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Auditory verbal hallucinations in persons with and without a need for care.

Johns, L. C. and Kompus, K. and Connell, M. and Humpston, C. and Lincoln, T. M. and Longden, E. and Preti, A. and Alderson-Day, B. and Badcock, J. C. and Cella, M. and Fernyhough, C. and McCarthy-Jones, S. and Peters, E. and Raballo, A. and Scott, J. and Siddi, S. and Sommer, I. and Larøi, F. (2014) 'Auditory verbal hallucinations in persons with and without a need for care.', Schizophrenia bulletin., 40 (Suppl 4). S255-S264.


Auditory verbal hallucinations (AVH) are complex experiences that occur in the context of various clinical disorders. AVH also occur in individuals from the general population who have no identifiable psychiatric or neurological diagnoses. This article reviews research on AVH in nonclinical individuals and provides a cross-disciplinary view of the clinical relevance of these experiences in defining the risk of mental illness and need for care. Prevalence rates of AVH vary according to measurement tool and indicate a continuum of experience in the general population. Cross-sectional comparisons of individuals with AVH with and without need for care reveal similarities in phenomenology and some underlying mechanisms but also highlight key differences in emotional valence of AVH, appraisals, and behavioral response. Longitudinal studies suggest that AVH are an antecedent of clinical disorders when combined with negative emotional states, specific cognitive difficulties and poor coping, plus family history of psychosis, and environmental exposures such as childhood adversity. However, their predictive value for specific psychiatric disorders is not entirely clear. The theoretical and clinical implications of the reviewed findings are discussed, together with directions for future research.

Item Type:Article
Keywords:Nonclinical, Need for care, Psychosis, Prevalence.
Full text:(VoR) Version of Record
Available under License - Creative Commons Attribution.
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Publisher statement:© The Author 2014. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Date accepted:14 January 2014
Date deposited:09 December 2014
Date of first online publication:13 June 2014
Date first made open access:No date available

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