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精神分裂症和双极性障碍中抑郁症的三方模型:二次分析
Emma M Parrish1, Philip D Harvey2, Robert A Ackerman3
1San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, California.
The Journal of nervous and mental disease
|September 21, 2023
概括
三方影响模型在双相情感障碍 (BD) 或精神分裂症中没有得到证实. 积极影响 (PA) 和消极影响 (NA) 的关联在这些条件之间有所不同,影响了抑郁症相关性.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 情感科学是一种情感科学.
背景情况:
- 三方模型假定受试者之间的独立的积极影响 (PA) 和消极影响 (NA),以及受试者内部的负相关性.
- 现有研究表明,这些影响相关性可能在双相情感障碍 (BD) 和精神分裂症中不同.
- 了解这些影响动态对于心理健康干预至关重要.
研究的目的:
- 通过检查BD和精神分裂症患者的积极影响 (PA) 和消极影响 (NA) 来评估三方模型.
- 为了比较PA和NA在这些人群中的PA和NA在主体内和主体间的关系.
- 调查瞬间的PA和NA与临床抑郁症评级的关联.
主要方法:
- 对281名患有BD或精神病障碍的参与者的数据进行二次分析.
- 使用了30天的生态瞬间评估 (EMA) 来捕捉每天的PA和NA.
- 临床评级人员评估了抑郁症的严重程度.
主要成果:
- 与BD相比,PA和NA在精神分裂症中显示出更大的患者之间的相关性和较少的患者内部相关性.
- 在BD中,较低的瞬间PA与抑郁症具有积极的相关性,而NA与抑郁症没有显著的关联.
- 在精神分裂症中,这种关联是相反的,NA可能与抑郁症的联系比PA更大.
结论:
- 影响的三方模型在BD或精神分裂症人群中没有得到充分支持.
- 比起精神分裂症,BD中的情感关联与一般人群的发现更加一致.
- 结果表明,在BD与精神分裂症中,抑郁症,PA和NA的临床干预目标是不同的.
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