结构化临床诊断评估显示,功能神经障碍的成年人患有自闭症谱系障碍
Belen Gonzalez-Herrero1,2, Jan Coebergh3,4, Javier Pagonabarraga5,6
1Departamento de Medicina, Universidad Autónoma de Barcelona (UAB), Bellaterra, 08193, Spain. Belen.GonzalezH@autonoma.cat.
Scientific reports
|November 18, 2025
概括
在功能神经障碍 (FND) 诊所中,一半的成年人表现出自闭症谱系障碍 (ASD) 的迹象. 这表明ASD在FND中很常见,可能会影响症状发作和诊断,强调需要进行神经发育查.
科学领域:
- 神经科学是一个神经科学.
- 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:
- 越来越多的证据将自闭症谱系障碍 (ASD) 与功能神经障碍 (FND) 联系在一起.
- 了解神经发育特征对于FND患者有效的神经治疗至关重要.
- ASD和FND的同时发生可能会影响诊断途径和治疗.
研究的目的:
- 在专业的FND诊所内确定临床可能的ASD (CP-ASD) 的患病率.
- 调查CP-ASD和FND症状表现,心理健康,alexithymia和感知意识之间的关联.
- 探索对FND护理的诊断准确性和个性化干预措施的影响.
主要方法:
- 招募了16名患有FND的成年人进行全面的ASD评估.
- 使用了自我报告问卷 (RAADS-R,AdAS频谱),观察面试 (ADOS-IV) 和DSM-5标准.
- 用于治疗焦虑,抑郁,解离,亚历克西西米亚,伪装和整体感觉敏感性的经过验证的措施.
主要成果:
- 一半 (8/16) 的参与者满足了CP-ASD的标准.
- CP-ASD组在症状发作时表现出更年轻的年龄,并且在FND诊断的时间更长.
- 在CP-ASD和非CP-ASD组之间发现了焦虑,分离和伪装的显著差异.
结论:
- ASD经常与FND共存,在临床环境中可能未被充分认识到.
- 在FND诊所进行ASD常规查可以提高诊断准确度.
- 基于神经发育的护理可以增强与ASD和FND同时发生的个体的个性化干预措施.
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