在儿科功能神经疾病中提供关于认知和生物心理社会功能的再培训和控制疗法 (ReACT) 的远程医疗服务
Caroline Watson1, Lindsay Stager1, Badhma Valaiyapathi2
1Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.
Journal of psychosomatic research
|April 1, 2025
概括
重新训练和控制疗法 (ReACT) 显著降低了功能性发作 (FS) 的频率,并改善了青少年的混合功能神经障碍 (FND) 症状. 这些积极的结果在治疗后的六个月内得到维持,显示了ReACT.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
背景情况:
- 功能神经障碍 (FND) 呈现出各种症状,影响青少年的生活质量.
- 重新训练和控制疗法 (ReACT) 已证明在减少功能性发作 (FS) 频率方面具有有效性.
- 对青少年混合FND症状的ReACT的有效性和长期维持需要进一步调查.
研究的目的:
- 评估ReACT对青少年的一系列混合FND症状的影响.
- 评估干预后六个月治疗结果的维持情况.
- 探索在这个人群中为ReACT提供远程医疗的可行性.
主要方法:
- 一项前性观察性研究,涉及34名患有FND的青少年 (11-18岁).
- 参与者接受了12次 ReACT 会议,结合了面对面和远程医疗模式.
- 包括FS频率,FND症状,认知表现和生物心理社会因素在内的结果在治疗前,治疗后1周和6个月被评估.
主要成果:
- 显著的大多数青少年报告FS频率 (94%在30天,87%在6个月) 和FS自由度 (62%在30天,61%在6个月) 显著减少.
- 对于运动和心理/认知FND症状,观察到高无症状率,在6个月后改善持续或加强.
- 生物心理社会结果显示了显著的改善,在6个月的随访期间得到维持或进一步改善.
结论:
- 在患有混合FND的青少年中,ReACT有效地实现了广泛的功能和生物心理社会改善.
- ReACT对FND症状和整体幸福感的积极影响在治疗后六个月内持续下去.
- ReACT的远程医疗提供了一个有希望的途径,可以增加青少年获得有效的FND治疗的机会.
更多相关视频
13:09Using Brain Activation nir-HEG/Q-EEG and Execution Measures CPTs in a ADHD Assessment Protocol
Published on: April 1, 2018
10.1K
10:08The Evoked Potential Operant Conditioning System EPOCS: A Research Tool and an Emerging Therapy for Chronic Neuromuscular Disorders
Published on: August 25, 2022
2.6K
相关概念视频
Rational Emotive Behavior Therapy
36
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
36
Modeling in Therapy
37
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
37
Operant Conditioning Intervention
30
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
30
