在严重精神疾病中,区域剥夺与偏执之间的关联
Sarah A Berretta1, Robert A Ackerman1, Raeanne C Moore2
1School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX 75080, United States.
Schizophrenia bulletin
|October 30, 2025
概括
邻居剥夺与精神分裂症和双相情感障碍等严重精神疾病中偏执症的增加有关. 解决环境因素可能会减少偏执,改善患者的功能.
科学领域:
- 精神病学是一个精神病学.
- 环境心理学 环境心理学
- 公共卫生 公共卫生
背景情况:
- 在严重精神疾病 (SMI) 中,社区剥夺是未被充分探索的.
- 偏执因人口统计学而异,可能是由于基于地点的劣势.
- 这项研究调查了精神分裂症谱系障碍 (SSD) 和双相情感障碍 (BD) 中的区域剥夺和偏执.
研究的目的:
- 检查SSD和BD患者邻居剥夺和偏执之间的关联.
- 为了确定邻里贫困是否解释了偏执狂的人口变化.
- 通过检查幻觉来评估这种关联的特异性.
主要方法:
- 分析了293名参与者在美国三个地点的SSD (n=148) 和BD (n=145) 的数据.
- 使用国家地区贫困指数 (ADI) 量化社区的劣势.
- 通过生态瞬间评估 (EMA) 评估临床医生评级的偏执和瞬间的威胁/怀疑感 (MFTS).
主要成果:
- 更大的邻居劣势与更高的临床医生评级的偏执和MFTS相关,但不是幻觉.
- 具有SSD和非白人种族背景的参与者报告了较高的ADI得分和偏执.
- ADI显著调解了种族背景和偏执之间的关系.
结论:
- 在SMI.中,邻居剥夺与偏执症有关,而不是幻觉.
- 社区层面的环境条件可能是减少偏执的目标.
- 改善邻里条件可以提高SMI的个体的功能.
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