预测ALS患者的认知和行为变化导致ALS告知者的痛苦
Lyndsay Didcote1, Silia Vitoratou2, Ammar Al-Chalabi3,4
1Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Journal of neurology
|January 15, 2025
概括
肌缩性侧面硬化症 (ALS) 患者的行为变化显著影响护理人员的痛苦. 认知变化也会影响痛苦,但程度较小,这凸显了ALS患者行为支持的重要性.
科学领域:
- 神经学 神经学
- 心理学 心理学 心理学
- 护理人员支持护理人员支持
背景情况:
- 肌缩性侧面硬化症 (ALS) 影响了约50%的患者的认知和行为.
- 这些变化会对照顾者产生重大影响,导致痛苦,焦虑和抑郁.
- 认知障碍对护理人员痛苦的具体影响比行为障碍更不了解.
研究的目的:
- 评估ALS患者的认知和行为障碍如何影响其告知者的痛苦.
- 确定认知和行为障碍对护理人员负担,焦虑和抑郁的预测价值.
主要方法:
- 98名ALS患者和84名信息提供者参与了这项研究.
- 使用查工具测量认知和行为障碍.
- 用负担,焦虑和抑郁症的复合措施来评估告知者的痛苦.
- 用回归分析来分析面对面和远程收集的数据.
主要成果:
- 行为障碍在各种措施中始终预测了告密者的痛苦.
- 认知障碍是不那么一致的预测信息人痛苦的因素.
- 在预测痛苦时,认知和行为障碍之间没有发现显著的相互作用.
- 数据收集方法 (远程与面对面) 并没有改变预测关系.
结论:
- 在ALS中的行为障碍是告密者痛苦的重要预测因素.
- 认知障碍也会导致告知者的痛苦,尽管比行为因素少得多.
- 解决ALS行为变化的干预措施可能对减轻护理人员痛苦至关重要.
相关概念视频
Lazarus's Cognitive Appraisal Theory
3.0K
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
3.0K
Beck's Cognitive Therapy
616
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
616
The Influence of Cognition on Affect
324
Cognition plays a pivotal role in shaping emotional experiences, as demonstrated by Schachter and Singer’s two-factor theory of emotion. According to this model, emotion arises from a combination of physiological arousal and cognitive interpretation. The body’s physiological response to stimuli is ambiguous and only gains emotional significance through cognitive labeling. For instance, an increased heart rate and adrenaline surge while standing near an attractive person may be...
324


