环境背景预测了年轻人患精神病临床高风险的负面症状的状态波动
Lauren Luther1, Ian M Raugh1, Delaney E Collins1
1Department of Psychology, University of Georgia, Athens, GA, USA.
环境环境对临床精神病高风险 (CHR) 个体的负面症状有显著的影响. 一些环境,如学习或通勤,加重症状,而其他,如娱乐活动,提供缓解.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 负面症状 (无情,无喜,无社会) 在精神病谱系障碍中常见,在一般人群中也是临床下常见的.
- 越来越多的环境背景被认为会影响负面症状.
- 有限的研究已经探索了临床高危精神病 (CHR) 的年轻人负面症状的环境影响.
研究的目的:
- 调查环境背景 (地点,活动,社会互动) 如何影响CHR青年和健康对照群 (CN) 中负面症状的状态波动.
- 确定可能加剧或减轻CHR个体负面症状的特定背景.
主要方法:
- 使用了生态瞬间评估 (EMA).
- 青年CHR (n=116) 和CN (n=61) 完成了每天8次调查,持续6天.
- 调查评估了负面症状和环境背景.
主要成果:
- 在CHR和CN组中,负面症状在不同背景下有显著的变化.
- 在大多数情况下,CHR参与者通常报告的负面症状高于CN参与者.
- 这两组在娱乐活动和电话交互期间都经历了症状减轻.
- 在CHR参与者中,负面症状在学习/工作,通勤,吃饭,做差事和在家中显著增加.
结论:
- 在CHR个体中,负面症状根据环境背景动态波动.
- 矛盾的是,某些情况下,包括那些旨在功能恢复的情况,可能会使CHR年轻人的负面症状恶化.
- 环境因素对于理解和管理CHR人群中负面症状的状态波动至关重要.
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