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It's not what you hear, it's the way you think about it: appraisals as determinants of affect and behaviour in voice hearers

Published online by Cambridge University Press:  25 November 2011

E. R. Peters ,
S. L. Williams ,
M. A. Cooke  and
E. Kuipers
E. R. Peters*
Affiliation:
Department of Psychology, King's College London, Institute of Psychiatry, London, UK
S. L. Williams
Affiliation:
Department of Psychology, King's College London, Institute of Psychiatry, London, UK
M. A. Cooke
Affiliation:
Department of Psychology, King's College London, Institute of Psychiatry, London, UK
E. Kuipers
Affiliation:
Department of Psychology, King's College London, Institute of Psychiatry, London, UK
*
*Address for correspondence: Dr E. R. Peters, Department of Psychology, PO Box 77, Institute of Psychiatry, Henry Wellcome Building, De Crespigny Park, London SE5 8AF, UK. (Email: emmanuelle.peters@kcl.ac.uk)
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Abstract

Background

Previous studies have suggested that beliefs about voices mediate the relationship between actual voice experience and behavioural and affective response.

Method

We investigated beliefs about voice power (omnipotence), voice intent (malevolence/benevolence) and emotional and behavioural response (resistance/engagement) using the Beliefs About Voices Questionnaire – Revised (BAVQ-R) in 46 voice hearers. Distress was assessed using a wide range of measures: voice-related distress, depression, anxiety, self-esteem and suicidal ideation. Voice topography was assessed using measures of voice severity, frequency and intensity. We predicted that beliefs about voices would show a stronger association with distress than voice topography.

Results

Omnipotence had the strongest associations with all measures of distress included in the study whereas malevolence was related to resistance, and benevolence to engagement. As predicted, voice severity, frequency and intensity were not related to distress once beliefs were accounted for.

Conclusions

These results concur with previous findings that beliefs about voice power are key determinants of distress in voice hearers, and should be targeted specifically in psychological interventions.

Keywords

Auditory hallucinationsbeliefs about voicespsychosis
Type
Original Articles
Information
Psychological Medicine , Volume 42 , Issue 7 , July 2012 , pp. 1507 - 1514
Copyright
Copyright © Cambridge University Press 2011

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