和梦游者说话吗? 在唤醒障碍中对沟通努力的反应
Yannis Idir1, Régis Lopez2,3, Amélie Barbier1,4
1Institut du Cerveau - Paris Brain Institute - ICM, Inserm, CNRS, APHP, Hôpital de la Pitié Salpêtrière, Sorbonne Université, Paris, France.
Sleep
|November 21, 2024
概括
患有兴奋障碍 (DoA) 的患者有时可以在发作期间口头互动,表明不同的意识状态. 他们的内在思想影响了反应能力,挑战了当前的诊断标准.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 兴奋障碍 (DoA) 用临床标准诊断,重点关注对沟通的响应能力.
- 在DoA发作期间患者互动的程度仍未得到充分研究.
研究的目的:
- 系统地调查患有DoA发作的患者口头互动的能力.
- 在DoA期间探索响应和意识的性质.
主要方法:
- 追溯问卷评估61名DoA患者的口头反应能力.
- 听觉刺激在多睡眠学期间诱导和测试14名患者的相互作用.
- 分析了来自19名患者的364个家庭视频录制的情节,用于与床上伴侣的对话.
主要成果:
- 81%的患者报告说,在异常睡眠期间偶尔会有对话.
- 内部心理内容影响患者的反应和对外部刺激的感知.
- 听觉刺激的成功有限;一个患者表现出间接的口头反应.
- 在视频录制中观察到37例患者与伴侣之间的讨论.
结论:
- DoA 情节代表了意识的频谱,而不是统一的状态.
- 响应性不同,受内部和外部信息处理的影响.
- 这些发现表明当前DoA诊断标准存在局限性.
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