负面症状和自我反思增加了临床精神病高风险个体的异化
Melina Mendonça1, Natalia Mansur Haddad1, Leonardo Peroni de Jesus1
1Laboratório de Neurociências (LIM 27), Instituto de Psiquiatria, Hospital das Clínicas Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Frontiers in psychiatry
|September 26, 2025
概括
临床精神病高风险 (CHR) 个体的负面症状加强了内部化的耻辱感. 在CHR中解决耻辱需要仔细考虑负面症状及其对异化的影响.
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:
- 患有精神病临床高风险 (CHR) 的人面临着独特的挑战.
- 耻辱和认知洞察力是CHR轨迹的关键因素.
- 了解它们与症状的相互作用对于早期干预至关重要.
研究的目的:
- 评估CHR个人的耻辱和认知洞察力.
- 检查耻辱,认知洞察力和精神病症状之间的相互作用.
- 确定影响CHR人口中异化因素.
主要方法:
- 对CHR状态进行查.
- 评估使用精神疾病的内化耻辱,贝克认知洞察力尺度和感知值和歧视尺度.
- 相关性和调解分析,以探索尺度和症状之间的关系.
主要成果:
- 与对照组相比,CHR个体表现出较低的感知歧视和更大的认知洞察力.
- 异化与CHR个体的积极和消极症状正相关.
- 认知洞察力与负面和一般症状相关,并且与内化耻辱有很大关系.
结论:
- 在CHR个体中明显的负面症状显著加强了内部化的耻辱感.
- 针对CHR污名的干预措施必须解决负面症状,因为它们直接和间接地对异化产生影响.
- 认知洞察力和自我反思是负面症状和耻辱之间的关键调解者.
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