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Articles

A look into hallucinations: the relationship between visual imagery and hallucinations in Alzheimer's disease

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Pages 275-283 | Received 15 Feb 2019, Accepted 10 Jun 2019, Published online: 19 Jun 2019
 

ABSTRACT

Introduction: We investigated the relationship between visual hallucinations and vividness of visual imagery in patients with Alzheimer's disease (AD).

Method: We recruited 28 patients with AD and 30 healthy control participants, matched for age and education. We evaluated proneness towards hallucinations with the Launay–Slade Hallucinations Scale, which includes items assessing visual and auditory hallucinations. We also evaluated vividness of visual imagery with the Vividness of Visual Imagery Questionnaire on which participants had to imagine four images (i.e., imagining the face of a friend, the rising sun, a familiar shop-front, and a country scene) and report the vividness of the images they generated.

Results: Analysis demonstrated significant positive correlations between visual hallucinations and vividness of visual imagery in AD patients, however, no significant correlations were observed between auditory hallucinations and vividness of visual imagery in these participants. No significant correlations were observed between hallucinations and vividness of visual imagery in healthy control participants, probably due to the lack of hallucinations in these participants.

Discussion: These results demonstrate a selective relationship between the occurrence of visual (but not auditory) hallucinations and the ability to generate vivid visual images in AD.

Acknowledgments

Pr. El Haj was supported by the LABEX (excellence laboratory, programme investment for the future) DISTALZ (Development of Innovative Strategies for a Transdisciplinary approach to Alzheimer disease) and the EU Interreg 2 Seas Programme 2014–2020 (co-funded by the European Regional Development Fund).

Disclosure statement

No potential conflict of interest was reported by the authors.

ORCID

Johanna C. Badcock http://orcid.org/0000-0003-4629-2929

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