羞耻会影响创伤对精神病的影响吗? 一个系统的审查和元分析结构方程建模方法
Kimberley Davies1, Julia M Lappin1, Nancy Briggs2
1Discipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW 2052, Australia; The Tertiary Referral Service for Psychosis, Prince of Wales Hospital, Randwick 2031, NSW, Australia.
Schizophrenia research
|December 18, 2024
概括
羞耻部分介绍了潜在的创伤性事件 (PTE) 和精神病之间的联系. 了解这种途径对于未来的精神病研究和干预至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康研究 心理健康研究
背景情况:
- 现有的元分析将耻辱与潜在的创伤性事件 (PTE) 和精神病独立联系起来.
- 羞耻在中介PTE和精神病之间的关系中的作用以前没有被研究过.
研究的目的:
- 调查羞耻在PTE和精神病经历之间的关系中扮演的调解角色.
- 检查耻辱作为一个潜在的途径,将创伤暴露与精神病联系起来.
主要方法:
- 使用了元分析结构方程建模 (MASEM).
- 包括13项关于精神病和羞耻症的系统审查研究,重点关注那些对PTE进行定量测量的人.
- 分析了PTE,羞耻和精神病之间的关联.
主要成果:
- 发现羞耻部分调解了PTE和精神病之间的关系 (间接效应β = 0.15).
- 直接和间接的途径仍然很重要,这表明羞耻是部分的调解者.
- 对于儿童期PTE (β = 0.07) 和寿命PTE (β = 0.09) 来说,通过耻辱观察到显著的间接途径导致精神病.
结论:
- 羞耻是一种重要的途径,通过它,PTE可以影响精神病.
- 在精神病模型中,羞耻应该与其他情感因素一起考虑.
- 建议进一步进行定性研究,以阐明这种情况下的羞耻机制.
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