Suppr超能文献

[心因性障碍:概念、术语和分类]

[Psychogenic disorders: concepts, terminology and classification].

作者信息

Arias M

机构信息

Sección de Neurología, Hospital de Conxo, Complejo Hospitalario Universitario de Santiago de Compostela, La Coruña.

出版信息

Neurologia. 2004 Sep;19(7):377-85.

Abstract

The neurological interest on functional or psychogenic disorders (mental or physical disturbances with no organic basis, generally unleashed by stressful situations) has been receiving increasingly more interest over the last few years. In this article we review concepts, terms and classifications of these disorders, very different over time and among different authors. Psychogenic disorders are divided into: a) dissociation (with memory, consciousness and self-identity impairment), and b) disturbances with somatizations, divided into somatoform (unconscious), factitious (voluntary search for patient's role) and malingering (searching for material gain). Special emphasis is placed on conversion or hysteria, included in somatoform disorders. New findings in functional neuroimaging are analyzed. These new data suggest an important role of unconscious and involuntary inhibition in loss of volition (similar to hypnosis and different from malingering). Normal activity in certain brain areas (motor or sensory cortex) is blocked by other areas related to emotional integration (anterior cingular and orbitofrontal cortex). The neurologist's role is important to achieve an early diagnosis of psychogenic disturbances, particularly conversive ones. This means the use of fewer economic resources and better prognosis for the patient.

摘要

在过去几年中,神经学领域对功能性或心因性障碍(即无器质性基础的精神或身体障碍,通常由压力情境引发)的关注日益增加。在本文中,我们回顾了这些障碍的概念、术语和分类,它们在不同时期和不同作者之间存在很大差异。心因性障碍分为:a)分离性障碍(伴有记忆、意识和自我认同受损),以及b)伴有躯体化的障碍,后者又分为躯体形式障碍(无意识的)、做作性障碍(主动寻求患者角色)和诈病(为获取物质利益)。特别强调了包含在躯体形式障碍中的转换障碍或癔症。分析了功能性神经影像学的新发现。这些新数据表明,无意识和非自愿抑制在意志丧失中起重要作用(类似于催眠,与诈病不同)。某些脑区(运动或感觉皮层)的正常活动被与情绪整合相关的其他脑区(前扣带回和眶额皮层)阻断。神经科医生在早期诊断心因性障碍,尤其是转换性障碍方面的作用很重要。这意味着为患者节省更多经济资源并带来更好的预后。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验