ArticleSchizophrenia research2018
Negative voice-content as a full mediator of a relation between childhood adversity and distress ensuing from hearing voices.
Article in Schizophrenia research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 33 citations in OpenAlex.
- Psychological and behavioral mechanisms linking childhood trauma profiles to voice-related distress in schizophrenia spectrum disorders: latent class, mediation, and conditional process analyses.Psychological medicine · 2026Article
- The associations of stress, pleasure and emotion to voice-hearing: An ecological momentary assessment study.Psychology and psychotherapy · 2025Article
- Negative auditory hallucinations are associated with increased activation of the defensive motivational system in schizophrenia.Schizophrenia research. Cognition · 2025Article
- Observational
- Mediators of negative content and voice-related distress in a diverse sample of clinical and non-clinical voice-hearers.The British journal of clinical psychology · 2023Article
- Investigating Specific Associations Between Childhood Victimization Profiles and Positive Psychosis Symptoms: The Mediating Roles of Anxiety, Depression, and Schema.Schizophrenia bulletin open · 2023Article
- Changes in positive and negative voice content in cognitive-behavioural therapy for distressing voices.Psychology and psychotherapy · 2022Article
- Hearing spiritually significant voices: A phenomenological survey and taxonomy.Medical humanities · 2022Article
- From core schemas about the self and others to voice phenomenology: Anxiety and depression affect voice hearers differently.Psychology and psychotherapy · 2022Article
- "It hurt but it helped": A mixed methods audit of the implementation of trauma- focused cognitive-behavioral therapy for psychosis.Frontiers in psychiatry · 2022Article
- Remission of schizophrenia after an EMDR session.European journal of psychotraumatology · 2022Article
- Psychological processes mediating the association between developmental trauma and specific psychotic symptoms in adults: a systematic review and meta-analysis.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021Article
- Beyond Trauma: A Multiple Pathways Approach to Auditory Hallucinations in Clinical and Nonclinical Populations.Schizophrenia bulletin · 2019Review
- Preliminary Evidence for the Cognitive Model of Auditory Verbal Hallucinations in Youth With Borderline Personality Disorder.Frontiers in psychiatry · 2019Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
A key predictor of whether or not an individual who hears voices (auditory verbal hallucinations; AVH) meets criteria for a psychiatric diagnosis is the level of negative content of the voices (e.g., threats, criticism, abuse). Yet the factors that contribute to negative voice-content are still not well understood. This study aimed to test the hypotheses that levels of childhood adversity would predict levels of negative voice-content, and that negative voice-content would partially mediate a relation between childhood adversity and voice-related distress. These hypotheses were tested in a clinical sample of 61 patients with formally diagnosed psychotic disorders (48 schizophrenia, 13 bipolar). We found evidence consistent with negative voice-content fully (not partially) mediating the relation between childhood adversity and voice-related distress. Although bivariate analyses found depression to be associated with both negative voice-content and voice-related distress, we found no evidence of an indirect effect of childhood adversity on either negative voice-content or voice-related distress via depression. Alternative study designs are now needed to test if our findings are replicable and causal. Should they be, it will be necessary for psychological therapies to devise ways to reduce negative voice-content itself, rather than just changing beliefs about voices. A number of techniques are discussed (Avatar Therapy, Compassion Focused Therapy, voice-dialogue) that already show promise for this.
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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.