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前庭功能与人格解体/现实解体症状

Vestibular Function and Depersonalization/Derealization Symptoms.

作者信息

Jáuregui Renaud Kathrine

出版信息

Multisens Res. 2015;28(5-6):637-51. doi: 10.1163/22134808-00002480.

DOI:10.1163/22134808-00002480
PMID:26595960
Abstract

Patients with an acquired sensory dysfunction may experience symptoms of detachment from self or from the environment, which are related primarily to nonspecific symptoms of common mental disorders and secondarily, to the specific sensory dysfunction. This is consistent with the proposal that sensory dysfunction could provoke distress and a discrepancy between the multi-sensory frame given by experience and the actual perception. Both vestibular stimuli and vestibular dysfunction can underlie unreal experiences. Vestibular afferents provide a frame of reference (linear and angular head acceleration) within which spatial information from other senses is interpreted. This paper reviews evidence that symptoms of depersonalization/derealization associated with vestibular dysfunction are a consequence of a sensory mismatch between disordered vestibular input and other sensory signals of orientation.

摘要

患有后天性感觉功能障碍的患者可能会经历与自我或环境分离的症状,这些症状主要与常见精神障碍的非特异性症状有关,其次与特定的感觉功能障碍有关。这与以下观点一致,即感觉功能障碍可能引发痛苦,以及经验所赋予的多感觉框架与实际感知之间的差异。前庭刺激和前庭功能障碍都可能是虚幻体验的基础。前庭传入神经提供了一个参考框架(线性和角向头部加速度),其他感觉的空间信息在这个框架内得到解释。本文综述了相关证据,表明与前庭功能障碍相关的人格解体/现实解体症状是前庭输入紊乱与其他定向感觉信号之间感觉不匹配的结果。

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