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时间对心理健康很重要:精神病患者时间观的定量研究系统综述。

Time matters for mental health: a systematic review of quantitative studies on time perspective in psychiatric populations.

机构信息

Faculty of Psychology, University of Warsaw.

The University of Economics and Human Sciences in Warsaw, Warsaw, Poland.

出版信息

Curr Opin Psychiatry. 2024 Jul 1;37(4):309-319. doi: 10.1097/YCO.0000000000000942. Epub 2024 May 16.

Abstract

PURPOSE OF REVIEW

The ability to perform mental time travels and to develop representations of the past, the present, and the future is one of the distinctive capacities of the human mind. Despite its pronounced consequences for motivation, cognition, affect, and subjective well being, time perspective (TP) has been outside mainstream psychiatry and clinical psychology. We highlight the role of psychological-temporal phenomena in various disorders and summarize the current research on TP and psychopathology.

RECENT FINDINGS

Our review ultimately comprised 21 articles, including 18 unique datasets. It revealed that persons with different psychiatric diagnoses (attention defict hyperactivity disorder (ADHD), alcohol dependence, anxiety disorders, depression, bipolar disorder, personality disorders, posttraumatic stress disorder, schizophrenia) display different temporal profiles than control groups. We also found marked associations between temporal features and psychiatric symptom severity. The effects of specific TPs vary across different psychiatric diagnoses and to some extent between various age groups, with a consistent, widespread, and nonspecific effect of past-negative and less balanced, inflexible TP profile.

SUMMARY

Based on the review, TP biases are crucial factors in symptom development, while adaptive temporal profiles can serve as protective features against mental disorders. Understanding cognitive-temporal processes can enhance comprehension of psychopathological conditions and facilitate the development of temporality-focused clinical interventions.

摘要

目的综述

进行心理时间旅行并形成过去、现在和未来的表象的能力是人类心智的独特能力之一。尽管时间观念(TP)对动机、认知、情感和主观幸福感有显著影响,但它一直处于主流精神病学和临床心理学之外。我们强调心理时间现象在各种障碍中的作用,并总结了当前关于 TP 和精神病理学的研究。

最近的发现

我们的综述最终包括 21 篇文章,其中包括 18 个独特的数据集。结果表明,患有不同精神障碍的人(注意缺陷多动障碍(ADHD)、酒精依赖、焦虑障碍、抑郁症、双相情感障碍、人格障碍、创伤后应激障碍、精神分裂症)与对照组相比,具有不同的时间特征。我们还发现时间特征与精神症状严重程度之间存在显著关联。特定时间观念的影响因不同的精神障碍诊断而不同,在一定程度上也因不同的年龄组而不同,过去消极和不平衡、不灵活的时间观念特征具有一致、广泛和非特异性的影响。

总结

基于综述,TP 偏差是症状发展的关键因素,而适应性时间观念特征可以作为预防精神障碍的保护特征。理解认知时间过程可以增强对精神病理学状况的理解,并促进以时间为重点的临床干预措施的发展。

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