An exploratory analysis of voice hearing in chronic PTSD: potential associated mechanisms
Abstract
This research investigated auditory hallucinations (AH) in a sample with chronic posttraumatic stress disorder (PTSD) and examined dissociation and thought suppression as potential associated mechanisms. In all, 40 individuals with PTSD were assessed on the hallucinations subscale of the Positive and Negative Syndrome Scale and on measures of dissociation and thought suppression. Half of the sample reported AH (n = 20, 50%). Those reporting AH had higher general and pathological dissociation scores but did not differ on thought suppression or PTSD symptom severity. Results suggest that (a) AH in chronic PTSD is not a rare phenomenon, (b) dissociation is significantly related to AH, and (c) dissociation may be a potential mediating mechanism for AH in PTSD.
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In a sample of individuals with chronic PTSD, those who experienced auditory hallucinations had higher levels of pathological dissociation than those who did not.
“these individuals also experienced higher levels of pathological dissociation in comparison to participants who did not experience AH (Anketell et al., 2010).”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Anketell et al., 2010
In a sample of individuals with chronic PTSD, approximately half reported experiencing auditory hallucinations.
“in a sample of individuals with chronic PTSD, approximately half reported experiencing auditory hallucinations (AH)”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Anketell et al., 2010
The content of voices was often symbolically or thematically related to trauma, but the voices were distinguishable from memory representations of experiences such as flashbacks.
“In this regard, the authors also found that the content of the voices was often symbolically or thematically related to the trauma but that the voices were distinguishable from memory representations of experiences, such as flashbacks [61].”
From The “common” experience of voice-hearing and its relationship with shame and guilt: a systematic review (2022) · cites this paper as [61]
Among military veterans with PTSD, 20-65% experience AVH.
“Here, it has been found that 20–65% of veterans with PTSD experience AVH (Holmes and Tinnin, 1995; Anketell et al., 2010; Brewin and Patel, 2010; see McCarthy-Jones, 2017, for a review).”
From Is Shame Hallucinogenic? (2017) · cites this paper as Anketell et al., 2010
Auditory hallucinations are reported in up to 50% of individuals diagnosed with PTSD.
“auditory hallucinations have been reported within up to 50% of individuals diagnosed with PTSD (Anketell et al., 2010).”
From Auditory Hallucinations and Posttraumatic Stress Disorder Within Schizophrenia and Substance Abuse (2011) · cites this paper as Anketell et al., 2010
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- Authors
- Anketell, C., Dorahy, M. J., Shannon, M., Elder, R., Hamilton, G., Corry, M., MacSherry, A., Curran, D., & O'Rawe, B.
- Affiliations
- Queen's University Belfast (GB)
- University of Canterbury (NZ)
- Venue
- Journal of Trauma & Dissociation
- Publisher
- Informa UK Limited
- Published
- 2010-01-11
- Volume
- 11
- Issue
- 1
- Pages
- 93-107
- ISSN
- 1529-9732 (ISSN-L)
- 1529-9740
- OpenAlex
- W2059799426
- Cited by
- 92
- References
- 45
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 8 · 2023: 4 · 2022: 2 · 2021: 7 · 2020: 7 · 2019: 8 · 2018: 9 · 2017: 6 · 2016: 11 · 2015: 7 · 2014: 4 · 2013: 3 · 2012: 2
- FWCI
- 4.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Trauma & Dissociation (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- auditory hallucinations, voice hearing, chronic posttraumatic stress disorder, dissociation, pathological dissociation, thought suppression, mediating mechanisms, PTSD symptom severity
- MeSH terms
- Adolescent, Adult, Aged, Chronic Disease, Female, Hallucinations, Humans, Male, Middle Aged, Surveys and Questionnaires, Severity of Illness Index, Stress Disorders, Post-Traumatic, Comorbidity, Prevalence, Young Adult
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