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对于功能神经障碍的基于技能的心理治疗结果的预测因素:回顾性队列研究

Cristina Bleier¹, Ellen J Godena¹, Daniel Millstein^1,2

¹Functional Neurological Disorder Unit, Department of Neurology, Massachusetts General Hospital, Mass General Brigham, Harvard Medical School, Boston.

The Journal of neuropsychiatry and clinical neurosciences

|October 3, 2025

概括

基于技能的心理治疗在功能神经障碍 (FND) 中显示出现实世界的有效性. 长期治疗可能对某些患者有益,这表明需要个性化治疗持续时间.

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:

基于技能的心理治疗是功能神经障碍 (FND) 的一项成熟治疗方法.
有限的现实世界数据存在于它的有效性和最佳持续时间.
了解治疗结果的预测因素对于患者护理至关重要.

研究的目的:

评估基于技能的心理治疗对FND的现实世界的有效性.
为了确定与治疗结果相关的基线特征.
探索治疗持续时间对患者改善的影响.

主要方法:

97名FND患者接受基于技能的门诊心理治疗的回顾性队列研究.
收集关于FND症状,基线特征和临床医生估计的结果的数据.
使用单变量和多变量回归分析来确定改善的预测因素.

主要成果:

66%的患者表现出改善,20人几乎完全解决了症状.
全职就业与更好的结果有关;同时进行心理治疗与更差的结果有关.
出席的会议数量的增加与改善有积极的相关性,特别是那些接受超过16次会议的人.

结论:

基于技能的心理治疗在现实世界FND治疗环境中表现出有效性.
一小组FND患者从长期心理治疗中受益.
需要进一步的前性研究来优化和个性化FND心理治疗方案.

关键词:

功能性运动障碍功能性运动障碍功能性运动障碍功能性运动障碍功能神经系统障碍功能神经系统障碍功能性发作功能性发作心理治疗心理治疗

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