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压力生活事件作为强迫症障碍的冲击因素:系统性审查和元分析
Veronica Hühne1, Samara Dos Santos-Ribeiro1, Maria Eduarda Moreira-de-Oliveira1
1Anxiety, Obsessions and Compulsions Program, https://ror.org/03490as77Institute of Psychiatry of the Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
强迫症 (OCD) 患者经常报告生活中的压力事件 (SLEs),无论是在症状出现前的一年还是整个生命中. 这表明SLE和强迫症发展之间存在显著的关联.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 流行病学 流行病学
背景情况:
- 创伤在强迫症 (OCD) 中的作用是公认的,但压力生活事件 (SLEs) 和强迫症发作之间的具体联系需要进一步调查.
- 现有的研究尚未完全阐明SLEs在强迫症发展中的流行程度和影响.
研究的目的:
- 系统地审查和总结有关压力生活事件 (SLE) 和强迫症 (OCD) 发展之间的联系的现有证据.
主要方法:
- 在PubMed,Web of Science,Scopus和PsycINFO数据库中进行了系统的文献搜索.
- 包括的研究比较了强迫症患者中SLE的患病率与其他精神疾病患者或健康对照者的SLE.
- 七项研究符合审查和元分析的纳入标准.
主要成果:
- 两项研究表明,在强迫症发病前一年内,强迫症患者的SLE发病率高于健康对照人群.
- 两项研究发现,在强迫症发作之前,在个人一生中,SLEs的发生率增加.
- 对三项研究的元分析显示,小但积极的聚合效应大小,将强迫症发病前一年的SLEs与疾病联系起来.
结论:
- 压力生活事件 (SLE) 似乎在强迫症 (OCD) 患者中非常普遍.
- 强迫症和强迫症之间的关联在疾病发作前的一年和个人一生中都很明显.
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