预期发作的焦虑:一个常见的,复杂的,和未被认可的现象?
Andres M Kanner1, Enrique Carrazana2,3, Heidi M Munger Clary4
1Comprehensive Epilepsy Center, University of Miami Miller School of Medicine, Miami, Florida, USA.
概括
预期性发作焦虑 (AAS) 是一种影响患者的病理性恐惧,导致回避行为和未被认可. 本综述强调了临床表现,并讨论了对这种未经研究的疾病的查和治疗需求.
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:
- 的诊断破坏了可预测性,导致对未来发作的恐惧.
- 一部分患者患有病理性预期性发作焦虑症 (AAS),导致回避行为和功能限制.
- 恐惧症 (AAS) 是未被认可和研究的疾病,从小型病例系列中获得的数据有限.
研究的目的:
- 在患者 (PWE) 中审查AAS的临床表现.
- 探索AAS与心理社会,精神病和相关变量之间的潜在关联.
- 讨论对AAS的查工具和潜在治疗策略的需求.
主要方法:
- 从三个小病例系列在三级中心的现有数据的审查.
- 对AAS报告的临床表现的分析.
- 探索潜在的促成因素,包括个人/家庭病史和变量.
主要成果:
- AAS表现为病态恐惧和回避行为,对一些PWE的日常生活产生重大影响.
- 心理社会,精神病和相关的变量可能在AAS的发展和严重程度中起作用.
- 由于缺乏专门的研究,目前的理解是有限的.
结论:
- 在患者中,AAS是一个显著的,未被认可的并发症.
- 开发查工具对于早期识别有风险的个体至关重要.
- 将AAS管理纳入综合性治疗是必不可少的,需要进一步研究有效的治疗方法.
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