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Published Online:https://doi.org/10.1026/0012-1924.55.1.29

Zusammenfassung. Die hohe Prävalenz wahnähnlicher Überzeugungen und halluzinatorischen Erlebens in der Bevölkerung erfordert spezifische Selbstbeurteilungsskalen, die diese subklinischen Phänomene abbilden. In der vorliegenden Untersuchung werden Reliabilität und Validität deutschsprachiger Adaptationen des Peters et al. Delusions Inventory (Peters, Joseph & Garety, 1999b) sowie der Launay-Slade Hallucination Scale (Launay & Slade, 1981) an einer in Bezug auf Alter, Geschlecht und Bildungsstand annähernd repräsentativen Stichprobe aus der Normalbevölkerung (n = 359) und einer Stichprobe von Personen mit Schizophrenie (n = 54) untersucht. Beide Skalen weisen eine gute interne Konsistenz sowie hinreichende Kriteriums- und Konstruktvalidität auf. Trotz der Eignung der Skalen zur Differenzierung zwischen Personen mit und Personen ohne Schizophrenie zeigte sich, dass die Items zu wahnähnlichen Überzeugungen und halluzinatorischem Erleben auch in der Bevölkerungsstichprobe in relevanten Ausmaßen bejaht wurden. Weiterhin zeigte sich, dass halluzinatorische Erlebnisse und wahnähnliche Überzeugungen in der Bevölkerung mit erhöhtem psychischen Leidensdruck einhergehen.


An assessment of delusional ideation and hallucination in the general population: German adaptations of the Peters et al. Delusions Inventory (PDI) and the Launay-Slade Hallucination Scale (LSHS-R)

Abstract. Due to the high prevalence of delusional ideation and hallucinatory experiences in the general population there is a need for specific self-rating scales to investigate these subclinical phenomena. In the present study the reliability and validity of the German version of the Peters et al. Delusions Inventory (Peters et al., 1999b) and the Launay-Slade Hallucination Scale (Launay & Slade, 1981) are examined in a population sample that reflects the general population in age, education, and gender (n = 359), and in a sample of persons diagnosed with schizophrenia (n = 54). Both scales showed good internal consistency as well as sufficient criterion and construct validity. Although the scales were useful in distinguishing persons with from persons without schizophrenia, a substantial proportion of persons from the normal population sample endorsed the items assessing delusional ideation and hallucinatory experiences. Moreover, hallucinatory experiences and delusional ideation in the general population were found to be associated with increased psychological distress.

Literatur

  • Aleman, A. , Nieuwenstein, M. , Böcker, K. B. E. , De Haan, E. H. F. (2001). Multidimensionality of hallucinatory predisposition: Factor structure of the Launay-Slade Hallucination Scale in a normal sample. Personality and Individual Differences, 30, 287–292. First citation in articleCrossrefGoogle Scholar

  • Andreasen, N. C. , Flaum, M. (1991). Schizophrenia: The characteristic symptoms. Schizophrenia Bulletin, 17, 27–49. First citation in articleCrossrefGoogle Scholar

  • American Psychiatric Association . (1994). Diagnostic and Statistical Manual of Mental Disorders (4. Aufl.). Washington, DC: American Psychiatric Association. First citation in articleGoogle Scholar

  • Arguedas, D. , Green, M. J. , Langdon, R. , Coltheart, M. (2006). Selective attention to threatening faces in delusion-prone individuals. Cognitive Neuropsychiatry, 11, 557–575. First citation in articleCrossrefGoogle Scholar

  • Bentall, R. , Slade, P.D. (1985). Reliability of a scale measuring disposition towards hallucination: A brief report. Personality and Individual Differences, 6, 527–529. First citation in articleCrossrefGoogle Scholar

  • Bortz, J. , Döring, N. (2002). Forschungsmethoden und Evaluation (3. Aufl.). Heidelberg: Springer. First citation in articleCrossrefGoogle Scholar

  • Brugha, T. , Singleton, N. , Meltzer, H. , Bebbington, P. , Farrell, M. , Jenkins, R. , Coid, J. , Fryers, T. , Melzer, D. , Lewis, G. (2005). Psychosis in the community and in prisons: A report from the British National Survey of Psychiatric Morbidity. American Journal of Psychiatry, 162, 774–780. First citation in articleCrossrefGoogle Scholar

  • Derogatis, L. R. (1993). Brief Symptom Inventory (BSI). Administration, Scoring and Procedures Manual (3. Aufl.). Minneapolis: National Computer Services. First citation in articleGoogle Scholar

  • Dilling, H. , Mombour, W. , Schmidt, M. H. (2000). Internationale Klassifikation psychischer Störungen. ICD-10, Kapitel V (F) (2. Aufl.). Bern: Huber. First citation in articleGoogle Scholar

  • Eaton, W. W. , Romanoski, A. , Anthony, J. C. , Nestadt, G. (1991). Screening for psychosis in the general population with a self-report interview. Journal of Nervous and Mental Disease, 179, 689–693. First citation in articleCrossrefGoogle Scholar

