peters

Affiliations

Soon will be listed here.

Abstract

Objectives: Psychosis, and in particular auditory verbal hallucinations (AVHs), are associated with adversity exposure. However, AVHs also occur in populations with no need for care or distress.

Aims: This study investigated whether adversity exposure would differentiate clinical and healthy voice-hearers within the context of a 'three-hit' model of vulnerability and stress exposure.

Methods: Samples of 57 clinical and 45 healthy voice-hearers were compared on the three 'hits': familial risk; adversity exposure in childhood and in adolescence/adulthood.

Results: Clinical voice-hearers showed greater familial risk than healthy voice-hearers, with more family members with a history of psychosis, but not with other mental disorders. The two groups did not differ in their exposure to adversity in childhood [sexual and non-sexual, victimisation; discrimination and socio-economic status (SES)]. Contrary to expectations, clinical voice-hearers did not differ from healthy voice-hearers in their exposure to victimisation (sexual/non-sexual) and discrimination in adolescence/adulthood, but reported more cannabis and substance misuse, and lower SES.

Conclusions: The current study found no evidence that clinical and healthy voice-hearers differ in lifetime victimisation exposure, suggesting victimisation may be linked to the emergence of AVHs generally, rather than need-for-care. Familial risk, substance misuse and lower SES may be additional risk factors involved in the emergence of need-for-care and distress.

Citing Articles

The "common" experience of voice-hearing and its relationship with shame and guilt: a systematic review.

Volpato E, Cavalera C, Castelnuovo G, Molinari E, Pagnini F BMC Psychiatry. 2022; 22(1):281.

PMID: 35443637 PMC: 9022353. DOI: 10.1186/s12888-022-03902-6.

Psychophysiological stress-reactivity in clinical and non-clinical voice-hearers.

Baumeister D, Pillinger T, Howes O, Peters E Schizophr Res. 2021; 235:52-59.

PMID: 34315061 PMC: 8429638. DOI: 10.1016/j.schres.2021.07.005.

Need for care, adversity exposure and perceived stress in clinical and healthy voice-hearers - Corrigendum.

Baumeister D, Ward T, Garety P, Jackson M, Morgan C, Charalambides M Psychol Med. 2021; 51(11):1959.

PMID: 33814030 PMC: 8381234. DOI: 10.1017/S0033291721000696.

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