Although studies have identified several risk factors for the development of psychotic disorders, potential protective factors – such as resilience – have rarely been examined. Studies suggest that the negative beliefs people hold about their Auditory Hallucinations (AH) may be an indicator of a need for care. However, the reason why certain people do not develop negative beliefs is unclear but may be related to resilience.

The present study aimed to examine the role of resilience in AH by comparing psychotic patients with AH, non-patients with AH, and healthy controls without AH. Another aim was to explore whether resilience is related to the beliefs people hold about their AH.

Results revealed that patients with AH and non-patients with AH had similarly weak interpersonal resilience factors compared to healthy controls without AH. In contrast, patients with AH showed weak personal factors of resilience compared to both non-patients with AH and healthy controls without AH. Patients with AH had more negative and fewer positive beliefs about their AH than non-patients with AH. Finally, the personal factors of resilience were related to the beliefs about AH.

These results showed that personal factors of resilience are decisive variables influencing the need for care in people experiencing AH and thus represent an important treatment target.

尽管研究已经确定了导致精神病的几种危险因素，但很少检查潜在的保护性因素，例如韧性。研究表明，人们对听觉幻觉（AH）持有的消极信念可能表明需要照料。但是，某些人没有形成消极信念的原因尚不清楚，但可能与复原力有关。

本研究旨在通过比较患有AH的精神病患者，患有AH的非患者以及未患有AH的健康对照者，来研究适应力在AH中的作用。另一个目的是探讨韧性是否与人们对AH的信念有关。

结果显示，与没有AH的健康对照组相比，患有AH的患者和没有AH的患者具有较弱的人际弹性。相反，与没有AH的非患者和没有AH的健康对照相比，患有AH的患者显示出较弱的个人恢复力。与非AH患者相比，AH患者对其AH的消极信念和积极信念更少。最后，个人的韧性因素与对AH的信念有关。

这些结果表明，个人的适应力因素是影响AH患者护理需求的决定性变量，因此代表了重要的治疗目标。