重新思考双相情绪障碍中的情绪反应:系统性审查和元分析
Lilla Nora Kovacs1, Matthew V Elliott2, Cynthia M Villanueva3
1Institute of Psychology, ELTE Eötvös Loránd University.
Psychological bulletin
|December 22, 2025
概括
双相情感障碍 (BD) 的情绪反应性与对照组相比没有整体差异. 然而,特定的刺激和测量方法显著影响了BD患者观察到的情绪反应.
科学领域:
- 精神病学和行为科学
- 情感研究 情感研究
- 心理健康研究 心理健康研究
背景情况:
- 双极性障碍 (BD) 经常与情绪反应的改变有关,但研究结果不一致.
- 之前的研究还没有系统地综合了关于 BD 情绪反应的证据.
研究的目的:
- 进行首次对双相情绪障碍 (BD) 或患有BD高风险的个体的情绪反应性进行系统审查和元分析.
- 在各种措施中比较BD/高风险组和对照组之间的情绪反应.
主要方法:
- 35项实验室研究的系统审查和元分析.
- 包括来自1,239名BD/高风险参与者和1,365名对照者的112个效果大小.
- 对自我报告,行为和心理生理学情绪反应度的分析.
主要成果:
- 在BD和非BD组之间的情绪反应性没有显著的整体差异 (Hedges的g = -0.003).
- 观察到显著的异质性;没有发现研究特征的适度.
- BD参与者对标准化图像的反应性较低,并且报告了对积极刺激的负面情绪减少.
结论:
- 在BD中,情绪反应性高度依赖于背景和方法.
- 标准化的刺激和特定的基线测量影响了研究结果.
- 未来的研究应该仔细考虑BD中的评估方法和情感背景.
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