对复杂的创伤后应激障碍和精神病症状进行时间网络分析
Peter Panayi1,2, Alba Contreras3, Emmanuelle Peters4,5
1Division of Psychology and Mental Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Psychological medicine
|February 20, 2025
概括
复杂的创伤后应激障碍 (cPTSD) 和精神病症状在有创伤史的个体中相互加强. 解决当前的威胁是这些疾病的关键治疗目标.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 复杂的创伤后应激障碍 (cPTSD) 症状可能会导致精神病症状的持续.
- 以前的网络分析表明创伤后果和精神病之间存在联系,但时间动态尚不清楚.
- 这项研究调查了日常生活中cPTSD和精神病症状之间的时间关系.
研究的目的:
- 通过网络分析,探索cPTSD症状 (核心PTSD和自我组织障碍 (DSO)) 和精神病之间的关系的时间顺序.
- 了解创伤相关症状和精神病之间的动态相互作用,在创伤历史的个体中.
主要方法:
- 一个由153名患有精神病和并发性PTSD的参与者组成的样本完成了一项经验采样研究.
- 多次日常评估在六天内捕获了精神病,核心PTSD和DSO症状.
- 用多级向量自回归建模来分析时间网络.
主要成果:
- 实验对象之间的网络显示,大多数cPTSD症状平均与积极的精神病症状有关.
- 当代网络揭示了cPTSD和精神病症状的同时发生,特别是偏执狂与过度兴奋和负面自我概念.
- 时间网络表明偏执狂相互预测,并通过过度兴奋,负面的自我概念和情绪失调来预测.
结论:
- 创伤后应激障碍和积极精神病症状在患有精神病的创伤暴露个体中相互维持.
- 这种相互维护与当前威胁的持续性有关,与认知PTSD模型保持一致.
- 针对当前威胁被提出为创伤为中心的精神病干预中的一个有价值的策略.
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