解离作为创伤暴露和创伤后应激障碍-精神病症状谱之间的跨诊断媒介:一个结构方程建模元分析
Jianlin Liu1, Celeste Minn Tan1, Janaine C Ho2
1Research Division, Institute of Mental Health, Singapore.
Journal of affective disorders
|April 4, 2025
概括
分离作为关键调解者,将创伤暴露与创伤后应激障碍 (PTSD) 和精神病症状联系起来. 这一发现突显了分离的现象.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 创伤研究 创伤研究
- 心理健康研究 心理健康研究
背景情况:
- 创伤暴露与分离,PTSD和精神病有关.
- 解离作为跨诊断调解者的作用尚未完全理解.
研究的目的:
- 进行元分析,研究解离作为创伤暴露和PTSD-精神病症状谱之间的调解者.
- 阐明创伤暴露,解离,PTSD和精神病症状之间的关联.
主要方法:
- 采用了一种两阶段的元分析结构方程模型.
- 分析了来自311篇涉及94,454个人的文章的数据.
- 亚组分析检查基于解离类型,样本,研究设计,质量和地理位置的异质性.
主要成果:
- 分离显著调解了创伤暴露和PTSD症状之间的关系 (β = 0.15).
- 分离显著调解了创伤暴露和精神病症状之间的关系 (β = 0.14).
- 对于创伤分离,临床样本,非西方国家和较低质量的研究,间接影响更大.
结论:
- 分离作为创伤-PTSD-精神病途径的跨诊断调解者.
- 创伤分离和临床群体显示更强的调解效应.
- 这些发现支持临床实践和未来的创伤后应激障碍和精神病的跨诊断研究.
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