功能神经障碍中的疾病感知:低疾病连贯性和个人控制能力
Andreas Joos1, Stoyan Popkirov2, Claas Lahmann1
1Psychosomatic Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
BMJ neurology open
|May 27, 2024
概括
与其他群体相比,有功能神经障碍 (FND) 的患者感觉到疾病连贯性和个人控制能力较低. 了解疾病感知是FND自我管理和治疗联盟的关键.
科学领域:
- 神经学 神经学
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 疾病感知,患者对症状的主观看法,影响自我管理和结果.
- 功能神经障碍 (FND) 患者经常面临着分散的医学理解,突出了疾病感知的重要性.
- 了解FND患者如何感知他们的疾病对于有效的护理至关重要.
研究的目的:
- 研究和比较患有FND的患者与精神病 (PSM) 和中风后 (STR) 患者的疾病感知.
- 确定疾病感知的特定维度,以区分FND患者.
- 探索疾病感知与FND的其他临床因素之间的相关性.
主要方法:
- 在FND,PSM和STR患者组中使用修订的德国疾病感知问卷 (IPQ-R) 评估疾病感知.
- 在三个患者样本中比较疾病感知尺寸 (FND n=87,PSM n=97,STR n=92).
- 与抑郁症状 (PHQ-9),离散体验 (DES) 和生物心理社会复杂性 (INTERMED-AA) 相关的疾病感知.
主要成果:
- 与PSM和STR患者相比,FND患者报告的疾病连贯性和个人控制明显较低.
- 患有FND的患者将他们的疾病更多归因于机会,而不是行为风险因素.
- 精神病患者表现出疾病的最强烈的情感表现;发现与分离症状或生物心理社会复杂性的相关性很少.
结论:
- 对于FND患者来说,疾病的感知,特别是缺乏连贯性和控制,是关键因素.
- 主观的疾病感知似乎与生物心理社会复杂性不同,在FND中影响治疗联盟和自我管理.
- 需要进一步的研究来检查疾病感知对FND结果的影响.
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