一项系统性审查,探讨家庭因素与症状严重程度,复发以及第一期精神病的社会或职业功能之间的关系
Clodagh Keegan1, Katie Brown1, Keith Gaynor1,2
1School of Psychology, University College Dublin, Dublin, Ireland.
Early intervention in psychiatry
|January 8, 2025
概括
家庭因素显著影响第一发精神病 (FEP) 的结果,特别是症状和社会功能. 了解家庭动态对于改善FEP患者护理和开发有效干预措施至关重要.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 家庭研究 家庭研究
- 临床研究 临床研究
背景情况:
- 家庭的运作显著影响精神病的结果,高表达的情绪与长期疾病的较差结果有关.
- 以前的研究主要集中在特定的家庭因素和症状学上.
研究的目的:
- 审查各种家庭相关因素对第一次精神病 (FEP) 的临床,社会,职业和关系结果的影响.
- 综合当前关于家庭动态及其与FEP患者轨迹相关的文献.
主要方法:
- 在PsycInfo,Pubmed,Embase和CINHAL (1990-2023) 进行系统的文献搜索.
- 选了1408篇文章,其中15篇研究符合纳入标准.
- 使用JBI批判性评估检查清单和叙事综合分析进行质量评估.
主要成果:
- 在FEP中发现了家庭因素 (高度表达的情绪,家庭环境,照顾者的负担) 和症状和社会结果之间的显著关联.
- 包括的研究使用了跨截面和前性队列设计,其中包括15岁至30岁的FEP患者.
结论:
- 家庭因素显然影响了FEP的症状和社会结果.
- 文献中缺乏理论模型来解释FEP中的家庭痛苦动态.
- 未来的研究应该开发模型来理解这些潜在的过程.
更多相关视频
05:52Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
14.9K
13:08Measurement of Fronto-limbic Activity Using an Emotional Oddball Task in Children with Familial High Risk for Schizophrenia
Published on: December 2, 2015
8.9K
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
54
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
54
Biological Causes of Schizophrenia
42
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
42
Family Therapy
37
Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
37
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Schizophrenia
66
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
66
Negative and Cognitive Symptoms of Schizophrenia
43
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
43
