Deutsch Curtis K, Patnaik Pooja P, Greco Frank A
Eunice Kennedy Shriver Center, Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA.
Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
J Alzheimers Dis Rep. 2021 May 4;5(1):389-394. doi: 10.3233/ADR-210007.
We sought to determine whether skin conductance level could warn of outbursts of combative behavior in dementia patients by using a wristband device. Two outbursts were captured and are reported here. Although no physiologic parameter measured by the wristband gave advance warning, there is a common pattern of parasympathetic withdrawal (increased heart rate) followed approximately 30 seconds later by sympathetic activation (increased skin conductance). In the literature, a similar pattern occurs in psychogenic non-epileptic seizures. We hypothesize that similar autonomic responses reflect similarities in pathophysiology and that physical activity may partially account for the time course of skin conductance.
我们试图通过使用腕带设备来确定皮肤电导率水平是否能够预警痴呆症患者的攻击性行为爆发。我们捕捉到了两次爆发事件并在此报告。尽管腕带测量的生理参数均未给出提前预警，但存在一种共同模式，即副交感神经退缩（心率增加），随后大约30秒后交感神经激活（皮肤电导率增加）。在文献中，类似的模式出现在心因性非癫痫性发作中。我们假设类似的自主神经反应反映了病理生理学上的相似性，并且身体活动可能部分解释了皮肤电导率的时间进程。
