在情绪障碍中主观和客观认知功能之间的关联的系统审查和元分析
Kate Eggleston1,2, Kamilla Woznica Miskowiak3,4, Richard Porter1,2
1Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Bipolar disorders
|January 24, 2026
概括
情绪障碍中的主观和客观认知功能表现出微弱的相关性,这表明没有一个单独完全捕捉患者的状态. 主观和客观的评估对于全面了解情绪障碍中的认知功能至关重要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 认知心理学 认知心理学
背景情况:
- 在情绪障碍中,患者如何感觉到他们的认知功能 (主观) 和他们在认知测试 (客观) 上的表现之间的关系是争论的.
- 这种辩论对于选择旨在改善认知的治疗方法的适当结果措施至关重要.
研究的目的:
- 系统地审查和元分析情绪障碍患者的主观和客观认知功能之间的关联.
- 确定可能预测或缓解这种关联的因素.
主要方法:
- 在主要数据库 (MEDLINE,EMBASE,PsycINFO,Cochrane Library) 进行了全面的搜索,截至2024年7月.
- 使用在情绪障碍中的主观和客观认知措施之间的相关性分析的研究被纳入了元分析.
- 对不使用相关性分析的研究进行了叙述性审查.
主要成果:
- 确定了55项涉及5798名参与者的研究,其中35项纳入了元分析.
- 在大多数领域中,在主观和客观认知之间发现了微弱但显著的正相关性,除了持续的注意力 (趋势水平).
- 情绪状态或诊断没有影响这些相关性,并且没有特定的主观测量显示出比其他更强烈的关联.
结论:
- 这是关于情绪障碍这一主题的第一个系统综述和元分析.
- 这些发现支持一个微弱的关联,可能是由于客观认知测试在现实世界中适用性有限.
- 综合性评估需要评估主观和客观的认知功能,以准确了解患者的认知状态.
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