[功能神经障碍:病史和当前情况]
Kévin Margheriti1, Sarah Saussac1, Axelle Gharib1
1Centre bipol-AIR, 9 rue Abraham-Bloch, 69007 Lyon, France.
概括
功能性神经系统疾病会出现无法解释的神经系统症状,对生活质量产生重大影响. 提高专业培训和患者支持对于更好地识别和管理这些疾病至关重要.
科学领域:
- 神经学
- 精神病学
背景情况:
- 功能神经障碍 (FND) 涉及没有明确的有机原因的神经症状.
- 在历史上被误认为是歇斯底里症, 现在根据DSM-5标准认可FND,
- 这些疾病很常见,严重损害了患者的生活质量.
研究的目的:
- 突出FND的认可和管理不足.
- 强调FND的社会经济影响,包括错误诊断和失业.
- 提倡提高专业培训,特定治疗和患者支持.
主要方法:
- 对FND的当前诊断标准 (DSM-5) 的审查.
- 分析FND对医疗保健消费和社会经济因素的影响.
- 综合FND识别和管理方面的挑战.
主要成果:
- 导致长期错误诊断和大量医疗利用.
- 包括失业在内的重大社会经济影响是常见的.
- 目前的认可和管理策略是不够的.
结论:
- 提高专业教育对于准确的FND诊断至关重要.
- 开发有针对性的治疗方法和减少患者的污名化是必不可少的.
- 解决FND需要采取多方面的方法来改善患者的治疗结果,并减少公共卫生负担.
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