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相关概念视频

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功能神经障碍中的耻辱;一个纵向研究.

Caoimhe Mcloughlin1, Neil Ramsay2, Lineke Tak3

  • 1Centre for Clinical Brain Sciences, University of Edinburgh, 49 Little France Crescent, Edinburgh EH16 4SB, United Kingdom.

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概括

功能神经障碍 (FND) 患者经历了显著的感知,内化和预期的耻辱. 这些挑战,以及伴随疾病,并没有随着时间的推移而有所改善,这凸显了需要采取更广泛的反耻辱倡议的需要.

关键词:
焦虑 焦虑是一种焦虑.功能神经系统障碍是一种功能性神经系统障碍.情绪 情绪 情绪患者的体验 患者的体验生活质量生活的质量.污名化是一种耻辱.

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科学领域:

  • 神经学 神经学
  • 精神病学是一个精神病学.
  • 医学社会学 医学社会学

背景情况:

  • 耻辱感是功能神经障碍 (FND) 患者的一个主要挑战.
  • 在FND中对耻辱成分的长度评估对于了解患者体验至关重要.
  • 探索与耻辱相关的因素可以为有针对性的干预提供信息.

研究的目的:

  • 纵向评估FND患者的感知,内化和预期的耻辱感.
  • 确定与FND不同类型的耻辱相关的因素.
  • 评估随着时间的推移,耻辱和相关因素的变化.

主要方法:

  • 从门诊诊所招募FND患者的前景招募.
  • 使用经过验证的对耻辱,身体负担,生活质量,抑郁,焦虑和疾病归因的措施.
  • 在平均持续时间为7个月后进行后续评估.

主要成果:

  • 观察到中等的感知耻辱评分.
  • 32%的患者内化了耻辱感,认为FND是他们的错.
  • 预期的耻辱是来自工作的最高,其次是医疗保健,朋友和家人.
  • 认定自己是男性,处于恋爱关系中,年龄较大,受过教育是防止耻辱的保护.
  • 随访时没有注意到对耻辱,体质负担,生活质量,焦虑或抑郁的显著变化.

结论:

  • 患有FND的患者经历了大量和持续的感知,内化和预期的耻辱.
  • 在FND中,高水平的身体和心理并发症普遍存在.
  • 反污名化策略必须超越医疗保健专业人员,以解决多种污名化来源.