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极端感觉加工模式及其与重性情感障碍个体临床状况的关系。

Extreme sensory processing patterns and their relation with clinical conditions among individuals with major affective disorders.

机构信息

Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Israel.

Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, Italy.

出版信息

Psychiatry Res. 2016 Feb 28;236:112-118. doi: 10.1016/j.psychres.2015.12.022. Epub 2015 Dec 17.

Abstract

Previous studies highlighted the involvement of sensory perception in emotional processes. However, the role of extreme sensory processing patterns expressed in hyper- or hyposensitivity was not thoroughly considered. The present study, in real life conditions, examined the unique sensory processing patterns of individuals with major affective disorders and their relationship with psychiatric symptomatology. The sample consisted of 105 participants with major affective conditions ranging in age from 20 to 84 years (mean=56.7±14.6). All participants completed the Temperament Evaluation of Memphis, Pisa, Paris and San Diego (TEMPS-A), the second version of the Beck Depression Inventory (BDI-II), and Adolescent/Adult Sensory Profile (AASP). Sensory sensitivity/avoiding hypersensitivity patterns and low registration (a hyposensitivity pattern) were prevalent among our sample as compared to normative data. About seventy percent of the sample showed lower seeking tendency. Stepwise regression analyses revealed that depression and anxious/cyclothymic affective temperaments were predicted by sensory sensory/avoiding. Anxious and irritable affective temperaments were predicted by low registration. Hyperthymic affective temperament and lower severity of depression were predicted by sensation seeking. Hyposensitivity or hypersensitivity may be "trait" markers of individuals with major affective disorders. Interventions should refer to the individual unique sensory profiles and their behavioral and functional impact in the context of real life.

摘要

先前的研究强调了感官知觉在情绪过程中的参与作用。然而,人们并没有充分考虑到超敏或低敏等极端感官处理模式的作用。本研究在现实生活条件下,考察了有重大情感障碍的个体的独特感官处理模式及其与精神症状的关系。该样本由 105 名年龄在 20 至 84 岁之间(平均年龄=56.7±14.6)的有重大情感障碍的参与者组成。所有参与者都完成了孟菲斯、比萨、巴黎和圣地亚哥的气质评估测验(TEMPS-A)、贝克抑郁量表第二版(BDI-II)和青少年/成人感觉量表(AASP)。与常模数据相比,我们的样本中存在较多的感官敏感/回避超敏模式和低登记(低敏模式)。约 70%的样本显示较低的寻求倾向。逐步回归分析显示,抑郁和焦虑/循环情感气质由感官敏感/回避预测,焦虑和易怒情感气质由低登记预测,高情感气质和较低的抑郁严重程度由感觉寻求预测。超敏或超敏可能是有重大情感障碍的个体的“特征”标志物。干预措施应参考个体独特的感官特征及其在现实生活中的行为和功能影响。

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