功能性/离散性的主观症状及其诊断价值:系统性审查
Qing Xue1, Zuzana Pastircakova2, Gregg H Rawlings3
1Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Epilepsia
|February 9, 2026
概括
功能性/离散性 (FDS) 中患者报告的主观症状是多样化的. 详细的症状描述对于区分FDS和发作至关重要,指导未来的研究.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 定性研究是指质量研究.
背景情况:
- 功能性/离散性 (FDS) 的主观症状通常被忽视,而不是可观察到的迹象.
- 患者的经验为FDS诊断和管理提供了关键的见解.
研究的目的:
- 系统地审查和综合关于FDS的主观症状学的研究.
- 探索这些患者报告的经验的诊断价值.
主要方法:
- 在MEDLINE,PsycINFO和CINAHL (1990-2025) 搜索了定性和定量FDS症状数据.
- 应用PRISMA 2020和CASP指南用于研究选择和质量评估.
- 对定性数据进行主题分析,对定量发现进行叙事综合.
主要成果:
- 47项研究在感官,兴奋,情感,意识,认知和运动领域中确定了各种主观的FDS症状.
- 感觉 (疼痛,头痛),兴奋 (过度兴奋) 和情绪 (恐慌,焦虑) 症状是最常见的.
- 意识变化和解离症状显示出区分FDS和发作的潜力,与其他不那么具体的症状不同.
结论:
- 主观的FDS症状各不相同,但有着共同的主题.
- 详细的症状描述是必要的,以提高他们的诊断效用.
- 未来的研究应该采用系统的,多式联运的,跨文化的方法,采用结构化数据收集.
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