Olfactory hallucinations in a population-based sample (2024)

Olfactory hallucinations in a population-based sample (2)

Psychiatry Research

Volume 304,

October 2021

, 114117

Olfactory hallucinations in a population-based sample (3)

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Under a Creative Commons license

Open access

Highlights

Self-reported lifetime prevalence of olfactory hallucinations is 4.2% in the general population

Olfactory hallucinations are most frequent in young adults and women

Olfactory hallucinations are associated with anxiety and stressful life events

Abstract

Olfactory hallucinations referring to olfactory perceptions in the absence of chemical stimuli, occur in non-clinical and clinical populations. Few studies have investigated their prevalence in the general population and little is known about factors triggering and maintaining them such as substance use, severe life events, and mood. We analyzed self-report data from 2500 community dwelling Norwegians, aged 18-96 years, for occurrence of olfactory hallucinations and co-occurring hallucinations in other modalities (auditory, visual, tactile). Analyses included age, sex, self-reported symptoms of depression and anxiety, mental health status, and experience of severe life-events. The results show that 4.2% (95% CI 3.5-5.1%) reported having experienced olfactory hallucinations, and 56% of individuals experiencing olfactory hallucinations also reported these in combination with hallucinations in other modalities. Prevalence varied significantly in terms of age and sex, in that olfactory hallucinations were most frequently reported by young individuals and females. Self-reported symptoms of anxiety and experience of stressful life events were significantly associated with olfactory hallucinations, suggesting that experiencing olfactory hallucinations may negatively affect functioning and may increase the likelihood of developing psychopathology. Findings underline the need to continue to examine olfactory hallucinations albeit with a more comprehensive assessment in order to increase knowledge on this experience.

Keywords

hallucinations, sensory perception, phantosmia, population based

multimodal hallucinations

Cited by (0)

© 2021 The Authors. Published by Elsevier B.V.

Olfactory hallucinations in a population-based sample (2024)

FAQs

What is an example of olfactory hallucinations? ›

Olfactory hallucinations or fantosmia are perceptions of smells that have no object. They almost always consist of unpleasant smells: rotten fish or eggs, gasoline, excrement, and so on.

What are the causes of olfactory hallucinations? ›

Phantosmia may be caused by a head injury or upper respiratory infection. It can also be caused by aging, trauma, temporal lobe seizures, inflamed sinuses, brain tumors, certain medications and Parkinson's disease. Phantosmia can also result from COVID-19 infection.

How are olfactory hallucinations diagnosed? ›

To diagnose phantosmia, a doctor will first perform a physical exam of the person's head and neck. They may ask about any other symptoms and perform tests to check the individual's other senses. A doctor may order an endoscopy or rhinoscopy to look into the nasal cavity and check for issues that could cause phantosmia.

How common are olfactory hallucinations in schizophrenia? ›

Olfactory hallucinations (OH) are experienced by a substantial minority of people with schizophrenia, with previous reports indicating a lifetime prevalence of up to 35% (Kopala et al., 1994) and a past-month prevalence of 13–17% (Langdon et al., 2011).

What are olfactory indicators give 3 examples? ›

An Olfactory indicator is defined as a substance whose smell varies when it is mixed with an acidic or basic solution. Such substances can be used in the laboratory to test whether a solution is a base or an acid, and this process is called olfactory titration. All onion,clove oil and vanilla extract are examples.

How do you deal with olfactory hallucinations? ›

How is it treated?
  1. rinsing your nasal passages with a saline solution (for example, with a neti pot)
  2. using oxymetazoline spray to reduce nasal congestion.
  3. using an anesthetic spray to numb your olfactory nerve cells.

Why do I randomly smell things that aren't there? ›

Smelling things that aren't there is called phantosmia. It can be unpleasant and affect how things taste. But it isn't usually serious and may go away by itself in a few weeks or months. See your GP if the strange smell doesn't go away in a few weeks.

Is olfactory hallucinations rare? ›

Olfactory hallucination is an uncommon type of hallucination in which the individual reports olfactory perceptions in the absence of chemical stimuli. Olfactory hallucination has been reported in 4.2–14.5% of the general population (1, 2).

Can olfactory hallucinations be caused by stress? ›

Self-reported symptoms of anxiety and experience of stressful life events were significantly associated with olfactory hallucinations, suggesting that experiencing olfactory hallucinations may negatively affect functioning and may increase the likelihood of developing psychopathology.

What are the two examples of olfactory? ›

Vanilla extract and onion are two examples of olfactory indicators.

Which is an example of an olfactory sensation? ›

For example, humans detect odors through the olfactory epithelium of the nose, whereas most insects detect odors through their antennae. Although olfactory systems are divergent throughout evolution, olfactory receptor cells possess common property and structure.

What are olfactory hallucinations during sleep? ›

Olfactory hallucinations involve your sense of smell. You might smell an unpleasant odor when waking up in the middle of the night or feel that your body smells bad when it doesn't. This type of hallucination can also include scents you find enjoyable, like the smell of flowers.

What mental illness causes olfactory hallucinations? ›

Olfactory hallucinations have been observed in various neurological disorders, such as Alzheimer's disease (3), Parkinson's disease (4), epilepsy (5), and migraine (6), as well as in psychological disorders, such as schizophrenia (7), depression (8), bipolar disorder (9), and substance abuse (10).

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