Hallucinations in Hearing Impairment: How Informed Are Clinicians?

Autor:	Marschall TM; Department of Biomedical Sciences of Cells and Systems, University Medical Center Groningen, Groningen, The Netherlands.; Graduate School of Medical Sciences (Research School of Behavioral and Cognitive Neurosciences), University of Groningen, Groningen, The Netherlands., van Dijk P; Graduate School of Medical Sciences (Research School of Behavioral and Cognitive Neurosciences), University of Groningen, Groningen, The Netherlands.; Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, Groningen, The Netherlands., Kluk K; Manchester Centre for Audiology and Deafness, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK., Koops S; Department of Biomedical Sciences of Cells and Systems, University Medical Center Groningen, Groningen, The Netherlands.; Graduate School of Medical Sciences (Research School of Behavioral and Cognitive Neurosciences), University of Groningen, Groningen, The Netherlands., Linszen MMJ; Graduate School of Medical Sciences (Research School of Behavioral and Cognitive Neurosciences), University of Groningen, Groningen, The Netherlands.; Department of Psychiatry, University Medical Center Groningen, Groningen, The Netherlands., Griffiths TD; Newcastle University Medical School, Newcastle upon Tyne, UK.; Wellcome Trust Centre for Neuroimaging, University College London, London, UK.; Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA., Toh WL; Centre for Mental Health, Swinburne University of Technology, Melbourne, Victoria, Australia.; Department of Psychiatry, Alfred Health, Melbourne, Victoria, Australia., Malicka AN; School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia., Kovačić D; Faculty of Science, Department of Physics, Laboratory for Biophysics and Medical Neuroelectronics, University of Split, Split, Croatia.; The Center of Research Excellence for Science and Technology Integrating Mediterranean region (STIM), University of Split, Split, Croatia., Mulert C; Center of Psychiatry, Justus-Liebig University, Giessen, Germany., Sommer IEC; Department of Biomedical Sciences of Cells and Systems, University Medical Center Groningen, Groningen, The Netherlands.; Graduate School of Medical Sciences (Research School of Behavioral and Cognitive Neurosciences), University of Groningen, Groningen, The Netherlands., Ćurčić-Blake B; Department of Biomedical Sciences of Cells and Systems, University Medical Center Groningen, Groningen, The Netherlands.; Graduate School of Medical Sciences (Research School of Behavioral and Cognitive Neurosciences), University of Groningen, Groningen, The Netherlands.
Jazyk:	angličtina
Zdroj:	Schizophrenia bulletin [Schizophr Bull] 2023 Feb 24; Vol. 49 (12 Suppl 2), pp. S33-S40.
DOI:	10.1093/schbul/sbac034
Abstrakt:	Background and Hypothesis: Patients with hearing impairment (HI) may experience hearing sounds without external sources, ranging from random meaningless noises (tinnitus) to music and other auditory hallucinations (AHs) with meaningful qualities. To ensure appropriate assessment and management, clinicians need to be aware of these phenomena. However, sensory impairment studies have shown that such clinical awareness is low. Study Design: An online survey was conducted investigating awareness of AHs among clinicians and their opinions about these hallucinations. Study Results: In total, 125 clinicians (68.8% audiologists; 18.4% Ear-Nose-Throat [ENT] specialists) across 10 countries participated in the survey. The majority (96.8%) was at least slightly aware of AHs in HI. About 69.6% of participants reported encountering patients with AHs less than once every 6 months in their clinic. Awareness was significantly associated with clinicians' belief that patients feel anxious about their hallucinations (β = .018, t(118) = 2.47, P < .01), their belief that clinicians should be more aware of these hallucinations (β =.018, t(118) = 2.60, P < .01), and with confidence of clinicians in their skills to assess them (β = .017, t(118) = 2.63, P < .01). Clinicians felt underequipped to treat AHs (Median = 31; U = 1838; PFDRadj < .01). Conclusions: Awareness of AHs among the surveyed clinicians was high. Yet, the low frequency of encounters with hallucinating patients and their belief in music as the most commonly perceived sound suggest unreported cases. Clinicians in this study expressed a lack of confidence regarding the assessment and treatment of AHs and welcome more information. (© The Author(s) 2023. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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