非自杀自伤的基于价值的决策缺陷:系统性审查和元分析
Yuhan Jiang1, Ying Zeng2, Mengli Zhang2
1School of Education, Tianjin University, Tianjin, China; Laboratory of Suicidal Behavior Research, Tianjin University, Tianjin, China; Institute of Applied Psychology, Tianjin University, Tianjin, China.
Neuroscience and biobehavioral reviews
|March 15, 2025
概括
参与非自杀性自我伤害 (NSSI) 的个人在基于价值的决策中表现出一致的缺陷. 青少年NSSI特别与提高奖励灵敏度和立即奖励偏好有关.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
背景情况:
- 非自杀性自我伤害 (NSSI) 是一个关键的全球心理健康问题.
- 由于任务异质性,NSSI中基于价值的决策缺陷的确切作用仍然不清楚.
研究的目的:
- 系统地审查和对NSSI中基于价值的决策的文献进行元分析.
- 调查爱荷华州博任务 (IGT),特别是在NSSI人群中.
- 确定影响NSSI决策的调节因素,特别是年龄.
主要方法:
- 对31项关于决策和NSSI的研究 (N=8417,年龄8-50岁) 的系统文献综述.
- 对8项研究 (N=657,年龄10-37) 的元分析,重点关注NSSI和爱荷华州博任务.
主要成果:
- 在NSSI患者中观察到基于价值的决策持续受损.
- 年龄显著减轻了决策能力;患有NSSI的青少年表现更差.
- 患有NSSI的青少年表现出更高的奖励敏感性和对即时奖励的偏好.
结论:
- 基于价值的决策在NSSI行为中起着至关重要的作用,特别是在青春期.
- 这些发现为制定以决策为重点的NSSI预防和干预策略提供了新的见解.
- 该研究强调了NSSI决策缺陷的发展轨迹.
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