针对功能性发作的治疗后评估结果的新型基于患者的心理测定验证
Lana Higson1, Zhibin Chen2, Terence J O'Brien1
1Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia; Department of Neurology, Alfred Hospital, Melbourne, Victoria, Australia.
Epilepsy & behavior : E&B
|August 28, 2025
概括
一个新的问卷,功能性前后干预比较调查 (FSPICS),显示了测量功能性治疗患者的结果的希望. 初步验证表明它有效地控制了发作和改善生活质量.
科学领域:
- 神经学
- 精神病学
- 临床心理学
背景情况:
- 缺乏患者报告的功能性治疗标准化结果.
- 开发功能性前后干预比较调查 (FSPICS),以弥补这一缺口.
- 专注于患者相关的功能性管理指标.
研究的目的:
- 提供FSPICS的初步验证证据.
- 评估FSPICS的心理特征及其测量治疗有效性的能力.
- 评估问卷在捕捉控制和生活质量的变化中的有用性.
主要方法:
- 探索和确认因素分析以确定FSPICS的潜在结构.
- 用Spearman的相关系数来评估FSPICS项目与临床结果之间的关联.
- 在随机对照试验中包括56名参与者.
主要成果:
- 这项19项的FSPICS显示了两个因素的结构:"扣押控制"和"生活质量".
- 该模型显示出极好的适应性 (CFI=0. 999,TLI=0. 999,SRMR=0. 085,RMSEA=0. 034) 具有强大的内部一致性.
- 在FSPICS项目和数和功能障碍 (WSAS) 变化之间发现了显著的相关性.
结论:
- FSPICS显示了令人鼓舞的初步证据,用于评估患者报告的功能性治疗结果.
- 简短的单个问卷形式适用于测量患者的干预后体验.
- 建议使用更大的外部样本进行进一步验证.
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