儿童逆境与精神疾病中的情感不稳定之间的关系:元分析
Jasper Palmier-Claus1,2, Rebecca Golby2, Laura-Jean Stokes3
1Spectrum Centre for Mental Health Research, Faculty of Health & Medicine, Lancaster University, Lancaster, UK.
Acta psychiatrica Scandinavica
|August 11, 2024
概括
童年的逆境,特别是情绪上的虐待,与成年人的情感不稳定有关. 需要更多的纵向研究来证实这种联系,并为心理健康状况的治疗提供信息.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 心理健康研究 心理健康研究
背景情况:
- 情感不稳定是精神疾病健康和治疗结果的关键因素.
- 情感不稳定的起源尚未完全理解.
- 儿童时期的逆境是潜在的促成因素.
研究的目的:
- 系统地审查和元分析童年逆境与情感不稳定之间的关联.
- 确定与情感不稳定最为密切相关的特定形式的童年逆境.
- 为了探索这种跨越各种精神疾病的联系.
主要方法:
- 根据公布的协议进行系统审查和元分析 (PROSPERO:CRD42020168676).
- 在Medline,Embase和PsychInfo中对1980年1月至2023年7月期间发表的研究进行搜索.
- 随机效应的元分析,用于情感可变性,情绪失调和快速循环;混合方法评估工具用于质量评估.
主要成果:
- 包括36项涉及8431名参与者的研究,所有研究都是横截面的.
- 童年逆境与情感可变性 (r=0.09),情绪失调 (r=0.25) 和快速循环 (OR=1.39) 有着小但显著的关联.
- 情绪虐待与情绪可变性 (r=0.16) 和情绪失调 (r=0.32) 有着最强烈的关联. 研究质量普遍较低,对混因素或样本代表性进行的控制有限.
结论:
- 童年逆境,特别是情绪虐待,与成人情绪不稳定有关.
- 为了确定因果关系,需要进行前性的纵向研究.
- 这些发现对预防和治疗精神疾病中的情感不稳定性有影响.
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