年度研究回顾:在情绪失调的年轻人中,哪些过程是失调的? - 进行系统审查
Joseph C Blader1, Amy S Garrett1, Steven R Pliszka1
1Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Journal of child psychology and psychiatry, and allied disciplines
|February 19, 2025
概括
儿童的情绪失调是复杂的,涉及到受损的调节机制. 本综述提出了一个理解促成因素的框架,突出了自动控制愤怒的缺陷以及认知和环境影响的影响.
科学领域:
- 儿童精神病理学 儿童精神病理学
- 发展心理学是发展心理学.
- 临床心理学 临床心理学
背景情况:
- "情绪失调"一词在儿童精神病理学中越来越多地使用.
- 它经常描述强烈的愤怒和行为失控,暗示潜在的监管缺陷.
- 了解这些机制对于有效的干预至关重要.
研究的目的:
- 系统地审查对影响情绪失调的因素的研究.
- 为这些多样化的过程开发一个整合性框架.
- 识别可能受损的监管机制.
主要方法:
- 对情绪失调研究的系统文献综述.
- 情绪相关过程的分类 (刺激处理,反应控制,情绪产生,反调节,体验影响).
- 对特定监管机制的证据分析.
主要成果:
- 对于快速,自动 (闭环) 愤怒下调的证据很少.
- 有意识的 (开放循环) 策略有效用于轻度至中度的兴奋.
- 在刺激处理,抑制控制和情绪产生因素 (自主,内分泌,奖励,情绪) 中发现了强烈的关联.
- 不良的童年经历和家庭互动有很大影响.
结论:
- 在情绪失调中存在缺陷的闭环调节机制需要进一步说明.
- 从输入到反的综合框架可以澄清病原和异质性.
- 这种方法可能会为受影响的年轻人提供更有针对性的治疗.
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