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方法的转变:成人功能性神经障碍的评估与治疗

A Shift in Approach: Assessment and Treatment of Adults With Functional Neurological Disorder.

作者信息

Keatley Eva, Molton Ivan

机构信息

Baltimore, Maryland USA.

Seattle, Washington USA.

出版信息

J Health Serv Psychol. 2022;48(2):79-87. doi: 10.1007/s42843-022-00061-w. Epub 2022 Apr 28.

Abstract

Functional neurological disorder (FND) is a complex condition involving an interaction of psychological, physiological, and social factors. Despite high utilization of medical services, people with FND often suffer from poor long-term health and psychosocial outcomes, and experience stigmatization and marginalization within the medical community. Health service psychologists are well positioned to help patients with FND through the lens of the biopsychosocial model of health. Psychologists can facilitate appropriate assessment and treatment, and advocate for the needs of patients diagnosed with FND within multidisciplinary teams. This article reviews best practices for assessment and treatment of individuals diagnosed with or suspected of having FND and presents some clinical and ethical challenges associated with this complex population.

摘要

功能性神经障碍(FND)是一种复杂的病症,涉及心理、生理和社会因素的相互作用。尽管医疗服务利用率很高,但患有FND的人往往长期健康状况不佳,心理社会结局较差,并且在医学界遭受污名化和边缘化。健康服务心理学家有能力通过生物心理社会健康模型来帮助患有FND的患者。心理学家可以促进适当的评估和治疗,并在多学科团队中倡导被诊断为FND的患者的需求。本文回顾了对被诊断患有或疑似患有FND的个体进行评估和治疗的最佳实践,并提出了与这一复杂人群相关的一些临床和伦理挑战。

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