Auditory hallucinations, not necessarily a hallmark of psychotic disorder.
Identifieur interne : 001143 ( PubMed/Checkpoint ); précédent : 001142; suivant : 001144Auditory hallucinations, not necessarily a hallmark of psychotic disorder.
Auteurs : F. Waters [Australie] ; J D Blom [Pays-Bas] ; R. Jardri [France] ; K. Hugdahl [Norvège] ; I E C. Sommer [Pays-Bas]Source :
- Psychological medicine [ 1469-8978 ] ; 2017.
Abstract
Auditory hallucinations (AH) are often considered a sign of a psychotic disorder. This is promoted by the DSM-5 category of Other Specified Schizophrenia Spectrum And Other Psychotic Disorder (OSSSOPD), the diagnostic criteria for which are fulfilled with the sole presence of persistent AH, in the absence of any other psychotic symptoms. And yet, persistent AH are not synonymous with having a psychotic disorder, and should therefore not be uncritically treated as such. Many people who seek treatment for persistent AH have no other psychotic symptoms, have preserved reality-testing capacities, and will never develop a schizophrenia spectrum disorder. Instead, hallucinations may be the result of many different causes, including borderline personality disorder, post-traumatic stress disorder (PTSD), hearing loss, sleep disorders or brain lesions, and they may even occur outside the context of any demonstrable pathology. In such cases, the usage of the DSM-5 diagnosis of OSSSOPD would be incorrect, and it may prompt unwarranted treatment with antipsychotic medication. We therefore argue that a DSM-5 diagnosis of Schizophrenia Spectrum Disorder (or any other type of psychotic disorder) characterized by AH should require at least one more symptom listed under the A-criterion (i.e. delusions, disorganized speech, disorganized or catatonic behavior or negative symptoms). Adhering to these more stringent criteria may help to distinguish between individuals with persistent AH which are part of a psychotic disorder, for whom antipsychotic medication may be helpful, and individuals with AH in the absence of such a disorder who may benefit from other approaches (e.g. different pharmacological interventions, improving coping style, trauma-related therapy).
DOI: 10.1017/S0033291717002203
PubMed: 28826411
Affiliations:
- Australie, France, Norvège, Pays-Bas
- Groningue (province), Hauts-de-France, Hollande-Méridionale, Nord-Pas-de-Calais
- Groningue, Leyde, Lille
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Waters</name><affiliation wicri:level="1"><nlm:affiliation>Clinical Research Centre,Graylands Health Campus,North Metropolitan Area Health Service Mental Health,Perth,Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Clinical Research Centre,Graylands Health Campus,North Metropolitan Area Health Service Mental Health,Perth</wicri:regionArea><wicri:noRegion>Perth</wicri:noRegion></affiliation></author><author><name sortKey="Blom, J D" sort="Blom, J D" uniqKey="Blom J" first="J D" last="Blom">J D Blom</name><affiliation wicri:level="3"><nlm:affiliation>Faculty of Social Sciences,Leiden University,Leiden,the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Faculty of Social Sciences,Leiden University,Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Jardri, R" sort="Jardri, R" uniqKey="Jardri R" first="R" last="Jardri">R. Jardri</name><affiliation wicri:level="3"><nlm:affiliation>Univ Lille, CNRS UMR-9193,SCALab & CHU Lille,Psychiatry Department,CURE Platform,Fontan Hospital,Lille,France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Univ Lille, CNRS UMR-9193,SCALab & CHU Lille,Psychiatry Department,CURE Platform,Fontan Hospital,Lille</wicri:regionArea><placeName><region type="region">Hauts-de-France</region><region type="old region">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Hugdahl, K" sort="Hugdahl, K" uniqKey="Hugdahl K" first="K" last="Hugdahl">K. 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Sommer</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neuroscience and Department of Psychiatry,University Medical Center Groningen,Groningen,the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Neuroscience and Department of Psychiatry,University Medical Center Groningen,Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName></affiliation></author></analytic><series><title level="j">Psychological medicine</title><idno type="eISSN">1469-8978</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Auditory hallucinations (AH) are often considered a sign of a psychotic disorder. This is promoted by the DSM-5 category of Other Specified Schizophrenia Spectrum And Other Psychotic Disorder (OSSSOPD), the diagnostic criteria for which are fulfilled with the sole presence of persistent AH, in the absence of any other psychotic symptoms. And yet, persistent AH are not synonymous with having a psychotic disorder, and should therefore not be uncritically treated as such. Many people who seek treatment for persistent AH have no other psychotic symptoms, have preserved reality-testing capacities, and will never develop a schizophrenia spectrum disorder. Instead, hallucinations may be the result of many different causes, including borderline personality disorder, post-traumatic stress disorder (PTSD), hearing loss, sleep disorders or brain lesions, and they may even occur outside the context of any demonstrable pathology. In such cases, the usage of the DSM-5 diagnosis of OSSSOPD would be incorrect, and it may prompt unwarranted treatment with antipsychotic medication. We therefore argue that a DSM-5 diagnosis of Schizophrenia Spectrum Disorder (or any other type of psychotic disorder) characterized by AH should require at least one more symptom listed under the A-criterion (i.e. delusions, disorganized speech, disorganized or catatonic behavior or negative symptoms). Adhering to these more stringent criteria may help to distinguish between individuals with persistent AH which are part of a psychotic disorder, for whom antipsychotic medication may be helpful, and individuals with AH in the absence of such a disorder who may benefit from other approaches (e.g. different pharmacological interventions, improving coping style, trauma-related therapy).