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中风后情感主义的心理关联。

Psychological associations with emotionalism after stroke.

作者信息

Calvert T, Knapp P, House A

机构信息

School of Psychology, University of Leeds, UK.

出版信息

J Neurol Neurosurg Psychiatry. 1998 Dec;65(6):928-9. doi: 10.1136/jnnp.65.6.928.

Abstract

The psychological associations with emotionalism were examined, 1 month after stroke, in 448 stroke survivors who met inclusion criteria for a randomised trial of psychological treatment. One hundred and one (21.5%) patients had emotionalism. Thirty eight (38%) of those with emotionalism had a clinically significant mood disorder, compared with 64 of 347 (18%) of those without emotionalism. Emotionalism was associated with 10 other psychiatric syndromes, the presence of most of which could be accounted for by the coexistence of depression with emotionalism. In a logistic regression analysis, irritability and ideas of reference were associated with emotionalism after adjustment for the presence of depression. These psychological associations with emotionalism may be incorporated into a psychological model of emotionalism as a disorder of emotional control, and they may help in the understanding of the socially disabling effects of this common condition.

摘要

在一项针对中风幸存者的心理治疗随机试验中,对符合纳入标准的448名中风幸存者在中风后1个月进行了与情感主义相关的心理因素调查。101名(21.5%)患者存在情感主义。有情感主义的患者中38名(38%)患有具有临床意义的情绪障碍,而无情感主义的347名患者中有64名(18%)患有情绪障碍。情感主义与其他10种精神综合征相关,其中大多数综合征的存在可归因于情感主义与抑郁症并存。在逻辑回归分析中,调整抑郁症的存在因素后,易怒和牵连观念与情感主义相关。这些与情感主义相关的心理因素可纳入情感主义作为情绪控制障碍的心理模型中,它们可能有助于理解这种常见状况对社会功能的损害作用。

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