长期悲伤症状与抑郁,焦虑和创伤后压力症状之间的双向关联:系统性审查
Antje Janshen1, Maarten C Eisma1
1Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, the Netherlands.
Journal of traumatic stress
|June 26, 2024
概括
长期的悲伤症状可能会随着时间的推移预测抑郁症和创伤后压力症状. 了解这些时间联系对于经历痛苦的悲伤成年人的有效治疗至关重要.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 心理健康 心理健康
背景情况:
- 长期的悲伤通常与抑郁症,创伤后压力和焦虑症同时发生.
- 长期悲伤与这些疾病之间的时间关系尚未得到充分理解.
- 澄清这些关联可以为丧亲的个人提供治疗优先级的信息.
研究的目的:
- 系统地审查关于长期悲伤与抑郁症,创伤后压力和焦虑症症状之间的双向时间关联的经验研究.
- 为研究这些关系的纵向研究提供全面的概述.
主要方法:
- 对PsycInfo,Web of Science和Scopus数据库进行系统审查 (搜索时间至2023年12月).
- 包括8项纵向研究,包括2914名丧亲成年参与者.
- 分析了使用低级调解,交叉滞后面板建模 (CLPM) 和随机截取CLPM (RI-CLPM) 的研究.
主要成果:
- 长期的悲伤症状更一致地预测了抑郁症和创伤后压力症状,而不是相反.
- 在使用RI-CLPM的研究中,这种模式并未一致观察到.
- 在有关样本,设计和分析的研究中注意到了方法上的异质性.
结论:
- 长期的悲伤可能会成为抑郁和创伤后压力症状的跨诊断风险因素.
- 需要使用RI-CLPM和标准化措施进行进一步的研究,以澄清人体内时间波动.
- 标准化方法对于减少异质性和更好地理解这些复杂的症状关系至关重要.
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