Hearing voices in the resting brain: A review of intrinsic functional connectivity research on auditory verbal hallucinations
Open accessAbstract
Resting state networks (RSNs) are thought to reflect the intrinsic functional connectivity of brain regions. Alterations to RSNs have been proposed to underpin various kinds of psychopathology, including the occurrence of auditory verbal hallucinations (AVH). This review outlines the main hypotheses linking AVH and the resting state, and assesses the evidence for alterations to intrinsic connectivity provided by studies of resting fMRI in AVH. The influence of hallucinations during data acquisition, medication confounds, and movement are also considered. Despite a large variety of analytic methods and designs being deployed, it is possible to conclude that resting connectivity in the left temporal lobe in general and left superior temporal gyrus in particular are disrupted in AVH. There is also preliminary evidence of atypical connectivity in the default mode network and its interaction with other RSNs. Recommendations for future research include the adoption of a common analysis protocol to allow for more overlapping datasets and replication of intrinsic functional connectivity alterations.
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Auditory hallucinations are associated with impaired connectivity of large-scale networks at both functional and structural levels.
“Auditory hallucinations are also associated with impaired connectivity of large-scale networks at both the functional 34 and structural level.35”
From Are hallucinations due to an imbalance between excitatory and inhibitory influences on the brain? (2016) · cites this paper as [34]
Evidence supports the hypothesis that hallucinations arise from release of sensory signals by reduced top-down inhibition from higher-order centers such as frontal areas and their connections with the thalamus.
“In addition, evidence supports the hypothesis that hallucinations arise from release of those sensory signals by reduced top-down inhibition from higher-order centers such as frontal areas and their connections with the thalamus. 40-43”
From Towards an Integrative Account of Potential Mechanisms Mediating the Path From Sleep Dysfunction to Hallucinations (2025) · cites this paper as [42]
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- Authors
- Alderson-Day, B., McCarthy-Jones, S., & Fernyhough, C.
- Affiliations
- Durham University (GB)
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 55
- Pages
- 78-87
- ISSN
- 0149-7634 (ISSN-L)
- PMC
- PMC5901708
- OpenAlex
- W257873211
- Cited by
- 165
- References
- 74
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 14 · 2023: 8 · 2022: 17 · 2021: 14 · 2020: 20 · 2019: 26 · 2018: 13 · 2017: 14 · 2016: 17 · 2015: 3
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Durham Research Online (Durham University) (publishedVersion, other-oa)
- Europe PMC (PubMed Central) (acceptedVersion, cc-by)
- PubMed Central (acceptedVersion, cc-by)
- Durham Research Online (Durham University) (acceptedVersion, other-oa)
- Durham Research Online (Durham University) (submittedVersion, cc-by)
- Funders
- Wellcome Trust (WT098455MA)
- Australian Research Council (DE140101077)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- auditory verbal hallucinations, resting-state networks, intrinsic functional connectivity, resting-state fMRI, left superior temporal gyrus, left temporal lobe, default mode network, motion artifacts, psychopathology
- MeSH terms
- Acoustic Stimulation, Brain Mapping, Hallucinations, Hearing, Humans, Models, Neurological, Neural Pathways, Rest, Temporal Lobe
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