Central Auditory Processing in Patients With Auditory Hallucinations
Abstract
OBJECTIVE: Data from a full assessment of auditory perception in patients with schizophrenia were used to investigate whether auditory hallucinations are associated with abnormality of central auditory processing. METHOD: Three groups of subjects participated in auditory assessments: 22 patients with psychosis and a recent history of auditory hallucinations, 16 patients with psychosis but no history of auditory hallucinations, and 22 normal subjects. Nine auditory assessments, including auditory brainstem response, monotic and dichotic speech perception tests, and nonspeech perceptual tests, were performed. Statistical analyses for group differences were performed using analysis of variance and Kruskal-Wallis tests. The results of individual patients with test scores in the severely abnormal range (more than three standard deviations from the mean for the normal subjects) were examined for patterns that suggested sites of dysfunction in the central auditory system. RESULTS: The results showed significant individual variability among the subjects in both patient groups. There were no group differences on tests that are sensitive to low brainstem function. Both patient groups performed poorly in tests that are sensitive to cortical or high brainstem function, and hallucinating patients differed from nonhallucinating patients in scores on tests of filtered speech perception and response bias patterns on dichotic speech tests. Six patients in the hallucinating group had scores in the severely abnormal range on more than one test. CONCLUSIONS: Hallucinations may be associated with auditory dysfunction in the right hemisphere or in the interhemispheric pathways. However, comparison of results for the patient groups suggests that the deficits seen in hallucinating patients may represent a greater degree of the same types of deficits seen in nonhallucinating patients.
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Most clinical tests of auditory function, such as audiological assessments or far field brainstem potentials, test the most peripheral portions of the inner ear and auditory nerve leading to the brainstem, which do not appear to be affected in schizophrenia.
“Most clinical tests of auditory function, such as audiological assessments or far field brainstem potentials, are tests of the most peripheral portions of the system in the inner ear and the auditory nerve leading to the brainstem, which do not appear to be affected in schizophrenia (6).”
From Sensory Processing Dysfunction in the Personal Experience and Neuronal Machinery of Schizophrenia (2015) · cites this paper as [6]
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Sensory Processing Dysfunction in the Personal Experience and Neuronal Machinery of Schizophrenia
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- Authors
- McKay, C. M., Headlam, D. M., & Copolov, D. L.
- Affiliations
- The University of Melbourne (AU)
- Venue
- American Journal of Psychiatry
- Published
- 2000-05-01
- Volume
- 157
- Issue
- 5
- Pages
- 759-766
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2104625388
- Cited by
- 84
- References
- 27
- Citations by year
- 2024: 3 · 2023: 5 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 6 · 2013: 6 · 2012: 7
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Keywords
- auditory hallucinations, central auditory processing, schizophrenia, psychosis, dichotic listening, auditory brainstem response, right hemisphere
- MeSH terms
- Adult, Audiometry, Auditory Cortex, Auditory Perception, Auditory Perceptual Disorders, Brain Stem, Diagnosis, Differential, Dichotic Listening Tests, Female, Hallucinations, Humans, Functional Laterality, Male, Middle Aged, Schizophrenia, Schizophrenic Psychology, Speech Discrimination Tests, Evoked Potentials, Auditory, Brain Stem
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