精神疾病中的跨诊断性认知偏见:系统性审查和网络元分析
Katie M Lavigne1, Jiaxuan Deng2, Delphine Raucher-Chéné1
1Department of Psychiatry, McGill University, Montreal, QC, Canada; Douglas Research Centre, Montreal, QC, Canada.
认知偏差在精神疾病中很常见,这表明它们是一种跨诊断特征. 虽然这些偏差存在于各种疾病中,但这些偏差的严重程度因诊断而异.
科学领域:
- 精神病学是一个精神病学.
- 认知心理学 认知心理学
- 临床心理学 临床心理学
背景情况:
- 认知缺陷是精神疾病的跨诊断特征,被称为"C"因素.
- 认知偏见,常见的信息处理倾向,通常与精神病症状有关.
- 目前尚不清楚认知偏见是否具有跨诊断性或疾病特异性.
研究的目的:
- 为了确定跨诊断性认知功能障碍的"C"因素是否延伸到认知偏差.
- 研究精神疾病中认知偏差的跨诊断性质.
主要方法:
- 对31项涉及4401名参与者的研究进行了系统审查 (2536名患者,1865名对照).
- 在20个诊断类别中评估了19个认知偏差,重点是解释和注意力偏差.
- 利用传统和网络元分析来检查偏见的严重程度和与症状的关联.
主要成果:
- 对患者与对照者的认知偏差的适度效果大小 (g=0.32).
- 解释偏见与一般精神病理学,情绪功能障碍和精神病症状之间的重要关联.
- 网络分析显示,注意力和解释偏差是跨诊断的,严重程度因诊断而异 (例如,恐慌障碍,强迫症).
结论:
- 认知偏见似乎是精神疾病的跨诊断特征,支持扩展的"C"因素概念.
- 虽然认知偏见在各种诊断中存在,但它们的严重程度在特定的精神疾病之间有很大差异.
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