针对精神病的以创伤为重点的心理干预:对妄想和幻觉产生不同影响的元分析证据
Diamantis Toutountzidis1, Emily Ricketts1, Keith R Laws1
1School of Health, Medicine and Life Sciences, https://ror.org/0267vjk41University of Hertfordshire, UK.
Psychological medicine
|January 8, 2026
概括
创伤重点干预 (TFI) 显示出减轻精神病患者妄想的希望,但对幻觉的好处有限. 需要进一步的研究来优化TFI针对特定的精神病体验.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康 心理健康
背景情况:
- 童年创伤是精神病的重要危险因素.
- 创伤重点干预 (TFI) 越来越多地用于精神病治疗.
- TFIs对诸如幻觉和妄想等精神病症状的有效性需要进一步研究.
研究的目的:
- 系统地审查和分析TFI对精神病相关结果的影响.
- 评估TFI在患有精神病或亚临床症状的个体中的疗效.
- 评估TFI对幻觉,妄想,负面症状,PTSD,抑郁,焦虑,生活质量和功能的影响.
主要方法:
- 36项研究的系统综述和元分析 (N=1,384).
- 包括专注于患有精神病或亚临床症状的个体的研究.
- 使用AXIS,Cochrane RoB2和GRADE评估研究质量和偏差风险.
主要成果:
- 在前后分析中,TFI显示了幻觉的小幅减少 (调整后g=-0.28) 和妄想的中等减少 (g=-0.55).
- 控制试验表明幻觉 (g=-0.44至-0.48) 显著减少,但幻觉 (g=-0.12至-0.01) 没有显著减少.
- TFI显著降低了PTSD症状 (K=6),并在随访时改善了功能 (K=6),对负面症状,抑郁,焦虑或生活质量的影响有限.
结论:
- TFIs在减少与精神病相关的妄想方面特别有效.
- 对幻觉和其他次要结果的TFI的好处似乎有限.
- 进一步的研究应侧重于为不同的精神病体验开发症状特异性的心理干预措施.
关键词:
这是CBT CBT.在EMDR中,您可以使用EMDR.创伤后应激障碍 创伤后应激障碍有关RCT的RCT是什么虐待儿童,虐待儿童的行为.认知行为疗法是认知行为疗法.眼睛运动脱敏和再处理.精神错乱是一种精神病.心理治疗是一种心理治疗.随机对照试验是随机对照试验.精神分裂症是一种精神分裂症.以创伤为中心的治疗方法.更多相关视频
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