功能性运动障碍的人格和精神病理学特征。
Personality and psychopathological characteristics in functional movement disorders.
机构信息
Department of Medicine and Surgery, Kore University of Enna, Enna, Italy.
Department of Medical, Surgical Sciences and Advanced Technologies, GF Ingrassia, University of Catania, Catania, Italy.
出版信息
PLoS One. 2024 May 10;19(5):e0303379. doi: 10.1371/journal.pone.0303379. eCollection 2024.
INTRODUCTION
Aim of the present study was to assess personality and psychopathological characteristics in patients with functional movement disorders (FMDs) compared to patients with other neurological disorders (OND).
METHODS
In this cross-sectional study, patients affected by clinically established FMDs and OND who attended the Neurologic Unit of the University-Hospital "Policlinico-San Marco" of Catania from the 1st of December 2021 to the 1st of June 2023 were enrolled. Personality characteristics were assessed with the Rorschach test coded according to Exner's comprehensive system and the Structured Clinical Interview for DSM-5 (SCID-II).
RESULTS
Thirty-one patients with FMDs (27 women; age 40.2±15.5 years; education 11.7±3.2 years; disease duration 2.3±2.5 years) and 24 patients affected by OND (18 women; age 35.8±16.3 years; education 11.9±2.9 years; disease duration 3.4±2.8 years) were enrolled. At the Rorschach, FMDs presented a significantly higher frequency of Popular (P) and sum of all Human content codes (SumH>5) responses and avoidant coping than OND.
CONCLUSION
FMDs presented "conformity behaviors", excessive interest in others than usual a maladaptive avoidant style of coping and a difficulty in verbalizing emotional distress. These psychopathological characteristics may favor the occurrence of FMDs.
简介
本研究旨在评估功能性运动障碍（FMD）患者与其他神经系统疾病（OND）患者的人格和精神病理特征。
方法
本横断面研究纳入了 2021 年 12 月 1 日至 2023 年 6 月 1 日期间在卡塔尼亚大学医院“Policlinico-San Marco”神经病学单元就诊的经临床确诊的 FMD 和 OND 患者。采用罗夏测验，根据 Exner 的综合系统和 DSM-5 结构性临床访谈（SCID-II）对人格特征进行编码。
结果
共纳入 31 例 FMD 患者（27 名女性；年龄 40.2±15.5 岁；教育年限 11.7±3.2 年；病程 2.3±2.5 年）和 24 例 OND 患者（18 名女性；年龄 35.8±16.3 岁；教育年限 11.9±2.9 年；病程 3.4±2.8 年）。在罗夏测验中，FMD 患者的常见（P）和所有人类内容代码总和（SumH>5）反应以及回避应对的频率明显高于 OND。
结论
FMD 表现出“从众行为”、过度关注他人、适应不良的回避应对方式以及难以用言语表达情绪困扰。这些精神病理特征可能有利于 FMD 的发生。
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