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Current theories suggest that insight-related beliefs, about internal or external origin, perceived source location, and appraisals of controllability are important in mediating the impact of these experiences but previous findings have been mixed. We report two open code and open data network analytic studies of items in the Psychotic Symptoms Ratings Scale for auditory verbal hallucinations (PSYRATS-AH) in a large sample of patients with hallucinated voices to examine the network structure of items at (1) first assessment, and (2) differences over two consecutive assessments during a wait-list period. Networks were generated using least absolute shrinkage and selection operator (LASSO) and extended Bayesian information criterion (EBIC) with node predictability. In Study 1 (<jats:italic>N<\/jats:italic>\u2009=\u2009386), we report that insight-related items made a negligible contribution to hallucinated voices and the controllability appraisal made at most a modest contribution. Items relating to distress and negative content were the most central and most predicted by the wider network. In Study 2 (<jats:italic>N<\/jats:italic>\u2009=\u2009204), we tested the longitudinal stability of the structure of hallucinated voices over a period of several months, finding a small change in total hallucination score and global strength but no clear evidence for an alteration in the structural relationship. The insight-related and controllability items remained as least influential over time. Insight-related beliefs and controllability appraisals may contribute less than previously thought to distressing hallucinated voices although we do not discount that other appraisals may remain important.<\/jats:p>","DOI":"10.1007\/s00406-020-01166-3","type":"journal-article","created":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T00:02:26Z","timestamp":1594684946000},"page":"1525-1535","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Insight-related beliefs and controllability appraisals contribute little to hallucinated voices: a transdiagnostic network analysis study"],"prefix":"10.1007","volume":"271","author":[{"given":"Elisavet","family":"Pappa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuelle","family":"Peters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8616-4847","authenticated-orcid":false,"given":"Vaughan","family":"Bell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,7,14]]},"reference":[{"key":"1166_CR1","doi-asserted-by":"crossref","unstructured":"Upthegrove R, Broome MR, Caldwell K, Ives J, Oyebode F, Wood SJ (2015) Understanding auditory verbal hallucinations: a systematic review of current evidence. 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Ethical approval for the use of these data in research was granted by the London-Dulwich Research Ethics Committee (ref: 15\/LO\/1831) and only patients who consent to their anonymised data being used in research are included in the database.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"No personal data of an individual is included in this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The datasets generated and\/or analysed during the current study are available in the Open Science Framework repository","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Availability of data and materials"}}]}}