在第一集精神病中掌握感 - - 一年后续研究
Maija Lindgren1, Sebastian Therman1, Tiina From2
1Mental Health, Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.
Frontiers in psychiatry
|September 25, 2023
概括
掌握感,或对自己生活的控制感,在第一发精神病 (FEP) 患者中较低,但随着时间的推移而改善. 更高的掌握预测了FEP中更好的健康结果和症状缓解.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康研究 心理健康研究
背景情况:
- 掌握感,定义为对掌控自己生活的信念,已知可以保护健康和缓冲压力.
- 研究掌握对于理解患有精神病的个体的心理健康至关重要.
研究的目的:
- 为了检查与人口对照相比,第一次精神病发作 (FEP) 患者的掌握感.
- 探索FEP中掌握,症状和社会支持之间的关系.
- 为了确定掌握是否预测FEP的治疗结果.
主要方法:
- 一组322名参与者与FEP和人群对照在基线使用Pearlin和Schooler的精通度量表进行了评估.
- 184名参与者在一年的随访中再次完成了尺度.
- 进行了相关性分析和调解分析.
主要成果:
- 在基线和一年后的随访中,FEP患者报告的掌握能力明显低于对照组,尽管患者的掌握率略有增加.
- 较低的抑郁症状和更高的感知社会支持是FEP中高基线掌握的最强的相关性.
- 在治疗开始时更高的掌握预测了一年后精神病症状的缓解.
- 掌握感调解了感知到的社会支持和抑郁症状之间的关联.
结论:
- 掌握感是FEP的相关构造,与关键的临床变量和治疗结果相关.
- 掌握可能是一个潜在的治疗目标,以改善早期精神病的福祉和预后.
- 需要进一步的研究来验证早期精神病预后估计的掌握度.
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