ABSTRACT

Background

Many individuals have positive experiences of voice-hearing (VH). However, current assessment tools do not capture positive aspects of VH as comprehensively as they do negative aspects. This may limit assessment and formulation of VH when people seek support from mental health services. Our review question was therefore:- ‘Do voice-hearing assessment measures capture the positive experiences of individuals, and to what extent?’

Method

We conducted a systematic review of assessment measures which included at least one item on VH. We developed a novel framework to define “positive VH experiences”, which was co-produced by clinical experts in psychosis and people with VH experiences. This framework was then used to identify and map items relating to positive aspects of VH.

Results

Thirty-three measures were identified, of which twenty incorporated positive VH experiences. Measures published within the last decade (2009-2019) captured a greater number and diversity of positive VH experiences, compared to measures published prior to 2009. Items relating to the function/intention of voices and the emotional impact, were most commonly identified.

Discussion

Results suggest that research perceptions around VH are broadening and the nuances of experiences are increasingly considered alongside everyday and positive psychological functioning. Implications for both services and voice-hearers are discussed in the paper.

中文翻译：

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听力评估措施是否捕捉到个人的积极体验，在多大程度上？对已发表的评估措施的系统评价

摘要

背景

许多人对听力（VH）有积极的体验。然而，目前的评估工具并没有像捕捉消极方面那样全面地捕捉 VH 的积极方面。当人们寻求心理健康服务的支持时，这可能会限制 VH 的评估和制定。因此，我们的审查问题是：“听力评估措施是否捕捉到了个人的积极体验，以及在多大程度上？”

方法

我们对评估措施进行了系统评价，其中至少包括一项关于 VH 的项目。我们开发了一个新的框架来定义“积极的 VH 体验”，该框架由精神病临床专家和有 VH 经历的人共同制作。然后使用该框架来识别和映射与 VH 积极方面相关的项目。

结果

确定了 33 项措施，其中 20 项纳入了积极的 VH 体验。与 2009 年之前发布的衡量标准相比，过去十年（2009-2019 年）发布的衡量标准捕获了更多和多样化的积极 VH 体验。与声音的功能/意图和情感影响相关的项目是最常见的。

讨论

结果表明，围绕 VH 的研究认知正在扩大，体验的细微差别越来越多地与日常和积极的心理功能一起考虑。本文讨论了对服务和语音听众的影响。