早期的不适应性模式和分离性症状:系统性审查和元分析
Lauren C Blackman1, Elizabeth Pizarro-Campagna1, Pamela D Pilkington1
1School of Behavioural and Health Sciences, Australian Catholic University, Fitzroy, Victoria, Australia.
Clinical psychology & psychotherapy
|December 17, 2024
概括
分离性症状与18个早期适应不良模式 (EMS) 中的14个相关,特别是缺陷/羞耻和对伤害的脆弱性. 了解这些联系可以改善离散的治疗方法.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理病理学 心理病理学
背景情况:
- 分离是影响功能和生活质量的重大临床问题.
- 了解与分离相关的可修改因素有助于早期检测和治疗.
- 早期的不适应模式 (EMS) 是解离的潜在认知相关物.
研究的目的:
- 系统地审查和元分析关于分离症状和EMS之间的关联的证据.
- 量化18个不同的EMS中这些关联的规模.
主要方法:
- 对9项横截面研究的系统综述和随机效应元分析 (N=2300).
- 搜索了PsycINFO,PubMed和CINAHL 完整的数据库.
- 使用AXIS工具评估方法质量.
主要成果:
- 分离性症状与18个EMS中的14个正相关.
- 发现的最强的关联是缺陷/羞耻 (r=0.45),易受伤害 (r=0.45) 和社会隔离 (r=0.39) 方案.
- 在大多数元分析中观察到中等到相当大的异质性.
结论:
- 电脑神经系统是分离的显著认知相关物.
- 建议进行纵向研究以确定时间因果关系.
- 针对与不可爱,孤立和脆弱相关的EMS,可能有助于减少分离症状.
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