从跨诊断的角度来看,主观和客观认知功能之间的关联:一个总体审查和元分析
Ryan Van Patten1, Kyler Mulhauser2, Tara A Austin3
1Center for Neurorestoration & Neurotechnology, VA Providence Healthcare System, Providence, RI, USA; Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA.
Clinical psychology review
|September 13, 2025
概括
主观和客观的认知功能在很大程度上是不同的,精神健康因素,如抑郁症更强烈地与自我报告的认知相关. 自我报告和绩效测试之间的差异是常见的,并且在诊断上不有用.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 临床医学 临床医学
背景情况:
- 主观 (自我报告) 和客观 (基于绩效) 的认知功能在神经精神综合征中至关重要.
- 了解它们之间的关系对于临床评估和治疗至关重要.
- 需要一个跨诊断的视角来探索这个协会跨不同的条件.
研究的目的:
- 对主观和客观认知之间的关联进行文献的综合审查.
- 综合从审查检查这一关系跨生命周期和各种条件的综合发现.
- 评估主观和客观认知之间的关系的一致性和强度.
主要方法:
- 关于主观与客观认知的已发表评论论文的总体综述.
- 选了7329份报告,其中包括叙事综合中的50份评论.
- 对10个评论 (N=92,606) 进行了第二阶段的元分析,以查找聚合相关性.
主要成果:
- 在主观和客观认知之间发现了不一致的关系,效果大小从弱到零.
- 心理健康因素 (抑郁,焦虑) 与主观认知比客观得分更强烈相关.
- 整体客观和主观认知之间的聚合相关性为0.14,表明重叠最小.
结论:
- 主观和客观认知在很大程度上是不重叠的构造,反映了认知功能的独特方面.
- 临床医生和研究人员不应该假设自我报告的认知和神经心理测试之间的一致性.
- 差异是常见的,并且在诊断上没有帮助,突出显示了需要多方面的认知评估.
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