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功能神经障碍 (FND) 中的耻辱感 - 一个系统的审查

Caoimhe McLoughlin¹, Laura McWhirter¹, Katerina Pisegna²

¹Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.

Clinical psychology review

|June 21, 2024

概括

耻辱显著影响功能神经障碍 (FND) 患者,影响生活质量和护理. 解决这个系统性问题需要政府层面的干预,以提供公平的治疗和护理途径.

科学领域:

神经学神经学
精神病学是一个精神病学.
公共卫生公共卫生

背景情况:

功能神经障碍 (FND) 是一个复杂的疾病.
耻辱是FND诊断和治疗的重要障碍.
了解耻辱的多面性质对于改善患者的治疗结果至关重要.

研究的目的:

系统地审查FND中患病率和与耻辱相关的因素.
探索FND个体所经历的耻辱的性质和背景.
识别和评估FND的耻辱化减少干预措施.

主要方法:

在2023年12月之前,对四个数据库进行了全面的搜索.
搜索术语集中在功能神经障碍 (FND) 和耻辱.
用聚合和配置方法合成数据,以确定新出现的主题.

主要成果:

分析了127项涉及18886名参与者的研究.
在FND中,耻辱是一种具有人内,人际和结构维度的系统性过程.
耻辱感与患者的生活质量降低和护理人员负担增加有关;确定了六种反耻辱感干预措施.

结论:

在FND中的耻辱是影响患者福祉和护理的普遍问题.
系统性,政府层面的干预是必要的,以创造公平的FND护理途径.
实现对FND与其他医疗条件的尊重平等是必不可少的.

关键词:

态度态度是一种态度.转化障碍是一种转化障碍.功能神经系统障碍是一种功能性神经系统障碍.感知感知感知感知污名化是一种耻辱.

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