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被诊断为功能性神经障碍患者的心理特征与临床分组

Psychological Profiles and Clinical Clusters of Patients Diagnosed With Functional Neurological Disorder.

作者信息

Pun Paul, Frater Julanne, Broughton Megan, Dob Rian, Lehn Alexander

机构信息

Emotional Health Unit, Mater Misericordiae Health Services Brisbane Ltd, Brisbane, QLD, Australia.

Brisbane Clinical Neuroscience Centre, Brisbane, QLD, Australia.

出版信息

Front Neurol. 2020 Oct 15;11:580267. doi: 10.3389/fneur.2020.580267. eCollection 2020.

Abstract

Our understanding about underlying mechanisms leading to Functional Neurological Disorders (FND) has changed in recent years. While in the past these disorders were presumed to be solely due to psychological issues we know now that their development is dependent on complex interactions between biological, psychological and social factors. We present an analysis of clinical presentations and psychological profiles of patients who were seen in our FND outpatient clinic over 3 years. We aim to review the prevalence of common symptoms in the patients seen within our clinic, and to identify any common psychological or psychiatric profiles that differentiated these symptom groups. This may help to elucidate underlying mechanisms leading to the development of functional symptoms and identify the predisposing, triggering and perpetuation factors.

摘要

近年来,我们对导致功能性神经障碍(FND)的潜在机制的理解发生了变化。过去,这些障碍被认为完全是由心理问题引起的,而现在我们知道,它们的发展取决于生物、心理和社会因素之间的复杂相互作用。我们对在我们的FND门诊就诊超过3年的患者的临床表现和心理特征进行了分析。我们旨在回顾在我们诊所就诊的患者中常见症状的患病率,并确定区分这些症状组的任何常见心理或精神特征。这可能有助于阐明导致功能性症状发展的潜在机制,并识别易患、触发和持续因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd75/7593396/97e2eecbe170/fneur-11-580267-g0001.jpg

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