目的 通过Meta分析整合绘画测验中的人物意象在精神障碍筛查中的应用,确定可以有效预测精神障碍的指标.方法 计算机检索CNKI、WanFang Data、VIP、PubMed、Web of Science和EBSCO数据库,搜集精神障碍与绘画测验相关的研究,检索时限为建库至2023年5月8日.由两名研究者独立筛选文献、提取资料和评估偏倚风险后,采用CMA 3.0进行Meta分析.结果 共纳入43篇研究,独立效应量791个,被试者8 444人.Meta分析结果显示,共有29项人物意象特征能够预测精神障碍(P＜0.05),根据特点可以分为:缺失性、怪异性、有涂黑、简单化、静态化、细节性和整体性7种类型.亚组分析发现,情感障碍特异性指标包括:事物间距离明显、人简单化、单线条肢体、人物僵化静止和手放背后5项,思维障碍特异性指标包括:四肢有缺失、五官有缺失和身体比例不协调3项,精神障碍共性指标有6项,即画面过于简单、画面很小、人物很小、线条淡或断续、手脚有缺失、无表情或木讷.结论 本研究结果可以为绘画测验指标的选取和解释提供参照标准,促进绘画测验的标准化,并提升精神障碍筛查结果的准确性.
Person imagery in drawing tests in screening for mental disorders:a systematic review and meta-analysis
Objective To integrate person imagery from drawing tests in screening for mental disorders through meta-analysis to identify indicators that can effectively predict mental disorders.Methods A computerized search of CNKI,WanFang Data,VIP,PubMed,Web of Science,and EBSCO databases was conducted to collect studies related to mental disorders and drawing tests,with a search timeframe of the period from the creation of the database to May 8,2023.Meta-analysis was performed using CMA 3.0 after two researchers independently screened the literature,extracted information,and assessed the risk of bias.Results A total of 43 studies were included,with 791 independent effect sizes and 8 444 subjects.Meta-analysis revealed that a total of 29 person imagery traits significantly predicted mental disorders,which could be categorized into 7 types according to the features:absent,bizarre,blackened,simplified,static,detailed,and holistic.The subgroup analysis revealed that the specific indicators of affective disorders included"excessive separation among items","oversimplified person","rigid and static person"and"hands behind the back".The specific indicators of thought disorders were"absence of limbs","absence of facial features"and"disproportionate body proportions".Moreover,there were seven common indicators of mental disorders,including"oversimplified drawing","very small drawing","very small person","weak or intermittent lines","single line limb","absence of hands or feet"and"no expression or dullness".Conclusion The findings could provide a reference standard for selection and interpretation of drawing indicators,promote standardization of the drawing test,and enhance the accuracy of results in screening for mental disorders.
万方数据
维普
