身体症状障碍中的精神障碍:系统性审查和元分析
Krisztina Kocsis-Bogar1,2, Judit Deri1,2, Mónika Miklósi3
1Clinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
与健康个体相比,患有体征性症状障碍 (SSD) 的患者表现出精神障碍. 然而,他们的思维能力与患有严重抑郁症 (MDD) 或创伤后应激障碍 (PTSD) 的人相似.
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:
- 精神缺陷在精神疾病中很常见.
- 与对照人群相比,在体征性症状障碍 (SSD) 中对思维存在的系统性审查并不存在.
- 这项研究解决了这一差距.
研究的目的:
- 系统地审查和元分析SSD患者与对照者的精神化表现.
- 为了比较SSD患者的思维与临床对照,如MDD或PTSD患者.
主要方法:
- 系统的数据库搜索到2025年6月.
- 在选3796个记录时,遵循了PRISMA指南.
- 9个符合条件的横截面病例控制研究的元分析 (N=314).
主要成果:
- 与非临床对照组 (p=0.001) 相比,SSD患者在精神化 (认知/情感状态) 中表现出显著的一般和特定障碍.
- 与非临床对照组相比,在SSD患者中观察到低心态化的同质效应 (p=0.007).
- 在SSD患者和患有MDD或PTSD患者之间没有发现显著的心理差异.
结论:
- 与非临床人群相比,体征性症状障碍患者表现出较低的精神化.
- 在SSD中,精神缺陷与在MDD或PTSD患者中观察到的差异并没有显著不同.
- 研究数量有限和方法异质性可能解释了与临床组相比缺乏显著差异.
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