  • Franke, G. H. (2000). Brief Symptom Inventory von Derogatis. Kurzform der SCL-90-R (BSI). Göttingen: Beltz. First citation in articleGoogle Scholar

  • Freeman, D. (2006). Delusions in the nonclinical population. Current Psychiatry Reports, 8, 191–204. First citation in articleCrossrefGoogle Scholar

  • Freeman, D. , Garety, P. A. , Bebbington, P. E. , Smith, B. , Rollinson, R. , Fowler, D. , Kuipers, E. , Ray, K. , Dunn, G. (2005). Psychological investigation of the structure of paranoia in a non-clinical population. British Journal of Psychiatry, 186, 427–435. First citation in articleCrossrefGoogle Scholar

  • Gallup, G. H. , Newport, F. (1991). Belief in paranormal phenomena among adult Americans. Skeptical Inquirer, 15, 137–146. First citation in articleGoogle Scholar

  • Hanssen, M. , Bak, M. , Bijl, R. V. , Vollebergh, W. , van Os, J. (2005). The incidence and outcome of subclinical psychotic experiences in the general population. British Journal of Clinical Psychology, 44, 181–191. First citation in articleCrossrefGoogle Scholar

  • Hanssen, M. , Krabbendam, L. , Vollema, M. , Delespaul, P. , van Os, J. (2006). Evidence for instrument and family-specific variation of subclinical psychosis dimensions in the general population. Journal of Abnormal Psychology, 115, 5–14. First citation in articleCrossrefGoogle Scholar

  • Hanssen, M. S. S. , Bijl, R. V. , Vollebergh, W. , Van Os, J. (2003). Self-reported psychotic experiences in the general population: A valid screening tool for DSM-III-R psychotic disorders? Acta Psychiatrica Scandinavica, 107, 369–377. First citation in articleCrossrefGoogle Scholar

  • Johns, L. C. , Cannon, M. , Singleton, N. , Murray, R. M. , Farrell, M. , Brugha, T. , Bebbington, P. , Jenkins, R. , Meltzer, H. (2004). Prevalence and correlates of self-reported psychotic symptoms in the British population. British Journal of Psychiatry, 185, 298–305. First citation in articleCrossrefGoogle Scholar

  • Johns, L. C. , van Os, J. (2001). The continuity of psychotic experiences in the general population. Clinical Psychology Review, 21, 1125–1141. First citation in articleCrossrefGoogle Scholar

  • King, M. , Nazroo, J. , Weich, S. , McKenzie, K. , Bhui, K. , Karlson, S. , Stansfeld, S. , Tyrer, P. , Blanchard, M. , Lloyd, K. , McManus, S. , Sproston, K. , Erens, B. (2005). Psychotic symptoms in the general population in England. A comparison of ethnic groups (The EMPIRIC study). Social Psychiatry and Psychiatric Epidemiology, 40, 375–381. First citation in articleCrossrefGoogle Scholar

  • Larøi, F. , Collignon, O. , Van der Linden, M. (2005). Source monitoring for actions in hallucination proneness. Cognitive Neuropsychiatry, 10, 105–123. First citation in articleCrossrefGoogle Scholar

  • Larøi, F. , DeFruyt, F. , van Os, J. , Aleman, A. , Van der Linden, M. (2005). Associations between hallucinations and personality structure in a non-clinical sample: Comparison between young and elderly samples. Personality and Individual Differences, 39, 189–200. First citation in articleCrossrefGoogle Scholar

  • Larøi, F. , Van der Linden, M. (2005). Metacognitions in proneness towards hallucinations and delusions. Behaviour Research and Therapy, 43, 1425–1441. First citation in articleCrossrefGoogle Scholar

  • Larøi, F. , Van der Linden, M. , DeFruyt, F. , van Os, J. , Aleman, A. (2006). Associations between delusion proneness and personality structure in non-clinical participants: Comparison between young and elderly samples. Psychopathology, 39, 218–226. First citation in articleCrossrefGoogle Scholar

  • Larøi, F. , Olivier, C. , Van der Linden, M. (2005). Source monitoring for actions in hallucination proneness. Cognitive Neuropsychiatry, 10 (2), 105–123. First citation in articleCrossrefGoogle Scholar

  • Launay, G. , Slade, P. (1981). The measurement of hallucinatory predisposition in male and female prisoners. Personality and Individual Differences, 2, 221–234. First citation in articleCrossrefGoogle Scholar

  • Levitan, C. , Ward, P. B. , Catts, S. V. , Hemsley, D. R. (1996). Predisposition towards auditory hallucinations: The utility of the Launay-Slade Hallucination Scale in psychiatric patients. Personality and Individual Differences, 21, 287–289. First citation in articleCrossrefGoogle Scholar

