精神分裂症的分离症状及其与创伤经历的关系
Monika Żwirska1, Artur Daren2, Aneta Kalisz1,3
1Department of Community Psychiatry, Association for Development of Community Psychiatry and Care, Krakow, Poland.
概括
精神分裂症患者的一个重要亚组表现出严重的分离性障碍,通常与创伤有关. 对这些人来说,正念可能会带来治疗效益.
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:
- 精神分裂症是一种复杂的疾病,具有多种症状表现.
- 分离性障碍可以与精神分裂症同时发生,影响患者的结果.
- 创伤,分离和精神分裂症之间的关系需要进一步调查.
研究的目的:
- 评估精神分裂症患者分离性疾病的严重程度.
- 分析分离症状,精神分裂症症状和创伤之间的关系.
- 在精神分裂症谱系障碍中探索分离式碎片化与脱离.
主要方法:
- 对63名精神分裂症谱系障碍患者的横截面研究.
- 使用了经过验证的波兰版本的精神分裂症症状 (PANNS),认知 (ACE-III),正念 (MAAS),情绪 (DASS-14),创伤 (TEC) 和解离 (DES-R,SDQ-20,DCI,DSS) 的尺度.
- 统计分析以确定相关性和调解效应.
主要成果:
- 33.3%的参与者表现出较高的分离症状,与积极的精神分裂症症状,较低的正念和较高的创伤经历相关.
- 在碎片化和脱落症状之间观察到强烈的相关性.
- 分离调解了创伤和精神病理症状之间的关系,与正念有负相关性.
结论:
- 精神分裂症患者的一个明显的亚组呈现出显著的分离性障碍,与创伤性经历密切相关.
- 正念干预措施需要进一步研究这种人群的潜在治疗益处.
- 分离式碎片化和脱离似乎在精神分裂症谱系障碍中相互联系.
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