Evidence map›Paper›PMID 32431265›Full record

ArticleBJPsych open2020

Exploring the relationship between auditory hallucinations, trauma and dissociation.

Deborah Wearne, Guy J Curtis, Peter Melvill-Smith, Kenneth G Orr, Annette Mackereth, Leon Rajanthiran, Sean Hood, Winston Choy, Flavie Waters

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Remission of schizophrenia after an EMDR session.European journal of psychotraumatology · 2022
    Article
  6. Article
  7. Article
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

9 authors at 1 institution in 1 country.

Deborah WearneSchool of Medicine, University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-3291-8591
Guy J CurtisSchool of Psychological Science, University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-4174-6955
Peter Melvill-SmithSchool of Medicine, University of Western Australia, Perth, Australia.
Kenneth G OrrMarian Center, Perth, Australia.
Annette MackerethMarian Center, Perth, Australia.
Leon RajanthiranMarian Center, Perth, Australia.
Sean HoodFaculty of Health and Medical Sciences, University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0003-2852-7923
Winston ChoySchool of Medicine, University of Western Australia, Perth, Australia.
Flavie WatersSchool of Psychological Sciences, University of Western Australia, Perth; and Clinical Research Centre, Graylands Campus, North Metropolitan Health Service, Mental Health, Perth, Australia.
The University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is clinically imperative to better understand the relationship between trauma, auditory hallucinations and dissociation. The personal narrative of trauma has enormous significance for each individual and is also important for the clinician, who must use this information to decide on a diagnosis and treatment approach.

aimsTo better understand whether dissociation contributes in a significant way to hallucinations in individuals with and without trauma histories.

methodThree groups of participants with auditory hallucinations were recruited, with diagnoses of: schizophrenia (without trauma) (n = 18), post-traumatic stress disorder (PTSD, n = 27) and comorbid schizophrenia and PTSD (SCZ+PTSD), n = 26). Clinician-administered measures included the PTSD Symptoms Scale Interview (PSSI-5), the Clinician-Administered Dissociative States Scale (CADSS) and the Psychotic Symptom Rating Scales (PSYRATS).

resultsDissociative symptoms were significantly higher in participants with trauma histories (PTSD and SCZ+PTSD groups) and significantly correlated with hallucinations in trauma-exposed participants, but not in participants with schizophrenia (without trauma history). Hallucination severity was correlated with the CADSS amnesia subscale score, but depersonalisation and derealisation were not.

conclusionsDissociation may be a mechanism in trauma-exposed individuals who hear voices, but it does not explain all hallucinatory experiences. The SCZ+PTSD group were in an intermediary position between schizophrenia and PTSD on dissociative and hallucination measures. The PTSD and SCZ+PTSD groups experienced dissociative phenomena much more frequently than the schizophrenia group, with a significant trend towards the amnesia subtype of dissociation.

Indexed as

childhood experiencecomorbiditydissociative disordersPost-traumatic stress disordertrauma

Identifiers

PMID32431265
PMCPMC7345666
OpenAlexW3028297220

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.