Cited by 666Hallucinations in medical conditionsSchizophrenia research and treatmentMental Health and Psychiatry

Mapping auditory hallucinations in schizophrenia using functional magnetic resonance imaging

Shergill, Sukhwinder S., Brammer, Michael J., Williams, Steven C. R., Murray, Robin M., McGuire, Philip K.·2000·Archives of General Psychiatry

Abstract

BACKGROUND: Perceptions of speech in the absence of an auditory stimulus (auditory verbal hallucinations) are a cardinal feature of schizophrenia. Functional neuroimaging provides a powerful means of measuring neural activity during auditory hallucinations, but the results from previous studies have been inconsistent. This may reflect the acquisition of small numbers of images in each subject and the confounding effects of patients actively signaling when hallucinations occur. METHODS: We examined 6 patients with schizophrenia who were experiencing frequent auditory hallucinations, using a novel functional magnetic resonance imaging method that permitted the measurement of spontaneous neural activity without requiring subjects to signal when hallucinations occurred. Approximately 50 individual scans were acquired at unpredictable intervals in each subject while they were intermittently hallucinating. Immediately after each scan, subjects reported whether they had been hallucinating at that instant. Neural activity when patients were and were not experiencing hallucinations was compared in each subject and the group as a whole. RESULTS: Auditory hallucinations were associated with activation in the inferior frontal/insular, anterior cingulate, and temporal cortex bilaterally (with greater responses on the right), the right thalamus and inferior colliculus, and the left hippocampus and parahippocampal cortex (P<.0001). CONCLUSIONS: Auditory hallucinations may be mediated by a distributed network of cortical and subcortical areas. Previous neuroimaging studies of auditory hallucinations may have identified different components of this network.

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Crossref · 10.1001/archpsyc.57.11.1033

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Authors
Shergill, S. S., Brammer, M. J., Williams, S. C. R., Murray, R. M., & McGuire, P. K.
Affiliations
King's College London (GB)
Venue
Archives of General Psychiatry
Published
2000-11-01
Volume
57
Issue
11
Pages
1033
ISSN
0003-990X (ISSN-L)
OpenAlex
W2022503841
Cited by
666
References
36
Citations by year
2026: 11 · 2025: 13 · 2024: 12 · 2023: 18 · 2022: 20 · 2021: 14 · 2020: 13 · 2019: 17 · 2018: 22 · 2017: 20 · 2016: 22 · 2015: 20 · 2014: 28 · 2013: 30 · 2012: 43
FWCI
11.08
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of General Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords
auditory verbal hallucinations, schizophrenia, spontaneous neuronal activity, inferior frontal cortex, insula, anterior cingulate cortex, thalamus, inferior colliculus, hippocampus, parahippocampal cortex, temporal cortex, distributed neural networks
MeSH terms
Auditory Perception, Brain Mapping, Hallucinations, Humans, Magnetic Resonance Imaging, Schizophrenia, Schizophrenic Psychology

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