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The impact of religiosity, anxiety and depression on proneness to auditory hallucinations in healthy individuals.

Chiara Lucafò, Irene Ceccato, Gianluca Malatesta, Rocco Palumbo, Nicola Mammarella, Alberto Di Domenico, Luca Tommasi, Giulia Prete

BJPsych Open July 22, 2025 DOI: 10.1192/bjo.2025.10775 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational survey (cross-sectional questionnaire study) Peer reviewed
Sample size 680
Population Non-clinical respondents (general population sample)
Topics Anxiety Depression
Keywords Religiosity Auditory hallucinations Voice hearing
Key findings A five-step regression model explained 31% of the variance in proneness to auditory hallucinations, with demographic factors (younger age, female sex, non-belief), negative and positive religious beliefs, anxiety, and depression as predictors. Non-believers showed higher depression, anxiety, and voice-hearing proneness scores than believers. The authors suggest religiosity may act as a protective factor for proneness to paranormal experiences, while noting a complex relationship between beliefs, mood, and unusual experiences.

Abstract

Background: Auditory hallucinations (hearing voices in the absence of physical stimuli) are present in clinical conditions, but they are also experienced less frequently by healthy individuals. In the non-clinical population, auditory hallucinations are described more often as positive and not intrusive; indeed, they have received less attention.

Aims: The present study explores the phenomenology of non-clinical auditory hallucinations and their possible relationship with religiosity.

Method: Starting from previous findings suggesting that non-clinical auditory hallucinations are often described as a gift or a way to be connected with 'someone else', we administered standardised questionnaires to quantify proneness to experiencing auditory hallucinations, religiosity and anxiety/depression scores.

Results: Regression analysis carried out using an auditory hallucinations, index as the dependent variable on a final sample of 680 responders revealed that a total of 31% of the variance was explained by a five-steps model including demographic characteristics (i.e. being young, a woman and a non-believer) and negative (e.g. being afraid of otherworldly punishments) and positive (e.g. believing in benevolent supernatural forces) components of religiosity, anxiety and depression. Crucially, compared with believers, non-believers revealed higher scores in depression, anxiety and in a specific questionnaire measuring proneness to auditory hallucinations.

Conclusions: Results suggests that religiosity acts as a potential protective factor for proneness to paranormal experiences, but a complex relationship emerges between religious beliefs, mood alterations and unusual experiences.

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Study Year Design Participants
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The Challenging Experience Questionnaire: Characterization of challenging experiences with psilocybin mushrooms Internet survey respondents reporting challenging experiences with psilocybin 2016 Questionnaire development and validation
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The Role of Mindfulness and Psychological Flexibility in Somatization, Depression, Anxiety, and General Psychological Distress in a Nonclinical College Sample Ethnically diverse, nonclinical sample of college undergraduates (76% female) 2011 Observational cross-sectional survey n = 494
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