长期COVID作为一种功能性体质症状障碍,由贝叶斯感知处理期间异常精确的先前预期引起:一种新的假设和对流行病反应的含义
1Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
SAGE open medicine
|September 1, 2023
概括
长期COVID症状可能是功能性体征症状,而不是不可逆转的损伤. 公共卫生信息可以无意中导致"流行病反应综合征",强调需要修订管理策略.
科学领域:
- 精神病学和公共卫生
- 身体症状障碍 身体症状障碍
- 流行病的准备 流行病的准备
背景情况:
- 长期COVID在成人和儿童中表现出持续的身体症状.
- 关于体化和功能障碍的流行前研究提供了洞察力.
- 大众社会性疾病和nocebo效应是相关的概念.
研究的目的:
- 建议长期COVID作为一种潜在可逆的体质症状障碍.
- 分析公共卫生信息在症状延续中的作用.
- 引入"流行病反应综合征"一词.
主要方法:
- 关于长期COVID,体化和功能障碍的文献综述.
- 对"长期流行"效应和nocebo现象的分析.
- 贝叶斯预测编码模型用于感知的应用.
主要成果:
- 长期COVID症状被认为是真正经历过的,功能性的和可能可逆的.
- 公共卫生信息可能会引发恐惧并使症状延续,从而产生自我实现的预言.
- 贝叶斯预测编码模型解释了功能障碍机制.
结论:
- 长期COVID可能被概念化为体质症状障碍,称为"流行病反应综合征".
- 建议修订公共卫生信息和医疗保健管理.
- 这一框架旨在防止未来的流行病相关综合征.
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