[機能神経学的障害. 機能神経学的障害. 統合的,患者中心の神経精神医学アプローチ]

Elise Trierweiler1, Cecile Hübsch2, Alexandre Berney1

  • 1Service de psychiatrie de liaison, Département de psychiatrie, Centre hospitalier universitaire vaudois, 1011 Lausanne.

Revue medicale suisse
|February 12, 2026
PubMed

神経内科およびリエゾン精神医学において、共同管理を必要とする臨床像を呈する機能性神経疾患(FND)の患者に遭遇することは一般的である。FNDに随伴する身体的、神経学的、および精神医学的な併存疾患は、ケアに著しい複雑さ(症状の重複、ストレスによる症状の変調、治療への取り組みにおける複数の障壁など)をもたらし、予後の悪化を防ぐための早期発見と介入を必要とする。本記事では、例示的な臨床症例に基づき、神経内科、リエゾン精神医学、理学療法、および作業療法チームによる連携したアプローチを盛り込んだ、入院FND患者のための統合的な早期介入ケアモデルを提示する。

関連する概念動画

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
Applications of Integration to Find Centers of Mass01:30

Applications of Integration to Find Centers of Mass

Rotational equilibrium provides a natural framework for defining the center of mass of a system. For a plank balanced on a pivot with two unequal masses, equilibrium is achieved when the net torque about the pivot is zero. Torque is defined as the product of a force and its perpendicular distance from the pivot. When the torques due to all forces cancel, the pivot coincides with the center of mass of the system.For a system composed of several discrete point masses, the center of mass lies at...
86
Theoretical Approaches to Psychological Disorder01:29

Theoretical Approaches to Psychological Disorder

The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
875
Integration of Rational Functions Using Partial Fractions01:29

Integration of Rational Functions Using Partial Fractions

Rational functions are expressions written as the ratio of two polynomials, and their integrals are evaluated by simplifying the integrand into manageable parts. These functions are classified as proper or improper based on the degrees of the numerator and denominator.A rational function is proper when the degree of the numerator is less than the degree of the denominator. In this case, partial fraction decomposition is used to rewrite the function as a sum of simpler rational terms. The...
104
Applications of Integration to Probability Density Functions01:27

Applications of Integration to Probability Density Functions

Continuous probability distributions are used to model random variables that can take on any real value within a specified range. These variables do not take on isolated or countable values but rather exist on a continuum. For example, the height of an individual can be measured with increasing precision—such as 163.5 or 165.25 centimeters—demonstrating that height is a continuous random variable.The behavior of such variables is described using a probability density function (PDF),...
73
Lattice Centering and Coordination Number02:33

Lattice Centering and Coordination Number

The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
Types of Unit Cells
Imagine taking a large number of identical...
12.2K