在患有体征症状和相关疾病的患者中,主观认知问题与客观损伤无关
Robin M M M Weijters1, Mercedes Almela2, Geert J M van Boxtel2
1Centre of Excellence for Body, Mind and Health, GGz Breburg, Tilburg, The Netherlands.
Journal of clinical and experimental neuropsychology
|August 14, 2024
概括
在体征症状和相关疾病 (SSRD) 中,主观认知问题不能可靠地表明客观损伤. 抑郁和应对方式,而不是客观缺陷,主要预测SSRD患者的这些担忧.
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:
- 患有体征症状和相关疾病 (SSRD) 的患者经常报告主观认知困难.
- 现有研究表明,这些患者也表现出客观认知障碍.
研究的目的:
- 评估主观认知问题是否可以预测SSRD患者的客观认知障碍.
- 研究应对策略的调节作用和抑郁症状对这种关系的影响.
主要方法:
- 一项涉及225名被诊断患有SSRD的患者的横截面研究.
- 对客观认知功能的神经心理评估.
- 对主观认知问题,应对方式和抑郁症状的验证问卷.
主要成果:
- 主观认知问题显示,在SSRD中预测客观认知障碍的能力有限.
- 抑郁症状是主观担忧的主要预测因素 (β=.32).
- 情绪导向的应对与更高的主观关注相关 (β=.40),而回避/面向任务的应对与更低的关注相关 (β=-.27,β=-.24).
结论:
- 在SSRD中,主观认知问题比客观认知缺陷更强烈地与抑郁症和应对方式等心理因素有关.
- 这些发现与体感放大理论一致,表明良性认知事件的放大.
- 临床干预可能受益于解决SSRD认知投诉的心理贡献者.
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