功能神经障碍中的生物心理社会复杂性
Andreas Joos1, Christoph Herrmann2, Claas Lahmann3
1Department of Psychosomatic Medicine und Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany; Department of Psychosomatic Medicine and Psychotherapy, Ortenau Klinikum, Lahr, Germany.
General hospital psychiatry
|June 28, 2023
概括
功能神经障碍 (FND) 具有显著的生物心理社会复杂性,类似于精神病患者. 这凸显了在FND评估和治疗中需要采用生物心理社会方法的需要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 精神病体医学是一种精神病体医学.
背景情况:
- 功能神经障碍 (FND) 越来越被认为是一种复杂的生物心理社会状况,往往具有慢性影响.
- 超过50%的FND病例经历了长期挑战,需要全面的评估工具.
- 互联自我评估问卷 (IMSA) 旨在评估各种患者群体的生物心理社会复杂性.
研究的目的:
- 为了比较功能神经障碍 (FND) 患者与精神病 (PSM) 和中风后患者队列的生物心理社会复杂性.
- 评估INTERMED自我评估问卷 (IMSA) 在评估FND患者中的有用性.
- 研究这些患者群体的情感负担,体形症状,解离和生活质量.
主要方法:
- 一项涉及287名患者的横截面研究,分为三个组:FND,PSM和中风后.
- 参与者接受了心理治疗或神经康复.
- 在IMSA的管理下,与焦虑 (GAD-7),抑郁 (PHQ-9),体形症状 (PHQ-15),解离 (FDS) 和生活质量 (SF-12) 的验证尺度一起.
主要成果:
- 功能神经障碍 (FND) 和精神疾病 (PSM) 患者通过IMSA表现出高的生物心理社会复杂性得分 (≥70%),明显高于中风后患者 (15%).
- 在FND和PSM两组中都观察到高水平的情感症状,体形症状和解离.
- 与中风后患者相比,FND和PSM患者报告精神和体质生活质量较低.
结论:
- 功能神经障碍 (FND) 患者经历了相当大的生物心理社会压力,与严重受影响的精神病患者相比,超过了中风后患者.
- 这些发现强调了采用生物心理社会视角来评估和管理FND的重要性.
- 互联自评问卷 (IMSA) 似乎是评估FND生物心理社会复杂性的宝贵工具,需要进一步的纵向验证.
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