Prevalence of auditory pseudohallucinations in adult survivors of physical and sexual trauma with chronic post-traumatic stress disorder (PTSD)
Open accessAbstract
Auditory Verbal Hallucinations (AVHs) are commonly associated with psychosis but are also reported in post-traumatic stress disorder (PTSD). Hearing voices after the experience of stress has been conceptualised as a dissociative experience. Brewin and Patel's (2010) seminal study reported that hearing voices is relatively common in PTSD, as hearing voices was associated with PTSD in half and two thirds of military veterans and survivors of civilian trauma, respectively. The authors conceptualised these voices as "auditory pseudohallucinations." To build upon this work, we administered Brewin and Patel's' interview to adult survivors (n = 40) of physical and sexual trauma with chronic PTSD, and healthy controls (n = 39). In contrast to previous findings, only 5% (n = 2) of our PTSD sample reported recently hearing a voice that was consistent with an auditory pseudohallucination, with no reports in our control group. Thus, no support was provided for auditory pseudohallucinations as a significant symptom in this population.
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Previous studies have documented the occurrence of AVH following traumatic experiences in both PTSD and dissociative disorders.
“Previous studies have documented the occurrence of AVH following traumatic experiences in both Post Traumatic Stress Disorder (PTSD) [54–57] and dissociative disorders [58–60].”
From The “common” experience of voice-hearing and its relationship with shame and guilt: a systematic review (2022) · cites this paper as [56]
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Flagged first, then by citations
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“Other studies, however, report rates as low as 5% in PTSD (48) and 30% in DID (51).”
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- Authors
- Clifford, G., Dalgleish, T., & Hitchcock, C.
- Affiliations
- MRC Cognition and Brain Sciences Unit (GB)
- Corresponding author
- Clifford, Georgina
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 111
- Pages
- 113-118
- ISSN
- 0005-7967 (ISSN-L)
- PMC
- PMC6259581
- OpenAlex
- W2899139511
- Cited by
- 20
- References
- 36
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 5
- FWCI
- 2.35
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Behaviour Research and Therapy (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Apollo (University of Cambridge) (submittedVersion, cc-by-nc-nd)
- Apollo
- Funders
- UK Medical Research Council (SUAG/006/RG91365)
- National Institute for Health Research Cambridge Biomedical Research Centre.
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- auditory verbal hallucinations, post-traumatic stress disorder, chronic PTSD, sexual trauma, physical trauma, trauma survivors, dissociation, voice hearing, prevalence
- MeSH terms
- Adolescent, Adult, Chronic Disease, Female, United Kingdom, Hallucinations, Humans, Male, Middle Aged, Sex Offenses, Stress Disorders, Post-Traumatic, Comorbidity, Prevalence, Case-Control Studies, Survivors, Adult Survivors of Child Abuse, Young Adult
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