  • Lincoln, T. , Rief, W. (2007). Kognitive Verhaltenstherapie von Wahn und Halluzinationen: Eine kritische Bewertung der Übereinstimung von Grundlagenbefunden und Interventionen. Zeitschrift für Klinische Psychologie und Psychotherapie, 36, 164–175. First citation in articleLinkGoogle Scholar

  • McGovern, J. , Turkington, D. (2001). ’Seeing the Wood from the trees’: A continuum model of psychopathology advocating cognitive behaviour therapy for schizophrenia. Clinical Psychology and Psychotherapy, 8, 149–175. First citation in articleCrossrefGoogle Scholar

  • Ohayon, M. M. (2000). Prevalence of hallucinations and their pathological associations in the general population. Psychiatry Research, 97, 153–164. First citation in articleCrossrefGoogle Scholar

  • Peters, E. , Day, S. , Mckenna, J. , Orbach, G. (1999a). Delusional ideation in religious and psychotic populations. British Journal of Clinical Psychology, 38, 83–96. First citation in articleCrossrefGoogle Scholar

  • Peters, E. , Garety, P. (2006). Cognitive functioning in delusions: A longitudinal analysis. Behaviour Research and Therapy, 44, 481–514. First citation in articleCrossrefGoogle Scholar

  • Peters, E. , Joseph, S. , Day, S. , Garety, P. A. (2004). Measuring Delusional Ideation: The 21-Item Peters et al. Delusions Inventory. Schizophrenia Bulletin, 30, 1005–1022. First citation in articleCrossrefGoogle Scholar

  • Peters, E. R. , Joseph, S. A. , Garety, P. A. (1999b). Measurement of delusional ideation in the normal population: Introducing the PDI (Peters et al. Delusions Inventory). Schizophrenia Bulletin, 25, 553–576. First citation in articleCrossrefGoogle Scholar

  • Preti, A. , Sardu, C. , Piga, A. (2007). Mixed-handedness is associated with the reporting of psychotic-like beliefs in a non-clinical Italian sample. Schizophrenia Research, 92, 15–23. First citation in articleCrossrefGoogle Scholar

  • Raine, A. (1991). The SPQ: A scale for assessment of schizotypal personality based on DSM-III-R criteria. Schizophrenia Bulletin, 17, 555–565. First citation in articleCrossrefGoogle Scholar

  • Saß, H. , Jünemann, K. (2001). Zur ätiologischen Stellung und Therapie der schizoiden und schizotypischen Persönlichkeitsstörung. Fortschritte Neurologie und Psychiatrie, 69, 120–126. First citation in articleCrossrefGoogle Scholar

  • Saß, H. , Wittchen, H.-U. , Zaudig, M. , Houben, I. (2003). Diagnostisches und Statistisches Manual Psychischer Störungen. Textrevision. DSM-IV-TR. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Statistisches Bundesamt . (2004). Statistisches Jahrbuch: Bildung und Wissenschaft. Ergebnisse einer Befragung über die nationale Verteilung von Geschlecht, Alter und Bidungsstand in Deutschland für das Jahr 2003, S. 121. First citation in articleGoogle Scholar

  • Stirling, J. , Barkus, E. , Lewis, S. (2007). Hallucination proneness, schizotypy and meta-cognition. Behaviour Research and Therapy, 45, 1401–1408. First citation in articleCrossrefGoogle Scholar

  • Strauss, J. S. (1969). Hallucinations and delusions as points on continua function. Archives of General Psychiatry, 21, 581–586. First citation in articleCrossrefGoogle Scholar

  • Tien, A. Y. (1991). Distribution of hallucinations in the population. Social Psychiatry and Psychiatric Epidemiology, 26, 287–292. First citation in articleCrossrefGoogle Scholar

  • Van Os, J. , Hanssen, M. , Bijl, R. V. , Ravelli, A. (2000). Strauss (1969) revisited: A psychosis continuum in the general population? Schizophrenia Research, 45, 11–20. First citation in articleCrossrefGoogle Scholar

  • Venables, P. , Bailes, K. (1994). The structure of schizotypy, its relation to subdiagnoses of schizophrenia and to sex and age. British Journal of Clinical Psychology, 33, 277–294. First citation in articleCrossrefGoogle Scholar

  • Verdoux, H. , Maurice-Tison, S. , Gay, B. , van Os, J. , Salamon, R. , Bourgeois, M. L. (1998a). A survey of delusional ideation in primary care patients. Psychological Medicine, 28. First citation in articleCrossrefGoogle Scholar

  • Verdoux, H. , van Os, J. , Maurice-Tison, S. , Gay, B. , Salamon, R. , Bourgeois, M. L. (1998b). Is early adulthood a critical development stage for psychosis proneness? A survey of delusional ideation in normal subjects. Schizophrenia Research, 29, 247–254. First citation in articleCrossrefGoogle Scholar

  • Waters, F. A. V. , Badcock, J. C. , Maybery, M. T. (2003). Revision of the factor structure of the Launay-Slade Hallucination Scale (LSHS-R). Personality and Individual Differences, 35, 1351–1357. First citation in articleCrossrefGoogle Scholar