功能性卒中症状、血管性卒中和慢性疲劳综合征的疾病相关认知、窘迫和调整

IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
A. Jones, A. Smakowski, Alicia Hughes, A. David, T. Chalder
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引用次数: 0

摘要

摘要背景:据报道,在功能性疾病和血管性卒中中,心理困扰的发生率很高,但对卒中设置中具有功能性神经症状的患者如何对症状作出反应的了解有限。目的:本研究比较了功能性卒中患者与血管性卒中合并慢性疲劳综合征(CFS)患者的症状。方法:前瞻性队列研究56例功能性卒中患者,年龄性别与血管性卒中合并慢性疲劳综合症患者相匹配。方差分析比较各组对症状、心理困扰和功能的认知和行为反应。敏感性分析控制了已知的混杂因素。比较两组患者临床焦虑和抑郁的比例。结果:功能性脑卒中症状组临床焦虑病例比例高于CFS组,临床抑郁病例比例高于血管性脑卒中组。与血管性卒中患者相比,功能性卒中患者报告的“损伤信念”和“全有或全无”行为的比例最高,症状集中和休息行为的比例更高。局限性:较大的队列和纵向设计会加强研究结果。结论:与血管性卒中或CFS患者相比,功能性卒中患者在疾病相关信念和行为方面表现出某种不同的特征,并且临床焦虑率更高。了解这样的群体差异可以为病因学和认知行为反应提供一些见解。对有功能性卒中症状的患者应给予适当的支持和转诊,以解决痛苦和减少严重损害的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Illness-Related Cognition, Distress and Adjustment in Functional Stroke Symptoms, Vascular Stroke, and Chronic Fatigue Syndrome
Abstract. Background: High rates of psychological distress are reported in functional conditions and vascular stroke, but there is limited understanding of how patients with functional neurological symptoms in stroke settings respond to symptoms. Aims: This study compared patients with functional stroke symptoms to those with vascular stroke and chronic fatigue syndrome (CFS). Methods: A prospective cohort of 56 patients with functional stroke symptoms were age-gender matched to patients with vascular stroke and CFS. Analysis of variance compared groups on cognitive and behavioral responses to symptoms, psychological distress, and functioning. Sensitivity analyses controlled for known confounders. The proportions of clinical anxiety and depression were compared between groups. Results: The functional stroke symptom group had a higher proportion of clinical anxiety cases than the CFS group, and a higher proportion of clinical depression cases than the vascular stroke group. Patients with functional stroke symptoms reported the highest rate of “damage beliefs” and “all-or-nothing” behaviors and greater symptom focusing and resting behavior than patients with vascular stroke. Limitations: Larger cohorts and a longitudinal design would strengthen study findings. Conclusion: Compared to patients with vascular stroke or CFS, patients with functional stroke symptoms show a somewhat distinct profile of illness-related beliefs and behaviors, as well as higher rates of clinical anxiety. Understanding such group differences provides some insights into aetiology and cognitive-behavioral responses. Appropriate support and referral should be available to patients with functional stroke symptoms to address distress and reduce the likelihood of severe impairment.
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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
29
期刊介绍: Die "Zeitschrift für Gesundheitspsychologie" wurde gegründet, um dem raschen Anwachsen gesundheitspsychologischer Forschung sowie deren Relevanz für verschiedene Anwendungsfelder gerecht zu werden. Gesundheitspsychologie versteht sich als wissenschaftlicher Beitrag der Psychologie zur Förderung und Erhaltung von Gesundheit, zur Verhütung und Behandlung von Krankheiten, zur Bestimmung von Risikoverhaltensweisen, zur Diagnose und Ursachenbestimmung von gesundheitlichen Störungen sowie zur Verbessung des Systems gesundheitlicher Vorsorge.
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