"观看事件"是否会在功能性/离散性发作中改变心理状态? 一个试点随机对照试验"
Lakshmi Priya Lalitha1, Ramshekhar N Menon1, Ashalatha Radhakrishnan1
1R Madhavan Nayar Center for Comprehensive Epilepsy Care (RMNC), Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Seizure
|July 31, 2025
概括
观看记录的功能/离散性 (FDS) 与认知行为疗法 (CBT) 一起发生的事件,可能会减少焦虑症状. 这种新的治疗策略显示了FDS患者的潜在益处,尽管事件频率没有显著下降.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 功能性/离散性发作 (FDS) 很常见,模仿或运动障碍,但缺乏确定的治疗指南.
- 目前FDS的管理通常涉及支持性护理和认知行为疗法 (CBT).
研究的目的:
- 调查观看记录的FDS事件作为一种新的治疗策略的影响.
- 评估事件观看在改善心理状态和减少FDS患者事件频率方面的有效性.
主要方法:
- 进行了一项单中心,双盲,随机对照试验 (1:1).
- 参与者接受CBT,干预组额外查看他们记录的FDS事件.
- 心理状态 (HADS, QoLIE-31) 和事件频率分别是初级和二级结果,在3个月后进行评估.
主要成果:
- 七十二名患者被随机选择. 干预组在焦虑评分上显示了统计学上显著的改善 (HADS-A,p=0.026).
- 在抑郁症得分 (HADS-D),生活质量 (QoLIE-31) 或事件频率减少方面没有观察到群体之间的显著差异.
- 效果大小分析表明,通过事件观看,焦虑和生活质量有小到中等的改善.
结论:
- 观看记录的FDS事件,当添加到CBT时,可能有助于减少FDS患者的焦虑症状.
- 这种方法代表了一种潜在的新型治疗策略,用于管理与FDS相关的心理痛苦.
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