Auditory hallucinations elicit similar brain activation in psychotic and nonpsychotic individuals
Open accessAbstract
While auditory verbal hallucinations (AVH) are most characteristic for schizophrenia, they also occur in nonpsychotic individuals in the absence of a psychiatric or neurological disorder and in the absence of substance abuse. At present, it is unclear if AVH in these nonpsychotic individuals constitute the same phenomenon as AVH in psychotic patients. Comparing brain activation during AVH between nonpsychotic and psychotic individuals could provide important clues regarding this question. 21 nonpsychotic subjects with AVH and 21 matched psychotic patients indicated the presence of AVH during 3T functional magnetic resonance imaging (fMRI) scanning. To identify common areas of activation during the experience of AVH in both groups, a conjunction analysis was performed. In addition, a 2-sample t-test was employed to discover possible differences in AVH-related activation between the groups. Several common areas of activation were observed for the psychotic and nonpsychotic subjects during the experience of AVH, consisting of the bilateral inferior frontal gyri, insula, superior temporal gyri, supramarginal gyri and postcentral gyri, left precentral gyrus, inferior parietal lobule, superior temporal pole, and right cerebellum. No significant differences in AVH-related brain activation were present between the groups. The presence of multiple common areas of AVH-related activation in psychotic and nonpsychotic individuals, in the absence of significant differences, implicates the involvement of the same cortical network in the experience of AVH in both groups.
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When hearing voices, people with non-clinical voice-hearing and clinical auditory verbal hallucinations engage similar brain networks associated with speech and language processing, including the bilateral superior temporal gyrus, inferior frontal gyrus and anterior insula.
“These studies have shown that when hearing voices, people with NCVH and clinical auditory verbal hallucinations engage similar brain networks associated with speech and language processing, including the bilateral superior temporal gyrus (STG), inferior frontal gyrus (IFG) and anterior insula (Diederen et al., 2012).”
From Distinct processing of ambiguous speech in people with non-clinical auditory verbal hallucinations (2017) · cites this paper as Diederen et al., 2012
To our knowledge, this is the first NCVH study to have successfully combined a complex behavioural paradigm with imaging data to examine a potential mechanism underlying hallucination, while maintaining conservative whole-brain corrections.
“To our knowledge, this is the first NCVH study to have successfully combined a complex behavioural paradigm with imaging data to examine a potential mechanism underlying hallucination, and while maintaining conservative whole-brain corrections.”
From Distinct processing of ambiguous speech in people with non-clinical auditory verbal hallucinations (2017) · cites this paper as Diederen et al., 2012
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- Authors
- Diederen, K. M. J., Daalman, K., de Weijer, A. D., Neggers, S. F. W., van Gastel, W., Blom, J. D., Kahn, R. S., & Sommer, I. E. C.
- Affiliations
- University Medical Center Utrecht (NL)
- University of Groningen (NL)
- Corresponding author
- Diederen, K. M. J.
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-04-28
- Volume
- 38
- Issue
- 5
- Pages
- 1074-1082
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC3446229
- OpenAlex
- W2169094251
- Cited by
- 138
- References
- 52
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 10 · 2023: 9 · 2022: 6 · 2021: 7 · 2020: 10 · 2019: 9 · 2018: 2 · 2017: 5 · 2016: 12 · 2015: 6 · 2014: 9 · 2013: 21 · 2012: 18
- FWCI
- 8.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Schizophrenia Bulletin (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Funders
- Alexander von Humboldt-Stiftung
- 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
- MeSH terms
- Adult, Arousal, Brain, Brain Mapping, Female, Hallucinations, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Nerve Net, Psychotic Disorders, Reference Values, Schizophrenia
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