自杀念头,负面症状和心理理论之间的关联在第一个情节精神病的精神病
Mai Abdel Samie1, Mohamed Nasreldin1, Mostafa Shahin1
1Department of Psychiatry, Faculty of Medicine, Cairo University, El Saraya Street, El Manyal, Cairo, 11956, Egypt.
Social psychiatry and psychiatric epidemiology
|July 16, 2024
概括
自杀念头在第一发精神病 (FEP) 患者中较高. 抑郁症和负面症状,而不是思维理论,在FEP中显著增加了自杀风险.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 自杀念头在第一发精神病 (FEP) 中很普遍.
- 了解影响FEP自杀风险的因素对于早期干预至关重要.
- 社会认知,特别是心理理论 (ToM),在精神病中经常受到损害.
研究的目的:
- 评估FEP患者自杀念头的严重程度.
- 调查自杀念头和心理理论 (ToM) 缺陷之间的关联.
- 检查FEP中症状严重程度和自杀念头之间的关系.
主要方法:
- 96名参与者被分为FEP,精神分裂症和健康对照 (HC) 组.
- 使用正负综合征量表 (PANSS) 和贝克抑郁 inventory (BDI) 测量症状严重程度.
- 用贝克自杀念头量表 (BSSI) 评估自杀念头,用阅读眼睛中的思维测试 (RMET) 评估自杀念头.
主要成果:
- 与HC相比,FEP患者表现出明显更高的自杀念头.
- 与HC相比,FEP和精神分裂症组在RMET上表现较差.
- 在FEP中,增加自杀意念的严重程度与更高的抑郁和负面症状有显著的关联,但与ToM缺陷无关.
结论:
- 患有FEP和慢性精神分裂症的患者在思维理论上有相似的缺陷.
- 负面和抑郁症状的严重程度是FEP中自杀风险升高的重要因素.
- 这些发现强调了解决症状严重程度在早期精神病中管理自杀风险的重要性.
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