</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28826411</PMID><DateCreated><Year>2017</Year><Month>08</Month><Day>22</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1469-8978</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Aug</Month><Day>22</Day></PubDate></JournalIssue><Title>Psychological medicine</Title><ISOAbbreviation>Psychol Med</ISOAbbreviation></Journal><ArticleTitle>Auditory hallucinations, not necessarily a hallmark of psychotic disorder.</ArticleTitle><Pagination><MedlinePgn>1-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1017/S0033291717002203</ELocationID><Abstract><AbstractText>Auditory hallucinations (AH) are often considered a sign of a psychotic disorder. This is promoted by the DSM-5 category of Other Specified Schizophrenia Spectrum And Other Psychotic Disorder (OSSSOPD), the diagnostic criteria for which are fulfilled with the sole presence of persistent AH, in the absence of any other psychotic symptoms. And yet, persistent AH are not synonymous with having a psychotic disorder, and should therefore not be uncritically treated as such. Many people who seek treatment for persistent AH have no other psychotic symptoms, have preserved reality-testing capacities, and will never develop a schizophrenia spectrum disorder. Instead, hallucinations may be the result of many different causes, including borderline personality disorder, post-traumatic stress disorder (PTSD), hearing loss, sleep disorders or brain lesions, and they may even occur outside the context of any demonstrable pathology. In such cases, the usage of the DSM-5 diagnosis of OSSSOPD would be incorrect, and it may prompt unwarranted treatment with antipsychotic medication. We therefore argue that a DSM-5 diagnosis of Schizophrenia Spectrum Disorder (or any other type of psychotic disorder) characterized by AH should require at least one more symptom listed under the A-criterion (i.e. delusions, disorganized speech, disorganized or catatonic behavior or negative symptoms). Adhering to these more stringent criteria may help to distinguish between individuals with persistent AH which are part of a psychotic disorder, for whom antipsychotic medication may be helpful, and individuals with AH in the absence of such a disorder who may benefit from other approaches (e.g. different pharmacological interventions, improving coping style, trauma-related therapy).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Waters</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Clinical Research Centre,Graylands Health Campus,North Metropolitan Area Health Service Mental Health,Perth,Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blom</LastName><ForeName>J D</ForeName><Initials>JD</Initials><AffiliationInfo><Affiliation>Faculty of Social Sciences,Leiden University,Leiden,the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jardri</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Univ Lille, CNRS UMR-9193,SCALab & CHU Lille,Psychiatry Department,CURE Platform,Fontan Hospital,Lille,France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hugdahl</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Psychiatry,Haukeland University Hospital,Bergen,Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sommer</LastName><ForeName>I E C</ForeName><Initials>IEC</Initials><AffiliationInfo><Affiliation>Department of Neuroscience and Department of Psychiatry,University Medical Center Groningen,Groningen,the Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>08</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Psychol Med</MedlineTA><NlmUniqueID>1254142</NlmUniqueID><ISSNLinking>0033-2917</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">DSM-5</Keyword><Keyword MajorTopicYN="N">Diagnosis</Keyword><Keyword MajorTopicYN="N">hallucinations</Keyword><Keyword MajorTopicYN="N">psychosis</Keyword><Keyword MajorTopicYN="N">schizophrenia</Keyword><Keyword MajorTopicYN="N">voices</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28826411</ArticleId><ArticleId IdType="pii">S0033291717002203</ArticleId><ArticleId IdType="doi">10.1017/S0033291717002203</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>France</li><li>Norvège</li><li>Pays-Bas</li></country><region><li>Groningue (province)</li><li>Hauts-de-France</li><li>Hollande-Méridionale</li><li>Nord-Pas-de-Calais</li></region><settlement><li>Groningue</li><li>Leyde</li><li>Lille</li></settlement></list><tree><country name="Australie"><noRegion><name sortKey="Waters, F" sort="Waters, F" uniqKey="Waters F" first="F" last="Waters">F. Waters</name></noRegion></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Blom, J D" sort="Blom, J D" uniqKey="Blom J" first="J D" last="Blom">J D Blom</name></region><name sortKey="Sommer, I E C" sort="Sommer, I E C" uniqKey="Sommer I" first="I E C" last="Sommer">I E C. Sommer</name></country><country name="France"><region name="Hauts-de-France"><name sortKey="Jardri, R" sort="Jardri, R" uniqKey="Jardri R" first="R" last="Jardri">R. Jardri</name></region></country><country name="Norvège"><noRegion><name sortKey="Hugdahl, K" sort="Hugdahl, K" uniqKey="Hugdahl K" first="K" last="Hugdahl">K. Hugdahl</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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