功能性/离散性和非损伤性中的精神病理学的认知相关:一项探索性研究
Irene Faiman1, Allan H Young2, Paul Shotbolt1
1Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 16 De Crespigny Park, Camberwell, London SE5 8AB, United Kingdom.
Epilepsy & behavior : E&B
|August 9, 2024
概括
与相比,功能性/离散性发作 (FDS) 的认知功能不同,特别是在创伤和词汇与症状的关系方面. 这些发现表明神经认知因素可能会影响FDS呈现.
科学领域:
- 神经科学是一个神经科学.
- 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:
- 功能性/离散性发作 (FDS) 和有相似的现象,但在潜在的病理生理学上有所不同.
- 了解认知功能和精神病理学之间的相互作用对于区分这些疾病和告知治疗至关重要.
研究的目的:
- 研究成年人被诊断患有FDS的认知功能和精神病理特征之间的关系.
- 为了将这些关系与被诊断为的成年人观察到的关系进行比较.
- 探索可能导致FDS的神经认知机制.
主要方法:
- 一项横截面研究招募了73名患有非损伤性或FDS的成年人.
- 参与者填写了精神病学问卷和神经心理评估.
- 斯皮尔曼的相关性和费舍尔的Z测试被用来比较群体之间的认知-精神病理学关联.
主要成果:
- 在整体神经心理测试得分中没有发现任何显著的群体差异.
- 患有FDS的人报告了比患有的人更高的发作严重程度,抑郁症,医学上无法解释的身体症状和创伤暴露.
- 在相关性方面观察到显著差异:创伤和认知转换 (:阳性;FDS:负趋势),以及词汇和体征症状 (:负;FDS:没有相关性).
结论:
- 初步证据表明,在FDS和中,认知功能和精神病理之间存在复杂的相互作用.
- 神经认知功能,如词汇和注意力切换,可能与FDS的表达或维持有关.
- 这些发现突出了FDS管理干预的潜在目标.
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