在青春期和年轻成年期跨越精神病连续性的精神化:系统性审查和叙事综合
George Salaminios1,2, Astra Hazlitt1,3, Peter Fonagy1,4
1Research Department of Clinical, Educational and Health Psychology, University College London, London WC1E 6BT, United Kingdom.
Schizophrenia bulletin
|July 10, 2025
概括
在青少年和年轻成年人中,精神病连续体中存在精神化困难. 这些挑战,特别是在前期和临床阶段,可能是精神病早期干预的关键目标.
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:
- 在成人精神病中建立了精神化困难,但在青少年和年轻成年人中不太了解.
- 这个发育期对于精神病的出现至关重要.
- 了解心理的作用对于早期检测和干预至关重要.
研究的目的:
- 审查和综合关于青少年和年轻成年人的精神病连续性的精神功能障碍的研究.
- 评估精神病发展的不同阶段心理障碍的存在和影响.
主要方法:
- 26项经验研究的叙事综合,涉及4391名10-25岁的参与者.
- 研究包括社区,临床高危精神病 (CHR-P),第一发精神病 (FEP) 和临床精神病样本.
- 在电子数据库中搜索相关文献进行了搜索.
主要成果:
- 在社区样本中,混合证据将精神化和非临床精神病症状联系在一起.
- CHR-P样本显示精神病前症候群期间的精神化困难,可能会影响进展.
- 患有FEP或被诊断为精神病的青少年和年轻人在疾病的早期表现出精神障碍.
结论:
- 在年轻人中,精神障碍在精神病连续性中显而易见.
- 这些障碍在前期和临床阶段特别明显.
- 精神功能障碍是精神病早期干预策略的潜在目标.
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