精神分裂症和自闭症中的能动性：一项系统综述。
Agency in schizophrenia and autism: a systematic review.
作者信息
Tan Denise P W, Carter Olivia, Marshall Darcy-Rose, Perrykkad Kelsey
机构信息
Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia.
Monash Centre for Consciousness and Contemplative Studies, School of Philosophical, Historical and International Studies, Monash University, Melbourne, VIC, Australia.
出版信息
Front Psychol. 2023 Dec 21;14:1280622. doi: 10.3389/fpsyg.2023.1280622. eCollection 2023.
INTRODUCTION
Previous research suggests that altered experiences of agency are an underlying vulnerability in both schizophrenia and autism. Here, we explore agency as a potential transdiagnostic factor by conducting a systematic review of existing literature investigating agency in autism and schizophrenia individually and together.
METHODS
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted three systematic searches on PsycINFO, Embase, Medline, PubMed and Web of Science to identify studies that investigated (1) agency in schizophrenia, (2) agency in autism, and (3) agency in both schizophrenia and autism.
RESULTS
A total of 31 articles met eligibility criteria for inclusion and data extraction, with 24 measuring agency in schizophrenia, 7 investigating agency in autism, and no articles comparing the two. Results show that, compared to control populations, agency is significantly different in every identified schizophrenia study and generally not significantly different in autism.
DISCUSSION
Importantly, we identified a lack of studies using common tasks and a disproportionate number of studies investigating different dimensions of agency across the two conditions, resulting in limited grounds for valid comparison.
SYSTEMATIC REVIEW REGISTRATION
Prospero, CRD42021273373.
引言
先前的研究表明，能动性体验的改变是精神分裂症和自闭症的潜在易感性因素。在此，我们通过对现有文献进行系统综述来探讨能动性作为一种潜在的跨诊断因素，这些文献分别或共同研究了自闭症和精神分裂症中的能动性。
方法
按照系统综述和荟萃分析的首选报告项目（PRISMA）指南，我们在PsycINFO、Embase、Medline、PubMed和科学网进行了三次系统检索，以识别研究以下内容的研究：（1）精神分裂症中的能动性；（2）自闭症中的能动性；（3）精神分裂症和自闭症中的能动性。
结果
共有31篇文章符合纳入和数据提取的资格标准，其中24篇测量了精神分裂症中的能动性，7篇研究了自闭症中的能动性，没有文章对两者进行比较。结果表明，与对照人群相比，在每项已识别的精神分裂症研究中能动性均有显著差异，而在自闭症中一般无显著差异。
讨论
重要的是，我们发现缺乏使用共同任务的研究，且在这两种情况下研究能动性不同维度的研究数量不成比例，导致有效比较的依据有限。
系统综述注册
国际系统综述前瞻性注册库，CRD42021273373。
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