暴力和性童年创伤与功能性发作患者不适应性应对之间的关联
Randi H Libbon1, Meagan Watson2, Sunita Ramocan2
1Department of Psychiatry, University of Colorado, Aurora, CO, USA.
International journal of psychiatry in medicine
|January 11, 2025
概括
功能性发作患者经常经历童年创伤,这与自我责备等不适应的应对策略有关. 识别这种创伤是个性化治疗功能神经障碍 (FND) 的关键.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 功能性 (FS) 是功能神经障碍 (FND) 的衰弱症状.
- 患有FS的患者经常报告严重的童年创伤,包括性创伤.
- 治疗FS需要多学科的方法,通常涉及心理治疗.
研究的目的:
- 调查报告的童年创伤 (性和暴力) 与患有FS的个体不适应的应对机制之间的联系.
- 了解创伤如何影响应对策略,如自责和脱离.
主要方法:
- 在一个专门的FS诊所对137名患者进行了回顾性观察性研究.
- 利用多重线性回归和定量回归来分析自我报告的创伤和应对机制 (简称COPE).
主要成果:
- 报告的暴力 (47.5%) 和性 (61.6%) 创伤的高患病率.
- 在第25个百分点发现暴力创伤和自我责怪/脱离之间存在显著的关联.
- 性创伤在第50个和第75个百分点中显示出与自责的显著关联.
结论:
- 儿童创伤与FS患者不适应的应对机制显著相关.
- 识别创伤史和由此产生的应对策略对于定制FND治疗至关重要.
- 这种方法可以为经历功能性的人提供个性化的护理计划.
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