晚期发作功能性的人的疾病代表
I A Williams1, P G Morris2, K Forristal3
1Department of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh EH16 4SA, UK; Department of Clinical and Health Psychology, The University of Edinburgh, Teviot Place, Edinburgh EH8 9AG, UK.
Epilepsy & behavior : E&B
|February 21, 2024
概括
晚期发作的功能性通常被视为一种神秘的大脑疾病,与健康相关的创伤是常见的原因. 不确定性是疾病的大部分方面的特征,除了其后果.
科学领域:
- 神经学 神经学
- 精神病体医学是一种精神病体医学.
- 定性研究是指质量研究.
背景情况:
- 功能性发作可以在任何年龄开始,但对那些以后发作 (40岁后) 的理解是有限的.
- 与健康相关的创伤事件被假设为晚期发作的功能性发作的更重要的因果因素.
- 晚期发作的功能性发作的疾病表征仍未得到充分研究.
研究的目的:
- 探索晚期发作功能性的人的经验和疾病表征.
- 研究患者如何感知40岁以后开始的功能性发作的原因,后果和可控性.
主要方法:
- 一种混合方法的方法,将半结构面试和自我报告措施结合起来.
- 基于常识模型 (CSM) 的模板分析被用于采访成绩单.
- 参与者通过神经病学病例和患者组织招募.
主要成果:
- 八名患有后期发作的功能性的人参加了这项研究.
- 疾病表示包括触发因素,感知原因 (包括与健康相关的创伤),持续时间和控制.
- 发作被描述为一种神秘的大脑疾病,具有未知的触发因素和有限的感知控制,尽管有些人认为接受有好处.
结论:
- 这是第一个在后期发作的功能性中检查疾病表征的研究.
- 感知原因,特别是与健康相关的事件是显著的,但在大多数疾病领域都存在不确定性.
- 临床医生应该考虑生命阶段之间的相互作用和晚期发作的功能性的影响.
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