在印尼早期检测临床精神病高风险的最有影响力的症状:基本的症状网络
Tri Kurniati Ambarini1, Nurul Hartini1, Endang Surjaningrum1
1Faculty of Psychology Universitas Airlangga, Surabaya, Indonesia; Center of Mental Health Research and Innovation Development (MIND) Universitas Airlangga, Surabaya, Indonesia.
Asian journal of psychiatry
|March 16, 2025
概括
在患有精神病临床高风险的印尼人中,视觉障碍是基本症状的核心,与西方样本相比,认知问题占主导地位. 这些视觉症状与异化经历有着强烈的联系,这表明精神病发展的独特途径.
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
- 神经科学是一个神经科学.
背景情况:
- 基本症状 (BS) 是微妙的,自我经历的精神过程障碍.
- 认知,视觉和声学BS是临床精神病高风险 (CHR-P) 标准的一部分.
- 之前关于BS相互作用的研究仅限于西方样本,并且经常包括其他症状.
研究的目的:
- 调查印尼CHR-P样本中56个基本症状的相互关系.
- 探索视觉障碍在这种人群中BS的出现和维持中的作用.
- 为了比较调查结果与以前从西方样本的网络分析.
主要方法:
- 利用了来自"精神分裂症易感仪器,成人版本"的56个基本症状的网络分析.
- 分析了108名印尼CHR-P患者 (16-30岁) 的数据.
- 采用高斯图形模型估计器与正规化 (λ = 0.05).
主要成果:
- 视觉障碍,包括近距离视觉问题和线条/轮的感知,是最核心的节点.
- 视觉障碍与异化体验密切相关,形成了16个最强的网络边缘.
- 与西方样本相反,认知BS在这个印尼队列中扮演的角色不那么重要.
结论:
- 主观视觉障碍在印尼CHR-P患者的基本症状的发展和维持中显得至关重要,特别是异化经历.
- 这与西方的研究结果形成鲜明对比,其中认知BS更为中心.
- 未来的研究应该探索视觉障碍的纵向作用和潜在的干预措施,如认知行为疗法.
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