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[患有精神障碍的年轻患者中病态博和互联网成的临床和心理参数比较]
E S Krylova1, A A Kuleshov1, V G Kaleda1
1Mental Health Research Centre, Moscow, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|November 24, 2025
概括
年轻患者的病态博和互联网成与情感和神经障碍有关,混合成群体的风险更高. 冲动性是一个关键因素,需要进一步研究针对性干预措施.
科学领域:
- 精神病学和行为科学
- 成研究 研究成研究
- 临床心理学 临床心理学
背景情况:
- 非化学成,包括病态博 (PG) 和互联网成 (IA),在年轻人中越来越令人担忧.
- 了解这些成的临床,精神病理和心理测量概况对于有效的干预至关重要.
- 以前的研究已经强调了行为成和并发性精神疾病之间的复杂相互作用.
研究的目的:
- 在患有非精神病的年轻患者中,划出病态博和互联网成的主要临床,精神病学和心理测量特征.
- 识别与不同类型的非化学成相关的潜在并发症和行为模式.
- 探索冲动性和家族史在这些成的表现和过程中的作用.
主要方法:
- 研究了一组由93名年轻患者组成的队列,这些年轻患者在2020年至2024年期间被诊断患有互联网成和/或病态博.
- 使用临床心理病学评估,心理测量评估 (包括巴拉特冲动性量表) 和回顾性分析.
- 根据非化学药物成的主要类型,患者被分为三组:PG占主导,IA占主导和混合.
主要成果:
- 患有PG占主导地位的患者 (22.6%) 显示了家族上史,高率的情感障碍 (71.43%),自杀活动 (38.10%) 和最高的冲动性.
- 患有主要IA的患者 (46.2%) 患有神经障碍 (焦虑症,强迫症) (72.09%) 和饮食障碍 (20.93%).
- 混合组 (31.2%) 呈现了最近的发病,社会不适应,同时发生的化学依赖 (62.07%),高情绪障碍 (86.21%) 和非自杀自伤行为 (NSSIB) (68.97%).
结论:
- 在非化学成变体和伴随性疾病 (如情感/神经障碍,自动攻击/自杀行为等) 之间存在显著的关联.
- 确定了每个成组的独特预测标记,混合组呈现最严重的过程和不利的预后.
- 这些患者的病理冲动性升高表明需要进一步调查和制定有针对性的预防和治疗策略.
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