患有功能神经障碍的儿童和青少年中促进疾病的心理过程
Kasia Kozlowska1,2,3, Olivia Schollar-Root1, Blanche Savage1,4
1Department of Psychological Medicine, The Children's Hospital at Westmead, Westmead, NSW 2145, Australia.
患有功能神经障碍 (FND) 的儿童经历了促进疾病的心理过程,包括慢性焦虑和症状注意力,导致痛苦. 解决这些过程对于治疗儿科患者的FND至关重要.
科学领域:
- 儿科心理学 儿科心理学
- 儿童神经学 儿童神经学
- 精神病体医学是一种精神病体医学.
背景情况:
- 儿童的功能神经障碍 (FND) 与压力系统失调和神经网络变化有关.
- 儿科FND的主观痛苦是一个重要的临床问题.
- 之前的研究强调了心理因素与FND症状之间的关联.
研究的目的:
- 记录和描述患有FND的儿童中促进疾病的心理过程.
- 调查这些过程在儿科住院患者样本中的患病率和性质.
- 确定这些过程在维持FND和主观痛苦中的作用.
主要方法:
- 包括76名被诊断患有FND的儿童,被录取到住院患者的心灵身体计划中.
- 利用全面的家庭评估和心理过程的自我报告措施.
- 与47名健康对照对焦虑和不良童年经历进行了比较.
主要成果:
- 所有患有FND的儿童都表现出促进疾病的心理过程.
- 常见的过程包括慢性焦虑 (84.2%),症状注意 (80.3%),悲伤 (76.3%) 和低控制感 (57.9%).
- 与对照人群相比,患有FND的儿童报告的主观痛苦和不良童年经历显著增加.
结论:
- 促进疾病的心理过程是儿童FND临床表现的组成部分,需要住院护理.
- 这些过程有助于持续的主观痛苦,如果不加以解决,可能使疾病延续.
- 针对这些心理因素的临床干预对于有效的儿童FND管理至关重要.
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