患有精神病风险的青少年的基本自我干扰:在混合方法研究中,通过经验抽样方法调查时间稳定性
Lise Baklund1, Jan Ivar Røssberg2, Sigurd Arne Melbye3
1Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Drammen, Norway lise.baklund@vestreviken.no.
BMJ mental health
|November 1, 2024
概括
异常自我体验 (ASE) 是青少年的稳定特征现象,而不是波动的症状. 监测这些基本自我干扰 (BSD) 对于预测青少年精神病风险至关重要.
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
- 临床心理学 临床心理学
背景情况:
- 基本自我干扰 (BSD) 或异常自我体验 (ASE) 是精神分裂症谱系障碍的关键标志物.
- ASEs被认为是精神病的稳定,特征性脆弱性标志物.
- 对儿童和青少年BSD的研究是有限的.
研究的目的:
- 研究青少年在精神病前阶段BSD的特征和时间发展.
- 评估了解ASEs在早期精神病检测中的临床实用性.
主要方法:
- 通过智能手机应用程序,在6个月内,从27名寻求帮助的青少年 (年龄12-18岁) 收集了每日关于ASE的报告.
- 总共有5223份详细介绍个人核心ASE的独特报告,使用混合方法进行了分析.
- 异常自我经验检查 (EASE) 尺度用于基线评估.
主要成果:
- ASE强度在受试者内部和之间表现出相对稳定性,无论时间或基线EASE得分 (平均变化1.25 SD).
- 基线EASE得分较低的青少年报告了与得分较高的青少年相比,ASE强度明显较低 (平均2.42比3.42,p=0.046).
结论:
- 青少年的ASEs似乎是持续的特征现象,而不是在精神病前阶段的波动经历.
- 鉴于它们的持续性和对精神病的预测价值,ASE值得与其他精神病前指标一起进行监测.
- 针对性地监测ASEs可以帮助早期干预处于危险的年轻人.
相关概念视频
01:17Erikson's Theory on Socioemotional Development during Adolescence
61
Erik Erikson's fifth stage of psychosocial development, "identity versus role confusion," is crucial during adolescence (ages 12 to 18). In this stage, adolescents face the developmental task of forging a distinct personal identity, a process influenced by social, psychological, and biological changes typical of this period. Adolescents naturally explore different roles, behaviors, and ideologies as they navigate complex questions of self-concept, asking, "Who am I?" and...
61
03:00Self-Evaluation: Self-Enhancement and Self-Verification
5.2K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.2K
02:45Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K
01:27Ethnic Identity within a Larger Culture
30
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
30
02:05Self-Presentation: Self-Monitoring and Self-Handicapping
38.9K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
38.9K
01:28Conduct Disorder
27
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
27