功能障碍的信念及其导致精神障碍的途径导致精神分裂症谱系障碍的负面症状和功能
Sarah Saperia1,2,3, Alex Prosserman1, Emilia Flores Anaya1
1Schizophrenia Division and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON M6J 1H1, Canada.
功能障碍的信念直接影响负面症状,并间接影响精神分裂症谱系障碍中的功能. 针对特定的信念,特别是与动机相关的信念,可能会改善治疗结果.
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
- 认知神经科学 认知神经科学
背景情况:
- 认知模型表明,功能障碍的信念在精神分裂症谱系障碍中保持负面症状.
- 之前的研究还没有全面研究特定信念,负面症状和功能之间的联系.
- 这项研究调查了从六个核心功能障碍信念到负面症状和功能结果的途径.
研究的目的:
- 评估六种主要功能障碍信念对负面症状的直接和间接影响.
- 评估这些信念对功能结果的影响,以负面症状为媒介.
- 为了确定哪些特定的信念与负面症状和功能最强烈相关.
主要方法:
- 分析了132名患有精神分裂症谱系障碍的参与者.
- 路径建模被用来检查直接和间接的路径,从功能障碍的信念到负面的症状和功能.
- 一个主要组件分析确定了一个信念的单一因素,单独的模型测试了个人的信念贡献.
- 评估模型的特异性是通过比较对整体负面症状的影响与动机下降的影响来评估.
主要成果:
- 功能障碍的信念对负面症状有显著的直接影响,对功能有间接影响.
- 失败主义的表现信念,非社会信仰,对成功/快乐的低期望,以及对有限资源的看法都是重要的预测因素.
- 内化耻辱与负面的症状或功能没有显著的关联.
- 专注于动机减弱的模型显示出更好的适应性.
结论:
- 这些发现支持认知模型在指导负面症状的认知行为干预方面的实用性.
- 针对特定的功能障碍信念,特别是与动机相关的信念,显示出改善结果的临床潜力.
- 识别和解决这些信念可能会减轻负面症状,并改善精神分裂症谱系障碍患者的整体功能.
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