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探索埃勒斯-当洛综合征的心理社会状况:一项自传体案例研究。

Navigating the psychosocial landscape of Ehlers-Danlos syndrome: an autobiographic case study.

作者信息

Locke Jessica D, Eastman Jason T

机构信息

Independent Researcher, Myrtle Beach, SC, USA.

Coastal Carolina University, Conway, SC, USA.

出版信息

Discov Ment Health. 2025 Aug 17;5(1):123. doi: 10.1007/s44192-025-00268-5.

DOI:10.1007/s44192-025-00268-5
PMID:40820186
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12358338/
Abstract

Living with a rare disorder, such as Ehlers-Danlos Syndrome (EDS), presents unique psychosocial challenges. This autobiographical case study explores the psychological, social, and professional impacts of navigating life with hypermobile EDS (hEDS), a condition marked by chronic pain, joint instability, and diagnostic uncertainty. Placing personal experiences into the context of clinical findings and research, this study highlights both the physical and emotional toll of the syndrome, including stigma, isolation, and medical gaslighting often accompanying rare conditions. The first-person case study of the first author extracted by the second author experienced in qualitative interviewing provides a first-hand account of the importance of addressing the psychosocial dimensions of rare disorders to foster understanding, empathy, and systemic improvements in patient care. In addition to calls for more encompassing medical care, this work also advocates for increased access to psychosocial support and recognition of the broader implications of living with rare, often invisible conditions.

摘要

患有诸如埃勒斯-当洛综合征(EDS)这样的罕见疾病会带来独特的心理社会挑战。本自传体案例研究探讨了患有高活动型EDS(hEDS)的生活在心理、社会和职业方面的影响,这种疾病的特征是慢性疼痛、关节不稳定以及诊断不确定性。将个人经历置于临床发现和研究的背景下,本研究突出了该综合征在身体和情感上造成的损害,包括罕见疾病常伴随的耻辱感、孤立感以及医疗误导。第二作者通过定性访谈提取的第一作者的第一人称案例研究,提供了一个第一手的描述,说明了应对罕见疾病心理社会层面问题对于促进理解、同理心以及改善患者护理体系的重要性。除了呼吁提供更全面的医疗护理外,这项工作还倡导增加获得心理社会支持的机会,并认识到患有罕见且往往难以察觉的疾病所带来的更广泛影响。

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本文引用的文献

1
Medical Gaslighting: A New Colloquialism.医学煤气灯效应:一个新的俗语。
Am J Med. 2024 Oct;137(10):920-922. doi: 10.1016/j.amjmed.2024.06.022. Epub 2024 Jun 25.
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Determinants of social participation in people with disability.残疾人社会参与的决定因素。
PLoS One. 2024 May 20;19(5):e0303911. doi: 10.1371/journal.pone.0303911. eCollection 2024.
3
Effective Doses of Low-Dose Naltrexone for Chronic Pain - An Observational Study.低剂量纳曲酮治疗慢性疼痛的有效剂量——一项观察性研究。
J Pain Res. 2024 Mar 21;17:1273-1284. doi: 10.2147/JPR.S451183. eCollection 2024.
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Psychosocial impact at the time of a rare disease diagnosis.罕见病诊断时的心理社会影响。
PLoS One. 2023 Jul 28;18(7):e0288875. doi: 10.1371/journal.pone.0288875. eCollection 2023.
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Turning Down the Flame on Medical Gaslighting.拒绝医疗煤气灯效应
J Gen Intern Med. 2023 Nov;38(15):3426-3427. doi: 10.1007/s11606-023-08302-4. Epub 2023 Jul 5.
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Factors Affecting the Perception of Disability: A Developmental Perspective.影响残疾认知的因素:发展视角
Front Psychol. 2021 Jun 21;12:702166. doi: 10.3389/fpsyg.2021.702166. eCollection 2021.
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The toxic power dynamics of gaslighting in medicine.医学中煤气灯效应的有害权力动态。
Can Fam Physician. 2021 May;67(5):367-368. doi: 10.46747/cfp.6705367.
8
The Relationship between Autism and Ehlers-Danlos Syndromes/Hypermobility Spectrum Disorders.自闭症与埃勒斯-丹洛斯综合征/关节过度活动谱系障碍之间的关系。
J Pers Med. 2020 Dec 1;10(4):260. doi: 10.3390/jpm10040260.
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Hypermobile Ehlers-Danlos syndromes: Complex phenotypes, challenging diagnoses, and poorly understood causes.易位型埃勒斯-当洛斯综合征:复杂表型、诊断困难且病因不明。
Dev Dyn. 2021 Mar;250(3):318-344. doi: 10.1002/dvdy.220. Epub 2020 Aug 17.
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The social identity approach to disability: Bridging disability studies and psychological science.社会认同视角下的残疾:连接残疾研究与心理科学。
Psychol Bull. 2018 Dec;144(12):1300-1324. doi: 10.1037/bul0000156. Epub 2018 Jul 12.