城市建筑密度和大脑连接性在精神分裂症中以性别特定的方式预测抗精神病反应
Urvakhsh Meherwan Mehta1, Neelabja Roy1, Aishwarya Narayana2
1Departments of Psychiatry, National Institute of Mental Health & Neurosciences (NIMHANS), Bangalore, 560029, India.
Asian journal of psychiatry
|July 27, 2025
概括
城市环境对男性和女性的精神分裂症治疗反应的影响不同. 更高的建筑密度有利于男性,但伤害女性,这表明特定于性别的个性化护理至关重要.
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.
- 环境心理学 环境心理学
背景情况:
- 城市化是精神分裂症的已知危险因素,特别是在男性中.
- 它还与更好的治疗反应有关.
- 这项研究探讨了第一发精神分裂症 (FES) 中的环境因素和大脑连接.
研究的目的:
- 为了识别FES中邻近的地理空间特征的静止状态功能连接 (rsFC) 相对应物.
- 检查这些特征及其rsFC相关物如何与性别相互作用,以预测治疗反应.
主要方法:
- 分析了印度班加罗尔的48名先前未服用过抗精神病药物的FES患者.
- 对建筑密度和绿色空间进行全脑连接分析.
- 使用结构方程建模来测试治疗反应的基于性别的适度.
主要成果:
- 建筑密度更高与特定大脑网络的连接性改变相关.
- 建筑密度/rsFC与治疗反应之间没有总体关联.
- 显著的性别特异性相互作用:较高的建筑密度有利于男性,但对女性来说恶化了结果.
结论:
- 建筑密度及其rsFC相关物显示了对FES治疗反应的性别依赖性影响.
- 这些发现支持基于性别的差异性敏感性模型.
- 强调在精神病治疗中需要神经城市主义和性别特定策略.
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