功能性认知障碍的神经心理评估:一个叙事审查
Noah D Silverberg1,2,3, Beth K Rush4
1Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada.
The Clinical neuropsychologist
|June 27, 2023
概括
功能性认知障碍 (FCD) 涉及其他疾病无法解释的认知症状,影响日常生活,但可能是可逆的. 神经心理学家在诊断和管理FCD中发挥着关键作用.
科学领域:
- 神经心理学 神经心理学
- 认知神经学 认知神经学
- 精神病学是一个精神病学.
背景情况:
- 功能性认知障碍 (FCD) 在神经心理学实践中经常遇到.
- 它呈现为其他医学或精神疾病无法解释的认知症状.
- FCD与痛苦和功能限制有关,但在治疗后可能是可逆的.
研究的目的:
- 审查FCD目前的理论模型,诊断方法,临床症状和评估结果.
- 为FCD的神经心理评估提供建议.
- 将FCD置于功能神经障碍的框架内.
主要方法:
- 对当代文学进行叙事审查.
- 诊断标准和临床特征的分析.
- 检查FCD中神经心理评估结果的检查.
主要成果:
- 患有FCD的患者通常表现出正常的神经心理测试表现或特定的模式,例如较弱的记忆能力与保留的注意力和回忆.
- 准确的诊断依赖于彻底的病史和行为观察.
- 关键的争议包括定义"内部不一致性"和性能有效性测试的实用性.
结论:
- 神经心理学家可以提高FCD患者的诊断清晰度,病例制定和管理.
- 与转诊医生进行有效沟通至关重要.
- 需要进一步的研究来改善FCD的诊断,预后和治疗策略.
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