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与患有严重抑郁症和社区控制的人相比,患有精神病风险的人高估了社会功能
Joshua E Mervis1, Franchesca S Kuhney2, Madisen T Russell3
1Temple University, Department of Psychology and Neuroscience, USA.
Journal of psychiatric research
|February 28, 2025
概括
患有精神病临床高风险 (CHR) 的人在社会功能方面表现出更高的高估值. 这种内观偏见与更严重的抑郁和负面症状有关,无论诊断如何.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 认知神经科学 认知神经科学
背景情况:
- 缺乏洞察力在精神病中普遍存在,影响社会功能和症状严重程度.
- 有限的研究存在于洞察力,特别是内观偏见 (IB),在临床高风险的个人精神病 (CHR).
- 了解CHR人群中的IB可能会为针对精神病风险的有针对性的干预提供信息.
研究的目的:
- 调查CHR患者的内观偏见 (IB),与患有重度抑郁症 (MDD) 和健康对照的人进行比较.
- 在诊断组中检查IB (过高或低估社会功能),负面症状和抑郁症严重程度之间的关系.
- 测试有关IB类型的患病率及其与CHR,MDD和对照组临床症状的关联的假设.
主要方法:
- 从精神病风险多站点评估研究中招募的参与者:CHR (N=36),MDD (N=164) 和对照 (N=60).
- 使用自我报告和采访者评分来评估社会功能,以操作化内观偏见 (IB).
- 对抑郁和负面症状进行的临床访谈和自我报告措施.
主要成果:
- 在CHR的个体中,高估者比低估者有更高的比例.
- 在所有组中,高估者报告的抑郁和负面症状明显比低估者更糟.
- 诊断组成员身份没有改变内观偏见和症状严重程度之间的关联.
结论:
- 内观偏见 (IB) 在临床精神病 (CHR) 风险较高的人群中很常见,并与抑郁和负面症状的增加有关.
- 虽然IB具有临床相关的相关物质,但它可能不是CHR个体的主要治疗标.
- 需要进一步的研究来探索洞察的细微差别及其在早期精神病的治疗影响.
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