躁郁症与累积性创伤:关于发病率和疾病结果的系统回顾。

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Amy-Leigh Rowe, Tania Perich, Tanya Meade
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引用次数: 0

摘要

背景:累积性创伤可能是躁郁症(BD)的常见症状。然而,由于大多数研究关注的是童年时期的创伤,而没有对所经历的创伤量的差异进行研究,因此有关累积性创伤的报道并不多见。本系统综述旨在确定终生累积性创伤在躁狂症患者中的患病率,并探讨相关的疾病结局:方法:根据《系统综述和元分析首选报告项目》(Preferred Reporting Items for Systematic Reviews and Meta-Analyses,PRISMA)指南完成了一项系统综述。方法:根据系统综述和荟萃分析首选报告项目(PRISMA)指南完成了一项系统综述,评估了累积性创伤在 BD 中的患病率和结果。检索了五个电子数据库(Embase、MEDLINE、PsycINFO、Web of Science 和 PTSD Pubs)中从 2010 年 1 月至 2022 年 12 月的记录:共有 20 项研究、9304 名参与者被纳入叙述性综述。至少三分之一的 BD 参与者经历过累积性创伤,发病率从 29% 到 82% 不等。与累积性创伤史相关的主要结果是:发病年龄较早、发作持续时间较长、终生情绪发作次数较多、出现精神病特征的可能性较大以及既往自杀未遂的可能性较高:本综述因缺乏直接评估BD累积性创伤的研究而受到限制:累积性创伤在 BD 中很普遍。初步证据表明,累积性创伤与一系列不良后果有关,这强调了临床医生需要获得详细的创伤史,并在治疗该疾病时考虑到这些风险。未来的研究应报告累积性创伤的发病率,尤其是成年期的发病率,因为这一领域的研究仍有待深入。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Bipolar disorder and cumulative trauma: A systematic review of prevalence and illness outcomes

Bipolar disorder and cumulative trauma: A systematic review of prevalence and illness outcomes

Background

The experience of cumulative trauma may be common in bipolar disorder (BD). However, it is not frequently reported as most studies focus on childhood trauma without examining differences in the amount of trauma experienced. This systematic review aimed to determine the prevalence of lifetime cumulative trauma in BD as well as explore associated illness outcomes.

Methods

A systematic review was completed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Both the prevalence and outcomes of cumulative trauma in BD were assessed. Five electronic databases were searched (Embase, MEDLINE, PsycINFO, Web of Science, and PTSD Pubs) for records from January 2010 until December 2022.

Results

A total of 20 studies, with 9304 participants were included in the narrative synthesis. At least one-third of BD participants had experienced cumulative trauma, with a prevalence range from 29% to 82%. The main outcomes associated with a history of cumulative trauma were earlier age of onset, longer episode duration, more lifetime mood episodes, greater likelihood of experiencing psychotic features, and higher likelihood of past suicide attempts.

Limitations

This review has been limited by the lack of studies directly assessing cumulative trauma in BD.

Conclusions

Cumulative trauma is prevalent in BD. Preliminary evidence indicates an association with a range of adverse outcomes, emphasizing the need for clinicians to obtain a detailed trauma history and to consider these risks in the management of the disorder. Future studies should report on the prevalence of cumulative trauma, particularly in adulthood as this area remains unexplored.

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来源期刊
Journal of Clinical Psychology
Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-
CiteScore
5.40
自引率
3.30%
发文量
177
期刊介绍: Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.
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