亚历克西西米亚在人格障碍中的影响:系统性审查
Carolina Hanna Chaim1, Thales Marcon Almeida2, Paula de Vries Albertin3
1Núcleo de Epidemiologia Psiquiátrica, Instituto de Psiquiatria (LIM-23), Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. carolina.hanna@gmail.com.
BMC psychiatry
|October 1, 2024
概括
情绪困难的alexithymia与人格障碍 (PDs) 有着显著的联系,特别是B和C集群.解决alexithymia可以改善这些患者的治疗结果.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 临床神经科学 临床神经科学
背景情况:
- 亚历克西西米亚的特点是情绪识别和表达受损.
- 它经常与各种精神疾病,特别是人格障碍 (PDs) 一起发生.
研究的目的:
- 为了调查alexithymia和PDs.之间的关联.
- 探索共同的病因因素和治疗影响.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在MEDLINE,Scopus和Web of Science中搜索了关于DSM-5诊断的PD和验证的alexithymia尺度的成年人的研究.
- 使用纽卡斯尔-太华尺度评估研究质量.
主要成果:
- 20项研究符合纳入标准,揭示了alexithymia和PDs之间的显著联系,特别是B和C集群.
- 在PD患者中,较高的alexithymia水平与更大的情绪失调和人际挑战相关.
- 鉴定了与精神病体,饮食,情绪,焦虑,物质使用障碍和自杀行为的高并发症.
结论:
- 将alexithymia评估纳入临床实践对于个性化和有效的PD治疗至关重要.
- 解决情绪处理缺陷可以提高患者的治疗结果.
- 进一步的研究应侧重于针对特定PD亚型的临床指南和纵向研究.
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