The effects of voice content on stress reactivity: a simulation paradigm of auditory verbal hallucinations

Objectives - Psychosis is associated with increased subjective and altered endocrine and autonomic nervous system stress-reactivity. Psychosis patients often experience auditory verbal hallucinations, with negative voice content being particularly associated with distress. The present study develope...

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Hauptverfasser: Baumeister, David (VerfasserIn) , Peters, Emmanuelle (VerfasserIn) , Pruessner, Jens (VerfasserIn) , Howes, Oliver D. (VerfasserIn) , Chadwick, Paul (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 8 June 2022
In: Schizophrenia research
Year: 2022, Jahrgang: 243, Pages: 225-231
ISSN:1573-2509
DOI:10.1016/j.schres.2019.07.019
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.schres.2019.07.019
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S092099641930297X
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Verfasserangaben:David Baumeister, Emmanuelle Peters, Jens Pruessner, Oliver Howes, Paul Chadwick

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520 |a Objectives - Psychosis is associated with increased subjective and altered endocrine and autonomic nervous system stress-reactivity. Psychosis patients often experience auditory verbal hallucinations, with negative voice content being particularly associated with distress. The present study developed a voice-simulation paradigm and investigated the effect of simulated voices with neutral and negative content on psychophysiological stress-reactivity, and the effect of mindful voice-appraisals on stress-reactivity. - Method - Eighty-four healthy participants completed the Montreal Imaging Stress Task with simultaneous presentation of one of three randomly allocated auditory stimuli conditions: negative voices, neutral voices or non-voice ambient sounds. Subjective stress-levels and mindful voice-appraisals were assessed using questionnaire measures, and cortisol and α-amylase levels were measured using saliva samples. - Results - ANOVA revealed a significant effect of condition on subjective stress-levels (p=.002), but not cortisol (p=.63) or α-amylase (p=.73). Post-hoc analyses showed that negative voices increased subjective stress-levels relative to neutral voices (p=.002) and ambient sounds (p=.01), which did not differ from each other (p=.41). Mindful voice-appraisals were associated with less distress across conditions (p=.003), although negative voices were also associated with less mindful appraisals (p<.001). - Conclusions - Negative voice content, rather than voices or auditory stimuli per se, is linked to greater subjective but not physiological stress-reactivity. Mindful appraisals may partially moderate this effect. These findings highlight the importance of voice content for the impact of voice-hearing, and highlight the potential value of mindfulness training to treat voice distress in psychosis. 
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