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The associations of stress, pleasure and emotion to voice‐hearing: An ecological momentary assessment study.

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Title: The associations of stress, pleasure and emotion to voice‐hearing: An ecological momentary assessment study.
Authors: Cusworth, Kelly (AUTHOR), Cartner, Sharla (AUTHOR), Paulik, Georgie (AUTHOR), Thomas, Neil (AUTHOR), Campitelli, Guillermo (AUTHOR), Mathersul, Danielle C. (AUTHOR)
Source: Psychology & Psychotherapy: Theory, Research & Practice. Dec2025, Vol. 98 Issue 4, p918-933. 16p.
Subjects: Risk assessment, Word deafness, Pleasure, Research funding, Questionnaires, Emotions, Descriptive statistics, Hallucinations, Odds ratio, Psychological stress, Analysis of variance, Psychological tests, Confidence intervals, Pathological psychology, Disease risk factors
Abstract: Background: Negative emotions and stress are theorised to play a role in the onset and maintenance of voice‐hearing experiences. However, previous research has not explored these temporal relationships in daily life using differentiated psychological constructs. Aim: Using ecological momentary assessment, this study examined the moment‐to‐moment relationships between negative and positive emotion valence and intensity, stressful and pleasurable events, and voice‐hearing onset. Materials & Methods: Forty voice‐hearers completed seven days of smartphone‐based surveys, rating their emotions and their intensity, perceived stress and pleasure of life events, and presence of voice‐hearing. Results: Multilevel modelling showed that stressful events, but not pleasurable events, were significantly predictive of voice‐hearing, both concurrently and in the next time point. Neither negative nor positive emotion intensity predicted voice‐hearing, nor did they moderate the relationship between voice‐hearing onset and stressful or pleasurable events, respectively. Discussion: These findings suggest that factors which differentiate perception of stressful events from self‐reported negative emotions may be useful intervention targets, such as mitigating prolonged external stressors, reducing sensitivity to external stressors and targeting negative perceptions or resistance to these stressors. Conclusion: Clinically, our findings underscore the relevance of stress and a negative perception of externally oriented events, with further research needed to explore useful interventions for targeting these mechanisms. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The associations of stress, pleasure and emotion to voice‐hearing: An ecological momentary assessment study.
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  Data: <searchLink fieldCode="AR" term="%22Cusworth%2C+Kelly%22">Cusworth, Kelly</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cartner%2C+Sharla%22">Cartner, Sharla</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Paulik%2C+Georgie%22">Paulik, Georgie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thomas%2C+Neil%22">Thomas, Neil</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Campitelli%2C+Guillermo%22">Campitelli, Guillermo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mathersul%2C+Danielle+C%2E%22">Mathersul, Danielle C.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Psychotherapy%3A+Theory%2C+Research+%26+Practice%22">Psychology & Psychotherapy: Theory, Research & Practice</searchLink>. Dec2025, Vol. 98 Issue 4, p918-933. 16p.
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  Data: <searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Word+deafness%22">Word deafness</searchLink><br /><searchLink fieldCode="DE" term="%22Pleasure%22">Pleasure</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Hallucinations%22">Hallucinations</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Negative emotions and stress are theorised to play a role in the onset and maintenance of voice‐hearing experiences. However, previous research has not explored these temporal relationships in daily life using differentiated psychological constructs. Aim: Using ecological momentary assessment, this study examined the moment‐to‐moment relationships between negative and positive emotion valence and intensity, stressful and pleasurable events, and voice‐hearing onset. Materials & Methods: Forty voice‐hearers completed seven days of smartphone‐based surveys, rating their emotions and their intensity, perceived stress and pleasure of life events, and presence of voice‐hearing. Results: Multilevel modelling showed that stressful events, but not pleasurable events, were significantly predictive of voice‐hearing, both concurrently and in the next time point. Neither negative nor positive emotion intensity predicted voice‐hearing, nor did they moderate the relationship between voice‐hearing onset and stressful or pleasurable events, respectively. Discussion: These findings suggest that factors which differentiate perception of stressful events from self‐reported negative emotions may be useful intervention targets, such as mitigating prolonged external stressors, reducing sensitivity to external stressors and targeting negative perceptions or resistance to these stressors. Conclusion: Clinically, our findings underscore the relevance of stress and a negative perception of externally oriented events, with further research needed to explore useful interventions for targeting these mechanisms. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=189332905
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        Value: 10.1111/papt.12598
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 16
        StartPage: 918
    Subjects:
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Word deafness
        Type: general
      – SubjectFull: Pleasure
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Hallucinations
        Type: general
      – SubjectFull: Odds ratio
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      – SubjectFull: Psychological stress
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      – SubjectFull: Analysis of variance
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      – SubjectFull: Psychological tests
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Pathological psychology
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      – SubjectFull: Disease risk factors
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    Titles:
      – TitleFull: The associations of stress, pleasure and emotion to voice‐hearing: An ecological momentary assessment study.
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              M: 12
              Text: Dec2025
              Type: published
              Y: 2025
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