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强迫症障碍中与创伤相关的途径:病因学,症状尺寸和严重程度的系统审查
Margherita Zenoni1, Marina Rodriguez Lopez2, Stephanie Archer2
1University of Cambridge, Department of Psychology, Downing Pl, Cambridge CB2 3EB, United Kingdom; Orchard OCD, 66 Devonshire Rd, Cambridge CB1 2BL, United Kingdom.
创伤性生活经历显著恶化强迫症 (OCD) 症状和表现. 有关创伤的护理对于有效的强迫症治疗至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 创伤性生活经历越来越多地与强迫症 (OCD) 发病,症状和严重程度有关.
- 关于创伤与强迫症关系的现有研究是分散的,需要进行全面的审查.
研究的目的:
- 系统地审查创伤在强迫症病因学中的作用.
- 检查创伤类型和强迫症症状尺寸之间的关联.
- 评估创伤对强迫症严重程度和并发性疾病的影响.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在MEDLINE,PsycINFO和EMBASE数据库中进行全面的文献搜索.
- 通过Scopus向前引用跟踪.
主要成果:
- 28项研究证实了创伤 (特别是情感疏忽,身体/性虐待) 与强迫症之间的重要联系.
- 特定创伤预测的症状概况:人际创伤与不可接受的想法/责任,非人际与污染主题.
- 创伤暴露与强迫症严重程度增加和精神病并发症相关.
结论:
- 创伤显著加剧了强迫症症状的严重程度,并影响了症状的呈现.
- 以创伤为基础的临床评估和干预措施对于治疗强迫症至关重要.
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