PMID- 21545448 OWN - NLM STAT- MEDLINE DCOM- 20110906 LR - 20161020 IS - 0144-6657 (Print) IS - 0144-6657 (Linking) VI - 50 IP - 2 DP - 2011 Jun TI - Clinical correlates of olfactory hallucinations in schizophrenia. PG - 145-63 LID - 10.1348/014466510X500837 [doi] AB - OBJECTIVES. Olfactory hallucinations (OHs) are underrepresented in conventional clinical instruments, infrequently researched, and poorly understood. To advance understanding of OHs, we examined their past-month prevalence and co-occurring symptoms in two datasets. DESIGN. One dataset comprised categorical codes and was examined using homogeneity analysis and logistic regression; the other dataset comprised numeric ratings and was examined using principal components analyses and linear regression. METHOD. The two datasets included: (1) 962 cases with Present State Examination - 9th Edition (PSE-9), codes (recoded present/absent) from the World Health Organization 10 Country (WHO-10) Study and (2) 265 cases with ratings on Scales for Assessing Positive/Negative Symptoms of Schizophrenia (SAPS/SANS). Two PSE-9 items (external- and self-smells) were recoded into a single OH item to examine consistency with the SAPS/SANS dataset, which contained a single OH item. RESULTS. Prevalence of OHs and hallucinations in other modalities differed according to the WHO-10 international centre. Across centres, OHs were present in 13% of the WHO-10 dataset, similar to the 17% prevalence rate in the SAPS/SANS dataset. Referential/control delusions and other hallucinations (particularly, somatic/tactile/gustatory hallucinations) were significant independent correlates of OHs in both datasets. OHs also co-occurred with social anxiety and depression in the WHO-10 dataset, with self-smells being particularly associated with self-depreciation. CONCLUSIONS. Sociocultural factors may modulate the self-reporting and/or detection of OHs and hallucinations in other modalities. Referential/control delusions promote the generation and/or maintenance of OHs independent of factors shared with other hallucinations. OHs and hallucinations of taste, touch, and bodily sensation frequently co-occur. Self-smells warrant sensitive probing. CI - (c)2010 The British Psychological Society. FAU - Langdon, Robyn AU - Langdon R AD - Macquarie Centre for Cognitive Science, Macquarie University, Sydney, New South Wales, Australia. FAU - McGuire, Jonathan AU - McGuire J FAU - Stevenson, Richard AU - Stevenson R FAU - Catts, Stanley V AU - Catts SV LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110223 PL - England TA - Br J Clin Psychol JT - The British journal of clinical psychology JID - 8105533 SB - IM MH - Adolescent MH - Adult MH - Anxiety Disorders/diagnosis/epidemiology/psychology MH - Chronic Disease MH - Comorbidity MH - Cross-Cultural Comparison MH - Cross-Sectional Studies MH - Delusions/diagnosis/epidemiology/psychology MH - Depressive Disorder/diagnosis/epidemiology/psychology MH - Female MH - Hallucinations/*diagnosis/epidemiology/*psychology MH - Humans MH - Male MH - Mental Status Schedule/statistics & numerical data MH - Middle Aged MH - Phobic Disorders/diagnosis/epidemiology/psychology MH - Psychiatric Status Rating Scales/statistics & numerical data MH - Psychometrics/statistics & numerical data MH - Reproducibility of Results MH - Schizophrenia/*diagnosis/epidemiology MH - *Schizophrenic Psychology MH - Self Concept MH - *Smell MH - World Health Organization MH - Young Adult EDAT- 2011/05/07 06:00 MHDA- 2011/09/07 06:00 CRDT- 2011/05/07 06:00 PHST- 2011/05/07 06:00 [entrez] PHST- 2011/05/07 06:00 [pubmed] PHST- 2011/09/07 06:00 [medline] AID - 10.1348/014466510X500837 [doi] PST - ppublish SO - Br J Clin Psychol. 2011 Jun;50(2):145-63. doi: 10.1348/014466510X500837. Epub 2011 Feb 23.