Need for care, adversity exposure and perceived stress in clinical and healthy voice-hearers
Objectives - Psychosis, and in particular auditory verbal hallucinations (AVHs), are associated with adversity exposure. However, AVHs also occur in populations with no need for care or distress. - - Aims - This study investigated whether adversity exposure would differentiate clinical and healthy...
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| Main Authors: | , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2021
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| In: |
Psychological medicine
Year: 2021, Volume: 51, Issue: 11, Pages: 1944-1950 |
| ISSN: | 1469-8978 |
| DOI: | 10.1017/S0033291720002433 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1017/S0033291720002433 Verlag, lizenzpflichtig, Volltext: https://www.cambridge.org/core/journals/psychological-medicine/article/need-for-care-adversity-exposure-and-perceived-stress-in-clinical-and-healthy-voicehearers/2FD6412B0750FF2025A313B471EBB727 
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| Author Notes: | David Baumeister, Thomas Ward, Philippa Garety, Mike Jackson, Craig Morgan, Monica Charalambides, Paul Chadwick, Oliver Howes and Emmanuelle Peters |
| Summary: | Objectives - Psychosis, and in particular auditory verbal hallucinations (AVHs), are associated with adversity exposure. However, AVHs also occur in populations with no need for care or distress. - - Aims - This study investigated whether adversity exposure would differentiate clinical and healthy voice-hearers within the context of a ‘three-hit’ model of vulnerability and stress exposure. - - Methods - Samples of 57 clinical and 45 healthy voice-hearers were compared on the three ‘hits’: familial risk; adversity exposure in childhood and in adolescence/adulthood. - - Results - Clinical voice-hearers showed greater familial risk than healthy voice-hearers, with more family members with a history of psychosis, but not with other mental disorders. The two groups did not differ in their exposure to adversity in childhood [sexual and non-sexual, victimisation; discrimination and socio-economic status (SES)]. Contrary to expectations, clinical voice-hearers did not differ from healthy voice-hearers in their exposure to victimisation (sexual/non-sexual) and discrimination in adolescence/adulthood, but reported more cannabis and substance misuse, and lower SES. - - Conclusions - The current study found no evidence that clinical and healthy voice-hearers differ in lifetime victimisation exposure, suggesting victimisation may be linked to the emergence of AVHs generally, rather than need-for-care. Familial risk, substance misuse and lower SES may be additional risk factors involved in the emergence of need-for-care and distress. |
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| Item Description: | First published online: 20 July 2020 Gesehen am 21.10.2021 |
| Physical Description: | Online Resource |
| ISSN: | 1469-8978 |
| DOI: | 10.1017/S0033291720002433 |