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在功能性/离散性和中报告的主观症状:采样技术和患者特征的影响

Andrew Whitfield¹, Alistair Wardrope², Kerry Ardern³

¹Greater Glasgow and Clyde NHS Foundation Trust, Queen Elizabeth University Hospital, 1345 Govan Rd, Glasgow G51 4TF, United Kingdom.

Epilepsy & behavior : E&B

|July 5, 2023

概括

在和功能性/离散性组中,提醒患者关于发作症状会引起更详细的经验. 症状报告和心理特征的差异可能有助于区分和功能/离散性发作.

科学领域:

神经学神经学
精神病学是一个精神病学.
临床心理学临床心理学

背景情况:

与可观测的表现相比,和功能/离散性 (FDS) 的主观性经验未得到充分研究.
患有FDS (pwFDS) 的患者报告的症状不同于患有 (pwE) 的患者.
研究诱导方法和精神病理特征可以区分这些发作类型.

研究的目的:

为了比较患有和FDS的患者之间的主观ictal经验.
检查症状诱导方法 (开放式与提示式询问) 对报告的症状的影响.
探索精神病理特征在调解症状报告差异中的作用.

主要方法:

采访了24个pwE和28个pwFDS,使用开放式,然后提示 (74项修改的精神感官-精神运动现象采访,PPPI) 询问.
使用经过验证的自我报告措施 (HADS-A,HADS-D,PHQ-15,DES-T,THQ,PCL-C) 评估的心理资料.

主要成果:

与开放式问题相比,促使PWE (3x) 和PWFDS (4x) 报告的症状显著增加.
当被提示时,pwE自由报告了更多的内触症状,而pwFDS则报告了更多的前触症状.
在pwE和pwFDS之间,症状报告的差异与明显的精神病理特征 (例如焦虑) 相相关.

结论:

症状提示产生了比开放叙述更全面的身体症状概况.
观察到的围症状报告和相关精神病理学的差异可能反映了和FDS之间的潜在的病因或心理区别.

关键词:

在 FDS FDS FDS 中.在PNES中,PNES是PNES,PNES是PNES.发作在发作.主观的症状是主观的症状.症状报告症状报告

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