[避免和耐力在COVID后综合征中的重要性:功能障碍模式可以改变吗?]
Alexa Kupferschmitt1,2,3, Christoph Herrmann4, Michael Jöbges5
1Forschungsgruppe Psychosomatische Rehabilitation, Abteilung für Psychosomatische Medizin, Zentrum für Innere Medizin und Dermatologie, Charité - Universitätsmedizin Berlin, 10098, Berlin, Deutschland. alexa.kupferschmitt@charite.de.
概括
在COVID后综合征 (PCS) 患者中,功能障碍疾病行为是常见的,但多模式康复将模式转向适应性反应. 虽然改善是显而易见的,但有些患者转变不利,需要量身定制的治疗策略.
科学领域:
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
- 长时间的COVID研究
背景情况:
- 功能障碍应对策略有助于慢性疼痛.
- 避免耐力模型 (AEM) 对于理解后COVID综合征 (PCS) 中的疾病行为是很重要的.
- PCS的特点是长时间的症状,包括疲劳,影响生活质量.
研究的目的:
- 使用AEM识别和量化PCS患者的疾病行为模式.
- 为了确定在多式联络康复的开始和结束时特定AEM模式的频率.
- 评估PCS康复期间AEM模式的变化.
主要方法:
- 一项多中心研究 (PoCoRe) 涉及721名PCS康复患者.
- 在入院和出院时使用AEM评估疾病行为.
- 统计分析,包括频率分析,奇平方测试和桑基图.
主要成果:
- 最初,68%的PCS患者表现出功能障碍的疾病行为,最常见的是痛苦耐力 (45.5%) 和避免恐惧 (22.3%).
- 康复导致了11.3%的转向适应性反应,并增加了10.6%的应激耐力.
- 避免恐惧减少了大约12%,而应急耐力减少了13.9%.
结论:
- AEM适用于PCS中慢性疲劳,其中耐力模式占主导地位.
- 多模式康复在PCS患者中显示出对功能性疾病行为模式的显著转变.
- 大约10%的患者表现出不良的模式转变,突出显示了需要量身定制的治疗计划.
相关概念视频
Avoidance Learning and Learned Helplessness
1.9K
Avoidance learning and learned helplessness are critical concepts in understanding behavioral responses to negative stimuli.
Avoidance learning occurs when an organism learns that a specific behavior can prevent an unpleasant outcome. For example, a student who receives a bad grade may start studying harder to avoid future poor grades. This behavior persists even when the negative outcome is no longer present. Avoidance learning is powerful because it maintains behavior in the absence of the...
Avoidance learning occurs when an organism learns that a specific behavior can prevent an unpleasant outcome. For example, a student who receives a bad grade may start studying harder to avoid future poor grades. This behavior persists even when the negative outcome is no longer present. Avoidance learning is powerful because it maintains behavior in the absence of the...
1.9K
Classification of Illness
8.0K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
8.0K
Stress Prevention and Stress Management Techniques I
100
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
100
Stress Prevention and Stress Management Techniques VI
71
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
71
Coping Strategies: Problem Focused
152
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
152
Coping Strategies: Emotion Focused
157
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
157


