过去和当前患者的临场主义:决定因素和心理社会关联
Shuichiro Neshige1, Yoshiko Takebayashi2, Ruoyi Ishikawa2
1Department of Clinical Neuroscience and Therapeutics, Hiroshima University Hospital, Hiroshima, Japan; Epilepsy Center, Hiroshima University Hospital, Hiroshima, Japan.
Seizure
|December 27, 2024
概括
患有的人体验到显著更高的存在主义,影响工作生产力. 与治疗一起解决心理困扰可能会提高这些人的社会生产力.
科学领域:
- 神经学 神经学
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
背景情况:
- 被定义为尽管身体存在,但工作生产力下降的存在主义,是患者 (PWE) 的重要关注点.
- 了解导致PWE存在的因素对于开发有效的工作场所干预至关重要.
研究的目的:
- 调查患者中存在症的患病率和相关因素.
- 检查治疗和心理社会因素对现场主义的影响.
主要方法:
- 在2024年,对32000名参与者 (16-83岁) 进行了全国性的互联网调查.
- 工作功能障碍量表被用来衡量存在主义.
- 用单变量,多变量和倾向分数匹配分析来比较PWE与对照.
主要成果:
- 与对照组相比,目前和缓解期的PWE显示出明显更高的存在主义和心理痛苦 (p < 0.0001).
- 目前的独立地与更高的呈现主义有关 (OR:2.61;95% CI:2.05-3.33).
- 在对心理障碍进行调整后,PWE和对照组之间的存在主义差异变得可以忽略不计 (46.2%对44.0%,p = 0.716).
结论:
- 存在主义是PWE的一个重要问题,即使在缓解中也会持续存在.
- 除了活动之外的因素,特别是心理障碍,对存在主义有很大影响.
- 针对心理困扰的干预措施可以提高PWE的社会和工作生产力.
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