成年人功能性认知障碍的概念框架和未来方向:叙述性审查和整合性视角
Adith Mohan1,2, Catherine J Hayes1, Arun V Krishnan3,4
1Neuropsychiatric Institute, Prince of Wales Hospital, South Eastern Sydney Local Health District (SESLHD).
Current opinion in psychiatry
|January 16, 2026
概括
功能性认知障碍 (FCD) 涉及不匹配性能的认知投诉,通常与注意力和元认知有关. 标准化诊断是对更好地评估和研究这种FND亚型的关键.
科学领域:
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
- 精神病学是一个精神病学.
背景情况:
- 功能性认知障碍 (FCD) 被认为是功能神经障碍 (FND) 的更广泛范围内的认知亚型.
- 对FCD的概念挑战和诊断标准需要改进,以提高临床实用性和研究.
- 了解FCD与神经退行性疾病的区别对于准确的诊断和管理至关重要.
研究的目的:
- 在FND谱中提供功能性认知障碍 (FCD) 的全面概述.
- 解决FCD的概念挑战,诊断标准和流行病学.
- 强调在评估FCD的内部不一致性和诊断界限时需要标准化.
主要方法:
- 本综述综合了目前关于FCD的文献,从叙事审查方法学中汲取信息.
- 它检查了现有的诊断标准和FCD的建议检查清单.
- 讨论了支持FCD病理生理学预测处理框架的证据.
主要成果:
- FCD呈现出与客观表现不成比例的持续认知投诉,与元认知,注意力和认知行为功能障碍有关.
- 新出现的证据表明,预测处理框架涉及不适应的上下先验和注意力失调.
- 流行病学数据表明,FCD通常是稳定且不进展的,与神经退行性疾病不同.
结论:
- 标准化标准和机制模型对于改善FCD诊断,患者护理和研究有效性至关重要.
- 在FND框架内进一步了解FCD病理生理学将有助于针对性干预.
- 未来的研究应该优先考虑客观的生物标志物和治疗策略,用于FCD的注意力和元认知缺陷.
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