功能神经障碍中的心理异质性:对探索精神病理亚型的研究进行系统审查
Anna Mammì1, Kathryn Harper2, Cordelia Gray3
1Department of Medical and Surgical Sciences, "Magna Græcia" University of Catanzaro, Catanzaro, Italy.
功能神经障碍 (FND) 是异质的,而不是单一的疾病. 这次审查确定了六个心理主题,表明FND治疗应该是个性化的.
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:
- 功能神经障碍 (FND) 存在神经症状,原因是大脑功能发生变化,而不是结构损伤.
- 在历史上被视为统一的,FND表现出显著的临床异质性.
研究的目的:
- 系统地审查功能神经障碍中的心理子组的经验证据.
- 增强对FND临床谱和病因多样性的理解.
主要方法:
- 在OVID Medline/Embase/PsycINFO,Scopus和科学网络 (1980-2025) 中进行全面的文献搜索.
- 使用SURE质量评估过程和四步叙述合成进行分析.
主要成果:
- 13项研究符合超过1万篇选文章的纳入标准.
- 确定了六个经常重复的,经常重叠的心理主题:情绪失调,感受受狭窄,并发性精神障碍,创伤,分离和较低的智力能力.
结论:
- 经验证据支持FND的观点,认为FND在病因上是异质的.
- 发现需要一个多维的框架来理解FND.
- 建议将治疗量身定制为FND患者的特定心理特征.
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