双相情感障碍住院患者的亚历山大症、童年虐待、冲动性和极端感官处理模式与双相情感障碍症状之间的联系

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Morteza Aghaeimazraji, Vahid Khosravani, Seyed Mehdi Samimi Ardestani, Michael Berk, Mahmoud Najafi
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引用次数: 0

摘要

童年虐待、亚历山大症和冲动与双相情感障碍(BD)有关,但这种联系的潜在潜在机制(如极端感觉处理)在双相情感障碍中的作用尚不清楚。本研究比较了躁狂症Ⅰ和躁狂症Ⅱ患者之间的感觉处理模式,以及患有和未患有lexithymia和童年虐待的患者之间的感觉处理模式。此外,该研究还以住院的 BD 患者为样本(n = 300),旨在研究极端感觉处理在童年创伤、情感障碍和冲动与抑郁和躁狂之间的关系中的作用。参与者完成了自我报告和临床医生评分量表。BD-II患者在低登记、感觉敏感性和感觉回避方面超过了BD-I患者,而BD-I患者则表现出更强烈的感觉寻求模式。与没有情感障碍和童年虐待史的患者相比,有情感障碍和童年虐待史的 BD 患者除了感觉寻求外,还表现出更强的感觉处理模式。此外,与同时患有自闭症和童年遭受过虐待的人相比,同时患有自闭症和童年遭受过虐待的 BD 患者的感觉处理模式更为明显。从童年虐待和自闭症到抑郁症状的路径是由低注册和感觉回避中介的。感官寻求间接影响了情感障碍与躁狂症状之间的联系。童年虐待和有效处理情感信息方面的挑战,以及与之相关的低敏感性和高敏感性,可能是BD患者的特征,也是抑郁症状和躁狂症状的表现形式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Connections Between Alexithymia, Childhood Maltreatment, Impulsivity and Extreme Sensory Processing Patterns in Relation to Bipolar Symptoms in Inpatients With Bipolar Disorder

Childhood maltreatment, alexithymia and impulsivity are related to bipolar disorder (BD), but the role of potential underlying mechanisms of this link, such as extreme sensory processing, in BD are unclear. This study compared sensory processing patterns between individuals with BD-I or BD-II and between those with and without alexithymia and childhood maltreatment. Additionally, the study aimed to examine the role of extreme sensory processing in the relationship between childhood trauma, alexithymia and impulsivity with both depression and mania in a sample of hospitalized individuals with BD (n = 300). Participants completed self-report and clinician-rated scales. Patients with BD-II exceeded those with BD-I in low registration, sensory sensitivity and sensation avoidance, whereas patients with BD-I exhibited a more heightened sensation-seeking pattern. Patients with BD who had alexithymia and a history of childhood maltreatment exhibited more heightened sensory processing patterns, apart from sensory seeking, compared to those without alexithymia and childhood maltreatment. Additionally, the same pattern was more pronounced in individuals with BD who had both alexithymia and childhood maltreatment compared to those with either condition or neither of these conditions. The pathways from childhood maltreatment and alexithymia to depressive symptoms were mediated by low registration and sensation avoidance. Sensory seeking indirectly affected the link between alexithymia and manic symptoms. Childhood maltreatment and challenges in effectively processing emotional information, along with their related hypo- and hypersensitivity, may characterize BD individuals and its manifestation of depressive and manic symptoms.

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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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