在智力障碍和的成年人中发生的精神性非性 (功能性) 发作:一项匹配的病例控制研究
Iris E M Kloosterman1, Alexandra I Haenen2, Esther L G E Poortvliet-Koedam1,3
1Residential Care Centre, Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede, The Netherlands.
Epilepsia
|August 9, 2024
概括
在智力障碍 (ID) 和的成年人中,精神性非发作 (PNES) 与心理社会脆弱性有关. 负面的生活事件和自我伤害行为是关键预测因素,这表明PNES可能是一种非自愿的压力反应.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 智力障碍研究 智力障碍研究
背景情况:
- 精神性非发作 (PNES) 通常被视为智力障碍 (ID) 和患者的行为模式.
- 有限的研究已经探索了与PNES相关的心理社会因素在这个特定的人群.
研究的目的:
- 在ID和的成年人中描述PNES.
- 为了确定与没有PNES的个体之间的心理社会功能中的差异和风险因素.
主要方法:
- 在荷兰进行了一项匹配的病例控制研究,涉及患有ID和的成年人.
- 神经学查确定了PNES病例,对照组对年龄,性别和ID水平进行了匹配.
- 数据被追溯收集,并通过对参与者和护理人员进行标准化,调整的问卷收集.
主要成果:
- PNES的点患病率为7.8% (在540名查者中42名).
- 患有PNES的个人表现出更高的抑郁,焦虑,自我伤害行为和负面生活事件的比率.
- PNES的主要预测因素包括负面的生活事件 (OR 1.71) 和自我伤害行为 (OR 5.27).
结论:
- 与先前的假设相反,患有智障和的个体表现出与PNES相关的显著心理社会脆弱性.
- 心理社会因素,特别是与压力相关的事件,在这种人群中PNES的发展中起着至关重要的作用.
- 将PNES视为一种非自愿的反应,特别是在易受压力的人群中,可以减少耻辱和改善治疗方法.
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