心理药物使用后精神健康恶化的精神病风险
Alessia Marrocu1, Hannes Kettner1, Brandon Weiss1
1Centre for Psychedelic Research, Division of Psychiatry, Department of Brain Sciences, Faculty of Medicine, Imperial College London, London, UK.
Journal of psychopharmacology (Oxford, England)
|March 16, 2024
概括
迷幻疗法可能对有个性障碍的人构成风险,31%的人经历了负面的心理反应. 这表明风险增加了四倍,突显了心理研究需要加强支持的需要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 迷幻疗法越来越多地被用于精神疾病的研究,显示出安全性和有效性的承诺.
- 了解潜在的风险,包括罕见的长期负面心理反应,随着迷幻药的使用增长至关重要.
- 现有关于不良影响的研究受到小样本大小和潜在偏差的限制.
研究的目的:
- 调查心理使用负面心理反应的流行情况.
- 为了确定是否诊断出精神疾病的历史预测不利的结果.
- 为了确定与增加风险相关的特定精神疾病.
主要方法:
- 对自然主义的观察前性研究 (N=807) 进行了"底边分析".
- 消极反应被定义为心理药物使用后4周精神健康的临床显著下降.
- 该研究评估了先前精神病诊断对负面反应的预测价值.
主要成果:
- 16%的队列经历了心理药物使用的负面心理反应.
- 个体有个性障碍诊断史的个体显示出不成比例的高负面反应率 (31%).
- 个性障碍的病史与不良心理反应的风险增加四倍以上有关 (b=1.425,p<0.05).
结论:
- 人格障碍可能表明心理治疗的不良心理反应的风险较高.
- 加强心理支持和强有力的治疗联盟对于接受迷幻治疗的个性障碍患者可能特别重要.
- 需要进行进一步的研究,以了解和减轻脆弱人群中的这些风险.
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