对患有人格障碍的患者进行神经反训练的有效性:系统性审查
Liudmila Babaskina1, Natalia Afanasyeva1, Marta Semyonkina1
1Sechenov First Moscow State Medical University, Moscow, Russia.
Iranian journal of psychiatry
|August 14, 2023
概括
神经反显示了改善人格障碍的认知和行为症状的前景. 然而,目前的证据是初步的,需要进一步的研究来确认这种治疗方法的疗效和标准化方法.
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:
- 人格障碍是一种复杂的精神疾病.
- 神经反训练正在被探索作为一种潜在的治疗方法来改善症状.
- 现有的关于人格障碍神经反的研究是有限的.
研究的目的:
- 系统地审查现有的关于人格障碍神经反的试验.
- 介绍关于神经反对认知和临床症状的有效性的当前证据.
- 发现研究中的差距和方法上的局限性.
主要方法:
- 在2023年1月之前,对同行评审的英语文章进行系统的文献搜索.
- 搜索的数据库:PubMed,科学网,ProQuest,科克兰图书馆,谷歌学者.
- 关键词包括:神经反,生物反,人格障碍和相关术语.
主要成果:
- 包括五项研究:两个EEG神经反和三个fMRI神经反.
- 研究具有高偏差风险 (非随机,非盲目的).
- 脑电图神经反显示神经心理和行为功能有所改善.
- fMRI神经反显示神经生理变化 (例如,vmPFC-杏仁体连接) 和行为改善.
结论:
- 对人格障碍的神经反研究处于早期阶段.
- 由于初步证据和偏见的高风险,无法得出最终结论.
- 需要进一步的严格研究来解决方法问题并建立标准化.
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