双相谱系障碍的纵向预测因素：基于行为趋近系统（BAS）的视角。
Longitudinal Predictors of Bipolar Spectrum Disorders: A Behavioral Approach System (BAS) Perspective.
作者信息
Alloy Lauren B, Abramson Lyn Y, Urosevic Snezana, Bender Rachel E, Wagner Clara A
机构信息
Temple University.
出版信息
Clin Psychol (New York). 2009 Jun 1;16(2):206-226. doi: 10.1111/j.1468-2850.2009.01160.x.
Abstract
We review longitudinal predictors, primarily psychosocial, of the onset, course, and expression of bipolar spectrum disorders. We organize our review along a proximal - distal continuum, discussing the most proximal (i.e., prodromes) predictors of bipolar episodes first, then recent environmental (i.e., life events) predictors of bipolar symptoms and episodes next, followed by more distal psychological (i.e., cognitive styles) predictors, and ending with the most distal temperament (i.e., Behavioral Approach System sensitivity) predictors. We then present a theoretical model, the Behavioral Approach System (BAS) dysregulation model, for understanding and integrating the role of these predictors of bipolar spectrum disorders. Finally, we consider the implications of the reviewed longitudinal predictors for future research and psychosocial treatments of bipolar disorders.
摘要
我们回顾了双相谱系障碍的起病、病程及表现的纵向预测因素，主要是心理社会方面的因素。我们按照从近端到远端的连续统一体来组织本次综述，首先讨论双相发作最近端的（即前驱症状）预测因素，接着讨论双相症状及发作近期的环境（即生活事件）预测因素，随后是更远端的心理（即认知风格）预测因素，最后以最远端的气质（即行为激活系统敏感性）预测因素作为结尾。然后，我们提出了一个理论模型，即行为激活系统（BAS）失调模型，用于理解和整合这些双相谱系障碍预测因素的作用。最后，我们考虑所综述的纵向预测因素对双相障碍未来研究及心理社会治疗的意义。
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