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Distress, omnipotence, and responsibility beliefs in command hallucinations

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Ellett, Lyn, Luzon, Olga, Birchwood, M. J., Abbas, Zarina, Harris, Abi and Chadwick, Paul (2017) Distress, omnipotence, and responsibility beliefs in command hallucinations. British Journal of Clinical Psychology, 56 (3). pp. 303-309. doi:10.1111/bjc.12139 ISSN 0144-6657.

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Official URL: https://doi.org/10.1111/bjc.12139

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Abstract

Objectives
Command hallucinations are considered to be one of the most distressing and disturbing symptoms of schizophrenia. Building on earlier studies, we compare key attributes in the symptomatic, affective, and cognitive profiles of people diagnosed with schizophrenia and hearing voices that do (n = 77) or do not (n = 74) give commands.

Methods
The study employed a cross‐sectional design, in which we assessed voice severity, distress and control (PSYRATs), anxiety and depression (HADS), beliefs about voices (BAVQ‐R), and responsibility beliefs (RIQ). Clinical and demographic variables were also collected.

Results
Command hallucinations were found to be more distressing and controlling, perceived as more omnipotent and malevolent, linked to higher anxiety and depression, and resisted more than hallucinations without commands. Commanding voices were also associated with higher conviction ratings for being personally responsible for preventing harm.

Conclusions
The findings suggest key differences in the affective and cognitive profiles of people who hear commanding voices, which have important implications for theory and psychological interventions.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Auditory hallucinations, Schizophrenia, Cognitive therapy, Auditory hallucinations -- Treatment -- Case studies
Journal or Publication Title: British Journal of Clinical Psychology
Publisher: Wiley-Blackwell
ISSN: 0144-6657
Official Date: September 2017
Dates:
DateEvent
September 2017Published
11 May 2017Available
Volume: 56
Number: 3
Page Range: pp. 303-309
DOI: 10.1111/bjc.12139
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): ** From Crossref via Jisc Publications Router. ** Licence for this article starting on 11-05-2017: http://onlinelibrary.wiley.com/termsAndConditions
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 9 April 2018
Date of first compliant Open Access: 9 April 2018

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