伴随功能性发作的心理和神经认知过程的表征
Lana Higson1, Terence J O'Brien1, Zhibin Chen2
1Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia; Department of Neurology, Alfred Hospital, Melbourne, Victoria, Australia.
Epilepsy & behavior : E&B
|November 7, 2024
概括
功能性发作的成年人经历了显著的心理痛苦和功能障碍,尽管正常的认知能力. 这些因素与生活质量和心理社会功能下降有关.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 功能性 (FS) 具有神经症状的特征,没有明确的有机原因.
- 了解FS中心理和认知因素的相互作用对于有效管理至关重要.
研究的目的:
- 研究诊断为功能性发作的成年人临床,心理和认知特征之间的关系.
- 确定与该人口的功能障碍和生活质量相关的因素.
主要方法:
- 通过半结构面试,神经心理测试和问卷评估了107名有功能性的成年人的队列.
- 数据收集是通过Telehealth进行的,作为Re-PROGRAM随机对照试验的一部分.
主要成果:
- 参与者报告了高水平的负面反,分离,体化,焦虑,抑郁和低整体感受信任.
- 尽管有这些心理负担,神经认知功能,包括执行功能,仍在正常范围内.
- 常见的并发症包括焦虑,抑郁,PTSD,偏头痛和慢性疼痛,但心理因素与发作频率或认知表现之间没有发现关联.
结论:
- 功能性发作与严重的精神和身体并发症有关.
- 心理因素与FS患者的功能障碍和生活质量下降有显著的相关性,无论认知状态如何.
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