预测从危险心理状态过渡到精神病的生物标志物:系统性审查
Valerio Ricci1, Giovanni Martinotti2, Alessio Mosca2
1University of Turin, San Luigi Gonzaga Hospital, Regione Gonzole, 10, 10043 Orbassano, Italy.
Neuroscience and biobehavioral reviews
|February 18, 2026
概括
在临床高风险个体中预测精神病过渡仍然具有挑战性. 目前的生物标志物看起来很有前途,但缺乏临床验证,需要在多种人群中进行进一步的研究.
科学领域:
- 精神病学是一种精神病学.
- 神经科学是一个神经科学.
- 生物标志物研究 生物标志物研究
背景情况:
- 确定临床高危 (CHR) 个体中精神病过渡的预测生物标志物对于早期干预至关重要.
- 大多数CHR患者不会患上精神病,这凸显了改善预后工具的必要性.
研究的目的:
- 系统地审查神经生物学,神经成像,遗传和外围生物标志物,以预测CHR人群中精神病发作.
- 评估目前生物标志物研究的现状,以预测精神病.
主要方法:
- 按照PRISMA指南,在五个数据库中进行了系统的文献搜索.
- 包括46项纵向研究,涉及大约15500名CHR个体,并由于异质性而进行叙述合成.
- 通过纽卡斯尔-太华尺度和PROBAST评估研究质量.
主要成果:
- 神经生理学测量 (不匹配负面性,P300) 显示了与中等效果大小的一致复制.
- 结构神经成像表明前额前带膜体积减少作为预测.
- 多基因风险评分在非欧洲样本中具有有限的实用性;多式模式在开发中显示出高准确性,但缺乏外部验证.
结论:
- 目前没有单一的生物标志物符合心理病预测的临床实施标准.
- 方法限制包括样本规模小,缺乏验证,以及人口偏见.
- 生物标志物对研究和理解病理生理学有价值,但尚未用于常规的临床实践.
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