功能性/离散性发作患者自我报告的执行问题的负面影响:来自前性长期观察性研究的结果
Antonia Villagrán1, Erik Hessen2, Halvor Torgersen3
1The National Centre for Epilepsy, Division of Clinical Neuroscience, Full Member of European Reference Network on Rare and Complex Epilepsies EpiCARE, Oslo University Hospital, Oslo, Norway; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Seizure
|January 11, 2025
概括
自我报告的执行功能障碍预测了持续的功能/离散性 (FDS). 患有更多自我报告的执行问题患者的长期结果较差,这表明查可以指导FDS的干预.
科学领域:
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 功能性/离散性 (FDS) 对患者和医疗保健系统构成重大挑战.
- 认知问题在FDS患者中很常见,但以前关于认知功能的研究已经产生了不一致的发现.
研究的目的:
- 为了研究FDS患者的执行功能.
- 确定执行职能对FDS的长期结果的影响.
主要方法:
- 一项前性研究涉及33名被诊断患有FDS的住院患者.
- 使用执行功能的行为评级清单 (BRIEF) 对自我报告和测试的执行功能的神经心理评估.
- 多变量物流回归分析以确定FDS停止的预测因素,平均随访时间为5.5年.
主要成果:
- 42% (14/33) 的参与者在随访时实现了FDS停止.
- 自我报告的执行功能障碍,但没有客观测试的执行功能,是持续FDS的独立预测因素.
- 较大的自我报告的执行问题与较差的长期结果有关.
结论:
- 自我报告的执行功能障碍与FDS患者的长期结果较差有关.
- 使用自我报告措施查执行功能障碍可能为心理干预提供有价值的信息.
- 这凸显了主观认知经验在管理FDS中的重要性.
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