探索自闭症和功能神经障碍的关联:从生物心理社会,神经心理和计算模型的考虑
Richard H Cole1, Lily Smythe1, Mark J Edwards1
1King's College London, UK.
Autism : the international journal of research and practice
|December 17, 2025
概括
自闭症与功能神经障碍 (FND) 有关,导致真正的神经症状. 研究探讨了内部因素,如感官处理和外部因素,如耻辱感,以了解这种关联,并改善FND自闭症患者的护理.
科学领域:
- 神经科学和精神病学 在
- 自闭症谱系障碍 (ASD) 是一种
- 功能神经障碍 (FND) 是一种功能性神经障碍.
背景情况:
- 功能神经障碍 (FND) 呈现出各种神经症状 (例如,,震,感觉障碍),没有可识别的身体损伤.
- 自闭症谱系障碍 (ASD) 越来越多地与FND相关,这表明共享的潜在机制或风险因素.
- 尽管人们对FND越来越感兴趣,但其研究,服务开发和接受程度却落后于其他神经疾病.
研究的目的:
- 探索自闭症和功能神经障碍之间的复杂交叉.
- 确定可信的内源性和外源性因素,有助于ASD和FND之间的关联.
- 提出医疗保健服务的调整,以便更好地识别和支持患有FND的自闭症患者.
主要方法:
- 审查现有关于FND及其与自闭症重叠的研究.
- 应用生物心理社会,神经心理和计算框架来概念化ASD-FND关系.
- 分析内源性因素 (内接收,运动功能,情绪处理,感觉运动集成) 和外源性影响 (逆境,医疗保健不平等,耻辱).
主要成果:
- 非典型的整体感受,运动功能,情绪处理和感官运动集成是将ASD和FND联系在一起的可信的内生机制.
- 外源因素,如逆境,医疗保健不平等和耻辱感,也可能导致自闭症患者的FND患病率增加.
- ASD和FND之间的关联是多因素的,涉及生物,心理和社会决定因素之间的复杂相互作用.
结论:
- 了解ASD和FND的交叉需要整合多个解释模型.
- 医疗保健服务需要适应,以有效支持经历FND的自闭症患者,重点关注沟通,调整和共同设计.
- 在研究和治疗规划中纳入自闭症观点对于改善这一群体的护理途径和结果至关重要.
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