Cited by 245Hallucinations in medical conditionsSchizophrenia research and treatmentMental Health and Psychiatry

Quantitative meta-analysis on state and trait aspects of auditory verbal hallucinations in schizophrenia

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Kuhn, S., Gallinat, J.·2012·Schizophrenia Bulletin

Abstract

Auditory verbal hallucinations (AVHs) have a high prevalence in schizophrenic patients. An array of studies have explored the neural correlates of AVHs by means of functional neuroimaging and have associated AVHs with diverse brain regions, some of which have been shown to be involved in speech generation, speech perception, and auditory stimulus processing. We divided these studies into "state" studies comparing periods of presence and absence of AVHs within-subject and "trait" studies comparing patients experiencing AVHs with patients without AVHs or healthy controls during tasks with verbal material. We set out to test the internal consistency and possible dissociations of the neural correlates of AVHs. We used activation likelihood estimation to perform quantitative meta-analyses on brain regions reported in state and trait studies on AVHs to assess significant concordance across studies. State studies were associated with activation in bilateral inferior frontal gyrus, bilateral postcentral gyrus, and left parietal operculum. Trait studies on the other hand showed convergence of decreases in hallucinating subjects in left superior temporal gyrus, left middle temporal gyrus, anterior cingulate cortex, and left premotor cortex activity. Based on the clear dissociation of brain regions that show convergence across state in comparison to trait studies, we conclude that the state of experiencing AVHs is primarily related brain regions that have been implicated in speech production ie, Broca's area, whereas the general trait that makes humans prone to AVHs seems to be related to brain areas involved in auditory stimuli processing and speech perception, ie, auditory cortex.

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Crossref · 10.1093/schbul/sbq152

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  • Our present study shows commonalities between many of the neural regions activated during AVH (such as left STG, left insula, left IFG) and those strongly activated during dialogic inner speech.

    “Our present study extends this by showing commonalities between many of the neural regions activated during AVH (such as left STG, left insula, left IFG) and those strongly activated during dialogic inner speech (Jardri et al., 2011; Kühn and Gallinat, 2012).”

    From The brain's conversation with itself: neural substrates of dialogic inner speech (2016) · cites this paper as Kühn and Gallinat, 2012

    The Discussion reports left IFG activation in AVH state studies and left STG findings in trait studies. It does not identify left insula as a convergent region, and it describes the left STG trait finding as decreased activity rather than reliable activation during AVHs. The comparison with dialogic inner speech is framed as the citing authors’ own result, not a finding attributed to this source. (LLM, conf=0.85)

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  • Meta-analyses of symptom-capture studies have only partially overlapping conclusions.

    “Recent meta-analyses of symptom-capture studies have come to only partially overlapping conclusions: while Jardri et al. (2011) found AVHs to be associated with activation in left IFG, anterior insula, superior temporal, and hippocampal areas, Kühn and Gallinat (2012) could only find consistent results for bilateral IFG, postcentral gyrus, and parietal areas.”

    From Inner Speech: Development, Cognitive Functions, Phenomenology, and Neurobiology (2015) · cites this paper as Kühn and Gallinat (2012)

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Authors
Kuhn, S., & Gallinat, J.
Affiliations
St. Hedwig-Krankenhaus (DE)
Venue
Schizophrenia Bulletin
Published
2010-12-22
Volume
38
Issue
4
Pages
779-786
ISSN
  • 0586-7614 (ISSN-L)
  • 1745-1701
OpenAlex
W2159319538
Cited by
245
References
53
Citations by year
2026: 5 · 2025: 11 · 2024: 77 · 2023: 11 · 2022: 13 · 2021: 13 · 2020: 12 · 2019: 10 · 2018: 9 · 2017: 18 · 2016: 18 · 2015: 10 · 2014: 8 · 2013: 12 · 2012: 13
FWCI
0.70
Type
journal article
Language
en
Open access
Locations
  • Schizophrenia Bulletin (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
  • Max Planck Institute for Plasma Physics (submittedVersion)
  • MPG.PuRe (Max Planck Society) (submittedVersion)
Funders
  • Bristol-Myers Squibb
  • Eli Lilly and Company
  • AstraZeneca
  • Bundesministerium für Bildung und Forschung (01GS08159)
  • Fonds Wetenschappelijk Onderzoek
  • Vlaamse regering
  • Cilag
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
MeSH terms
Auditory Perception, Brain, Frontal Lobe, Gyrus Cinguli, Hallucinations, Humans, Magnetic Resonance Imaging, Parietal Lobe, Schizophrenia, Speech Perception, Temporal Lobe, Positron-Emission Tomography, Functional Neuroimaging

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