一个逐步和数据驱动的指南,用于索引精神病学中的性别
Enzo Cipriani1,2,3, Eugénie Samson-Daoust1,2, Charles-Edouard Giguère1
1Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal (CRIUSMM), Montréal, Québec, Canada.
PloS one
|January 25, 2024
概括
这项研究开发了精神病患者的综合性别评分,揭示了冲动性和诊断的差异,超出了生物性别. 这种方法增强了对心理健康的个体差异的理解.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 社会医学科学 社会医学科学
- 心理学和认知科学 心理学和认知科学
背景情况:
- 社会文化性别变量在精神病学研究中越来越重要,以了解个人差异.
- 现有的研究往往侧重于性别作为一种二元,忽视了性别内部的变化.
- 精神病急诊患者是一个独特的群体,用于研究性别和性别影响.
研究的目的:
- 在精神病急诊患者中使用社会人口统计学和心理社会变量开发综合性别评分.
- 调查这种性别评分与精神病诊断和冲动性之间的关系.
- 在精神病学研究中将性别作为生物性别的变量以及性别作为变量的实用性证明.
主要方法:
- 一种基于数据的方法,使用验证因素分析 (CFA) 对1708名精神病急诊患者的样本.
- 基于显示性别差异的变量构成的综合性别评分的开发.
- 对性别得分对出生时分配的性别的预测准确度及其与冲动性和诊断类别的关联进行分析.
主要成果:
- 一个复合的性别得分被开发出来,预测出生时分配的性别准确率为67%.
- 性别分数确定了冲动性的差异,当仅考虑出生时分配的性别时,这些差异并不明显.
- 具体的诊断模式出现了:女性性别与情绪/人格障碍相关;女性得分较高与焦虑/情绪障碍相关;男性性别/男性得分与精神病/物质使用障碍相关;不分化的得分与精神病相关.
结论:
- 在精神病学研究中,考虑生物性别和社会文化性别是必不可少的.
- 从可用的人口统计和心理社会数据中得出的综合性别分数可以有效地指数性别.
- 这种方法允许对心理健康结果中的个体差异有更细致的理解.
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