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双侧前体病 - - 前体功能的丧失和情绪的体验

C Lahmann¹, M Dieterich², S Becker-Bense³

¹Department of Psychosomatic Medicine and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, 79104 Freiburg, Germany.

Journal of psychosomatic research

|August 25, 2024

概括

患有双侧前庭病变 (BVP) 和偶发性/头 (v/d) 的患者在认知评估方面有所不同,BVP 患者报告了更多的灾难性和身体虚弱. 虽然与相关的焦虑 (VRA) 并没有显著不同,但认知差异突出了前体障碍中的独特情绪处理.

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.
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

前体系统与处理情绪的神经回路密切相关.
双边垂体病 (BVP),以慢性垂体损失为特征,与偶发性垂体/头 (v/d) 相比,与较低的精神病并发症和相关焦虑 (VRA) 相关.

研究的目的:

调查BVP患者和偶发性V/d患者之间VRA,一般焦虑以及身体和健康的认知差异.
探索前庭功能损失和心理/认知特征之间的关系.

主要方法:

一项横截面研究比较了202名患有插曲性v/d的患者和43名患有BVP的患者.
使用标准化神经/神经学检查,结构化临床面试 (SCID-I) 和自我报告问卷,包括VHQ,BAI,STAI-T和CABAH.
使用非参数测试进行分析,对多次测试进行调整的显著性水平 (p ≤ 0.008).

主要成果:

与患有BVP的患者相比,BVP患者报告的灾难性认知 (p < .001) 和身体虚弱 (p = .003) 显著增加,相比那些患有插曲性v / d.
两组之间在VRA (p = .04) 或一般焦虑水平 (BAI,STAI-T) 中没有发现统计学上显著的差异.
认知差异的影响大小小小 (r = 0.25和r = 0.22,分别).

结论:

患有BVP和插曲性v / d的患者表现出与他们的健康和身体有关的独特的认知评估.
虽然主观VRA没有显著差异,但认知模式表明这些前体障碍中的情绪处理机制不同.
这些发现支持在前庭功能障碍的背景下理解情绪的组件方法.

关键词:

贝克的焦虑库存 (BAI)双边前庭病变 (Vestibulopathy) 是一种双边前庭病变.关于身体和健康的认知问卷 (CABAH)插曲性的情况.特征焦虑症 (STAI-T) 是一种特征焦虑症.头障碍调查问卷 (VHQ) 的使用情况

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