[機能神経学的障害: 過去と現在の状況]
Kévin Margheriti1, Sarah Saussac1, Axelle Gharib1
1Centre bipol-AIR, 9 rue Abraham-Bloch, 69007 Lyon, France.
まとめ
機能神経学的障害は説明できない神経学的症状を呈し,生活の質に大きな影響を与えます. 専門的な訓練と患者支援の改善は これらの症状の認識と管理に不可欠です
科学分野:
- 神経学
- 精神科
背景:
- 機能性神経疾患 (FND) は,明確な有機的な原因のない神経学的症状を含む.
- 歴史的にヒステリーと誤って分類されていたFNDは 今やDSM5の基準で認識され 偽装とは区別されています
- これらの症状は一般的であり,患者の生活の質を著しく損なう.
研究 の 目的:
- FNDの認識と管理が不十分であることを強調する.
- 誤診と雇用喪失を含むFNDの社会経済的影響を強調する.
- 専門的な訓練や 特定の治療法や 患者のサポートを 推進する
主な方法:
- FNDの現在の診断基準 (DSM-5) のレビュー
- FNDが医療消費と社会経済的要因に及ぼす影響の分析
- FNDの認識と管理における課題のまとめ
主要な成果:
- FNDは長期にわたる誤診と 大量の医療利用につながります
- 雇用喪失を含む社会経済的影響は一般的です.
- 現在の認識と管理戦略は不十分です.
結論:
- FNDの正確な診断には 専門的な教育が不可欠です
- ターゲットを絞った治療法の開発と 患者の汚名を減らすことが不可欠です
- FNDに対処するには,患者の成果を改善し,公衆衛生上の負担を軽減するために多面的なアプローチが必要です.
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