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精神病的核心信念:系统审查和元分析
A Jorovat1,2, R Twumasi1, A Mechelli1
1Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience (IoPPN), King's College London, London, UK.
核心信念显著影响精神病的发展,特别是在精神病和临床高风险 (CHR) 状态的个体中,负面的自我和其他信仰. 针对这些信念可能会改善精神病的认知行为治疗 (CBTp).
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 创伤越来越多地与精神病有关,核心信念被认为是关键的调解者.
- 了解这些心理机制对于有效的干预至关重要.
研究的目的:
- 系统地审查有关精神病核心信念的证据,临床高风险 (CHR) 状态,以及具有精神病类似经历 (PLEs) 的非临床样本.
- 探索核心信念在创伤性生活事件 (TLEs) 和PLE之间的关系中介的作用.
主要方法:
- 进行了79项研究的系统审查.
- 用元分析来评估精神分裂症和CHR样本中核心信念的影响大小,与健康对照 (HCs) 相比.
主要成果:
- 与HC相比,患有精神病和CHR的个人显示出明显更高的负面自我/其他信仰和较低的积极自我/其他信仰.
- 宏伟的妄想与相反的模式有关.
- 在非临床样本中,消极的自我和其他信念调解了TLEs和PLEs之间的联系.
- 在精神分裂症中发现了负面自我/其他信念的大效果大小,在CHR中发现了中等效果.
结论:
- 核心信念在精神病的发展和维持中发挥着重要作用,特别是积极的症状.
- 针对负面自我/其他信仰和增强积极信念的心理社会干预措施有必要推进精神病的认知行为疗法 (CBTp).
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