Evidence map›Paper›PMID 27866082›Full record

SynthesisClinical psychology review2017

Auditory verbal hallucinations and continuum models of psychosis: A systematic review of the healthy voice-hearer literature.

David Baumeister, Ottilie Sedgwick, Oliver Howes, Emmanuelle Peters

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Clinical psychology review, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05044715 (Effectiveness of Compassion Focused Therapy), which is not on this map. Cited by 89 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 4 pooled it
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05044715 naterminatednot on this mapstarted 2022, after this paper: background citation

Effectiveness of Compassion Focused Therapy (CFT) Adapted to a Group Format: Outcomes and Mechanisms of Change

TypeinterventionalSponsorBrigham Young UniversityRan2022 to 2023Enrolled14ConditionsCompassion, Self-Criticism, Shame, GuiltArmsTreatment as Usual, Compassion-Focused Therapy (CFT)
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 4 syntheses or guidelines pooled it, 224 citations in OpenAlex.

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  15. The role of affective states in computational psychiatry.The international journal of neuropsychopharmacology · 2025
    Review
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

David BaumeisterInstitute of Psychiatry, Psychology & Neuroscience, King's College London, Department of Psychology, London, UK. Electronic address: david.baumeister@kcl.ac.uk.
Ottilie SedgwickInstitute of Psychiatry, Psychology & Neuroscience, King's College London, Department of Psychology, London, UK; NIHR Biomedical Research Centre for Mental Health, South London and Maudsley NHS Foundation Trust, London, UK.
Oliver HowesNIHR Biomedical Research Centre for Mental Health, South London and Maudsley NHS Foundation Trust, London, UK; Institute of Psychiatry, Psychology & Neuroscience, King's College London, Department of Psychosis Studies, London, UK.
Emmanuelle PetersInstitute of Psychiatry, Psychology & Neuroscience, King's College London, Department of Psychology, London, UK; NIHR Biomedical Research Centre for Mental Health, South London and Maudsley NHS Foundation Trust, London, UK.
King's College London · GB

Funding

Medical Research Council G0700995Medical Research Council MC_U120097115Medical Research Council MR/N026063/1
6 · The paper itself

Abstract

Recent decades have seen a surge of research interest in the phenomenon of healthy individuals who experience auditory verbal hallucinations, yet do not exhibit distress or need for care. The aims of the present systematic review are to provide a comprehensive overview of this research and examine how healthy voice-hearers may best be conceptualised in relation to the diagnostic versus 'quasi-' and 'fully-dimensional' continuum models of psychosis. A systematic literature search was conducted, resulting in a total of 398 article titles and abstracts that were scrutinised for appropriateness to the present objective. Seventy articles were identified for full-text analysis, of which 36 met criteria for inclusion. Subjective perceptual experience of voices, such as loudness or location (i.e., inside/outside head), is similar in clinical and non-clinical groups, although clinical voice-hearers have more frequent voices, more negative voice content, and an older age of onset. Groups differ significantly in beliefs about voices, control over voices, voice-related distress, and affective difficulties. Cognitive biases, reduced global functioning, and psychiatric symptoms such as delusions, appear more prevalent in healthy voice-hearers than in healthy controls, yet less than in clinical samples. Transition to mental health difficulties is increased in HVHs, yet only occurs in a minority and is predicted by previous mood problems and voice distress. Whilst healthy voice-hearers show similar brain activity during hallucinatory experiences to clinical voice-hearers, other neuroimaging measures, such as mismatch negativity, have been inconclusive. Risk factors such as familial and childhood trauma appear similar between clinical and non-clinical voice-hearers. Overall the results of the present systematic review support a continuum view rather than a diagnostic model, but cannot distinguish between 'quasi' and 'fully' dimensional models. Healthy voice-hearers may be a key resource in informing transdiagnostic approaches to research of auditory hallucinations.

Indexed as

Models, PsychologicalDelusionsHallucinationsHumansPsychotic Disorders

Identifiers

PMID27866082
PMCPMC5240854
OpenAlexW2548871860

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.