Auditory hallucinations in pre-pubertal children. A one-year follow-up, preliminary findings.
BACKGROUND
The aims of this study were to describe the phenomenology of auditory hallucinations in children, to establish links with DSM IV diagnoses and to explore development of the hallucinations over a 12-month period.


METHODS
Outpatients aged 5- to 12-year-old were consecutively recruited. They were interviewed using a questionnaire investigating auditory hallucinations. DSM IV diagnoses were determined. Follow-up assessments were performed at 3, 6, 9 and 12 months.


RESULTS
Ninety children were recruited. Sixteen reported auditory hallucinations. In 53% we observed children's full recovery from hallucinations within 3 months and all of these suffered from anxiety disorders. In 30% hallucinations persisted over 12 months and all showed conduct disorders at this point in time. None was diagnosed as having schizophrenia.


CONCLUSIONS
Our study provides further evidence of the high prevalence of auditory hallucinations in pre-pubertal children presenting to psychiatric clinics. Two different patterns of development were seen. In one group the hallucinations seem unrelated to psychosis although they may be a manifestation of anxiety. In the second, much smaller, persistence of hallucinations appeared linked to conduct disorders.
Askenazy
Florence L
FL
Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent Fondation LENVAL, 57 avenue de la Californie, 06200 Nice, France. florence.askenazy@lenval.com
Lestideau
Karine
K
Meynadier
Anne
A
Dor
Emmanuelle
E
Myquel
Martine
M
Lecrubier
Yves
Y
D002648:Child; D002675:Child, Preschool; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005500:Follow-Up Studies; D006212:Hallucinations / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D008297:Male; D012559:Schizophrenia / Q000175:diagnosis* / Q000453:epidemiology*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires