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创伤的阴影:临床人群中的心智障碍 - - 一个系统的审查
Marianna Gorgellino1, Geetanjali Kumar2, Yusra Parkar2
1Treatment and Early Intervention in Psychosis Program (TIPP), Department of Psychiatry, https://ror.org/05a353079Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Psychological medicine
|July 8, 2025
概括
童年创伤 (CT) 与心智障碍有关,影响精神障碍中的社会认知. 忽视显示出比虐待更强烈的关联,特别是在精神疾病中.
科学领域:
- 社会认知神经科学 社会认知神经科学
- 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:
- 精神化,即通过心理状态来解释行为的能力,对于社会认知至关重要.
- 在精神障碍中观察到精神障碍的障碍,并与童年创伤 (CT) 相关.
- 需要系统地调查CT,心态化和精神病理学之间的准确关系.
研究的目的:
- 系统地审查现有的关于童年创伤和心理能力之间的关联的文献.
- 探索这种关联在不同精神疾病中如何变化.
主要方法:
- 一个符合PRISMA的系统审查研究发表到2022年12月.
- 在Medline,Embase和PsycINFO数据库中进行文献搜索.
- 包括29项相关研究的定性综合.
主要成果:
- 在69%的研究中,CT和心态化之间发现了显著的负相关性.
- 强有力的证据将CT与精神疾病,单极抑郁症,人格障碍和阿片类药物成中的减少心态联系起来.
- 忽视一直与心态的下降有关,而虐待没有显著的关联.
结论:
- 童年创伤对几种精神疾病,特别是精神病障碍的心理形成有负面影响.
- 研究结果表明,以精神化为重点的干预措施可以帮助预防和治疗精神疾病.
- 针对心智化缺陷可能会减少精神障碍的发生率和功能负担.
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