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功能性运动障碍患者自我报告强迫症症状的频率增加
Lucia Nováková1, Jiří Anýž2, Zuzana Forejtová1
1Department of Neurology and Centre of Clinical Neuroscience Charles University, 1st Faculty of Medicine and General University Hospital in Prague Prague Czech Republic.
Movement disorders clinical practice
|September 29, 2023
概括
与健康人相比,功能性运动障碍 (FMD) 患者的强迫症症状 (OCS) 发生率明显高. 这表明口病和强迫症 (OCD) 之间存在潜在的共同风险因素和潜在机制.
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:
- 功能性运动障碍 (FMD) 经常与精神病相关疾病有关.
- 了解这些并发症对于全面的患者护理至关重要.
研究的目的:
- 确定诊断为口疾病的患者中强迫症症状 (OCS) 的患病率.
- 探索OCS,症状严重程度和其他口病的心理因素之间的关系.
主要方法:
- 一组167名口病患者和145名健康对照人完成了强迫症清单修订 (OCI-R).
- 症状严重程度使用简化口病评级表 (S-FMDRS) 进行测量.
- 额外的问卷评估了抑郁,焦虑,疼痛,疲劳,认知问题,生活质量,童年创伤和人格特征.
主要成果:
- 与对照组 (16%),相比之下,口病患者的OCI-R平均得分显著更高,更大比例 (42%) 达到临床显著OCS的门.
- 在口病患者中,OCS得分升高与抑郁症,焦虑症,认知问题的增加以及生活质量的降低有关.
- 在 FMD 患者中,OCS 严重程度 (OCI-R) 和运动症状严重程度 (S-FMDRS) 之间没有发现相关性.
结论:
- 患有口腔炎的患者的OCS发病率高于一般人群.
- 这些发现表明口和强迫症之间可能存在共享的病理生理机制或风险因素.
- 这些结果强调了查口热患者的OCS的重要性,并考虑综合治疗方法.
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