脱人格化-脱意识障碍的治疗:系统性审查
Sici Wang1,2, Sisi Zheng1,3, Xiatian Zhang4
1The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
概括
这一系统性审查发现,关于去人格化-脱意识障碍 (DPD) 治疗的高质量研究有限,这表明联合药物治疗,神经调节和心理治疗可能是有益的. 对于这种普遍的疾病,迫切需要进行更严格的研究.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 脱人格化-脱现障碍 (DPD) 涉及到从自我和周围环境中持续脱离.
- 目前对有效的DPD治疗方法的研究还不够.
- DPD是一种普遍的疾病,需要基于证据的治疗策略.
研究的目的:
- 系统地审查现有的药物疗法,神经调节和精神疗法,用于DPD.
- 评估当前DPD治疗研究的质量和数量.
- 确定潜在的治疗方法,并指导未来的研究方向.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 搜索了主要的数据库 (PubMed,科学网络,PsycINFO,Embase,Cochrane,Scopus,ScienceDirect) 从创立到2021年6月.
- 包括所有类型的研究 (RCT,观察性研究,病例报告) 评估DPD治疗.
主要成果:
- 41项研究 (300名参与者) 符合资格标准,自1955年以来确定了30种治疗方法.
- 联合药物治疗,神经调节和心理治疗显示出潜在的潜力.
- 尽管DPD的流行率很高,但研究质量和数量总体上很低.
结论:
- 对于DPD,可能会考虑一种治疗组合.
- 迫切需要高质量的研究来建立有效的DPD治疗方法.
- 未来的研究应该专注于改善研究设计和增加样本大小.
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