创伤相关的信念是否与精神病症状有关? 一个系统的审查和元分析
Rachel Frost1,2, Olivia Collier1,2, Amy Hardy1,2
1King's College London, Institute of Psychiatry, Psychology, and Neuroscience, London, UK.
Psychological medicine
|December 9, 2024
概括
与创伤相关的信念与诸如幻觉和妄想之类的精神病症状有关. 在创伤治疗中准这些信念可能有助于缓解痛苦的精神病经历.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 创伤相关的信念被假设在精神病的发展和持续性中发挥作用.
- 现有证据将创伤信念与精神病症状联系起来,需要进行系统的评估.
研究的目的:
- 系统地审查和分析有关创伤相关信念和精神病症状之间的联系的研究.
- 为了合成幻觉,妄想,偏执和负面症状的证据.
主要方法:
- 在多个科学文献库中系统地搜索数据库.
- 包含了15篇系统综述和11篇元分析的文章.
- 对每个精神病症状类别进行的随机效应元分析.
主要成果:
- 在创伤信念和积极精神病症状之间发现了显著的关联:在幻觉中中度 (r=0.25),在妄想中中度至大 (r=0.43),在偏执狂中大 (r=0.58).
- 有关与负面症状相关的证据是不确定的.
- 研究结果支持创伤信念与积极精神病症状之间的联系.
结论:
- 与创伤相关的信念与积极的精神病症状有关,这表明潜在的治疗目标.
- 专注于这些信念的创伤疗法可能会改善精神病.
- 需要进一步的纵向研究来确定因果关系.
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