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Sensory Processing Difficulties in Functional Neurological Disorder: A Possible Predisposing Vulnerability?

机译：感官加工功能神经系统疾病中的困难：易受漏洞的可能性吗？

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Background: Functional neurological disorder (FND) is a prevalent neuropsychiatric condition characterized by sensorimotor difficulties. Patients with FND at times report that sensory experiences trigger and/or exacerbate their symptoms. Sensory processing difficulties are also commonly reported in other psychiatric disorders frequently comorbid in FND, suggesting that contextualizing sensory profiles in FND within a biopsychosocial model may be clinically relevant. Objective: To address this literature gap, we conducted a retrospective cohort study to examine sensory processing patterns and their relationship to other neuropsychiatric characteristics in patients with FND. Methods: A retrospective chart review design was used to investigate sensory processing patterns, established with the AdolescentlAdult Sensory Profile self-report questionnaire, in 44 patients with FND. Univariate analyses of cross-sectional screening tests followed by multivariate linear regression analyses were performed to identify clinical factors associated with sensory processing scores in the FND cohort. Results: Compared to normative data, most patients with FND reported sensory processing tendencies toward low registration, sensory sensitivity, and sensation avoiding. In multivariate regression analyses, the presence of a lifetime anxiety disorder independently predicted elevated low registration scores, while female gender and number of current medications independently predicted increased sensory sensitivity scores. In uncorrected univariate analyses only, individuals with psychogenic nonepileptic seizures were more likely to report increased sensory sensitivity and elevated low registration. Conclusion: These preliminary findings support sensory processing difficulties in some patients with FND. Prospective and large sample size studies are needed to investigate relationships between sensory processing profiles and neuropsychiatric comorbidities, FND sub-types, and treatment outcomes.
机译：背景：功能性神经障碍（FND）是一种以感觉运动困难为特征的神经精神疾病。FND患者有时报告感觉体验会触发和/或加重症状。感觉加工困难也常见于FND中常见的其他精神疾病，这表明在生物-心理-社会模型中对FND中的感觉特征进行情境化可能具有临床相关性。目的：为了弥补这一文献空白，我们进行了一项回顾性队列研究，以检查FND患者的感觉加工模式及其与其他神经精神特征的关系。方法：采用回顾性图表回顾设计，对44例FND患者的感觉加工模式进行调查，该模式由青少年Ladult感觉特征自我报告问卷建立。进行横断面筛查试验的单变量分析，然后进行多元线性回归分析，以确定与FND队列中感觉加工评分相关的临床因素。结果：与标准数据相比，大多数FND患者的感觉加工倾向于低注册、感觉敏感和感觉回避。在多元回归分析中，终生焦虑症的存在独立预测低注册分数的升高，而女性性别和当前药物的数量独立预测感官敏感性分数的升高。仅在未经校正的单变量分析中，心因性非癫痫发作的个体更有可能报告感觉敏感性增加和低注册率升高。结论：这些初步发现支持了一些FND患者的感觉加工困难。需要进行前瞻性大样本研究，以调查感觉加工特征与神经精神共病、FND亚型和治疗结果之间的关系。

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