对人格和肌肉骨疾病的系统审查:来自一般人口研究的证据
Shae E Quirk1,2,3, Heli Koivumaa-Honkanen2,3, Risto J Honkanen2,3
1Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, VIC, Australia.
Frontiers in psychiatry
|June 5, 2024
概括
这一系统性审查发现人格障碍 (PDs) 和肌肉骨障碍 (MSDs) 之间的联系的证据有限且相互矛盾. 需要更多基于人口的纵向研究来澄清这些关联.
科学领域:
- 精神病学和行为健康
- 风湿病学和肌肉骨疾病
- 公共卫生和流行病学
背景情况:
- 人格障碍 (PD) 和肌肉骨障碍 (MSD) 是全球重要的健康负担.
- 了解PD和MSD之间的关系对于全面的患者护理至关重要.
- 在基于人群的研究中,关于PD和MSD之间的关联的现有证据需要进行系统的评估.
研究的目的:
- 系统地审查PD和MSD之间关联的证据的质量和范围.
- 综合基于人口的研究结果,研究人格障碍和肌肉骨障碍之间的联系.
- 找出有关PD-MSD关联的文献上的空白.
主要方法:
- 在多个数据库 (Embase,CINAHL完整,Medline完整,PsycINFO,CORDIS,ProQuest论文和论文全球) 进行了对同行评审和灰色文献的全面系统搜索.
- 纳入标准集中在患有PD的普通人口参与者 (≥15岁) (DSM-IV/5或ICD-10/11标准) 和MSD (自我报告或ICD标准).
- 研究设计包括队列,病例控制和横截面研究,数据被提取并使用Joanna Briggs研究所的检查清单进行批判性评估,遵守PRISMA指南.
主要成果:
- 十一篇同行评审的文章 (9个横截面,2个案例控制) 符合纳入标准;没有发现灰色文献.
- 半结构面试是PD确定常见的,而用于MSD识别的自我报告措施是MSD.
- 审查发现人格障碍与肌肉骨系统障碍之间的关联证据有限且相互矛盾.
结论:
- 大多数纳入研究的质量很高,但对PD-MSD关联的证据仍然有限且相互矛盾.
- 缺乏以人口为基础的纵向数据,异质的PD分组和少数可比性研究有助于证据有限.
- 未来的研究应该专注于产生可比,基于人口的纵向证据,以澄清PD和MSD之间的关系.
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