r-n-jРоссийский неврологический журналRussian neurological journal2658-79472686-7192МИА10.30629/2658-7947-2024-29-4-47-53r-n-j-606Research ArticleИССЛЕДОВАНИЯ И КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL RESEARCHES AND CASE REPORTSНарушения интероцепции у пациентов с функциональными двигательными расстройствамиInteroceptive disturbances in patients with functional movement disordershttps://orcid.org/0000-0001-6217-4151ЕвдокимовК. М.EvdokimovK. M.

Москва

Moscow

k.m.evdokimov@gmail.comhttps://orcid.org/0000-0001-8070-7644ФедотоваЕ. Ю.FedotovaE. Yu.

Москва

Moscow

https://orcid.org/0000-0002-2704-6282ИллариошкинС. Н.IllarioshkinS. N.

Москва

Moscow

Научный центр неврологииРоссияResearch Center of NeurologyRussian Federation2024051120242944753Copyright © Евдокимов К.М., Федотова Е.Ю., Иллариошкин С.Н., 20242024Евдокимов К.М., Федотова Е.Ю., Иллариошкин С.Н.Evdokimov K.M., Fedotova E.Y., Illarioshkin S.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.r-n-j.com/jour/article/view/606

Функциональные двигательные расстройства (ФДР) часто встречаются в клинической практике невролога. Они находятся на границе неврологии и психиатрии, однако патогенез заболевания до сих пор остается открытым вопросом. Одной из причин развития ФДР считается нарушение интероцепции.

Целью работы явилось исследование интероцептивного осознавания у пациентов с ФДР и его взаимосвязи с тяжестью двигательных, аффективных, других соматических нарушений и качеством жизни.

Материал и методы

Материал и методы. В исследование были включены 34 пациента с ФДР и 31 здоровый доброволец, у которых была проведена оценка интероцептивного осознавания по шкале MAIA-R, качества жизни (SF-36), сопутствующих соматических симптомов (PHQ-15), аффективных симптомов (HADS). Выраженность ФДР оценивалась по шкале PMDRS.

Результаты

Результаты. Выявлено, что пациенты с ФДР меньше доверяют ощущениям собственного тела и акцентируют внимание прежде всего на дискомфортных ощущениях. Пациенты с ФДР имели большую выраженность сопутствующих соматических симптомов, тревоги и депрессии. Качество жизни было снижено за счет физического компонента здоровья.

Заключение

Заключение. Интероцептивное осознавание связано с эмоциональными характеристиками пациентов и не ассоциировано с тяжестью двигательных нарушений. Полученные результаты демонстрируют изменения в обработке интероцептивной информации.

Functional movement disorders (FMD) are frequently encountered in the clinical practice of a neurologist. They are on the border of neurology and psychiatry, but the pathogenesis of the disease is still an open question. One of the causes of FMD development is considered to be interoception disorder.

Objective

Objective. The aim of this study was to investigate interoceptive awareness in patients with FMD and its relationship with the severity of motor, affective, and other somatic disorders and quality of life.

Material and methods

Material and methods. The study included 34 patients with FMD and 31 healthy volunteers, in whom interoceptive awareness was assessed using the MAIA-R scale, quality of life (SF-36), concomitant somatic symptoms (PHQ-15), and affective symptoms (HADS). The severity of FMD was assessed using the PMDRS scale. Results. The findings revealed that patients with FMD exhibit less trust in the sensations of their own bodies and tend to focus primarily on discomfort sensations. Patients with FMD also showed greater expression of concomitant somatic symptoms, anxiety, and depression. Quality of life was reduced due to the physical component of health.

Conclusion

Conclusion. Interoceptive awareness is related to patients’ emotional characteristics and is not associated with the severity of motor impairment. The results demonstrate changes in the processing of an interoceptive information.

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The authors declare that there are no conflicts of interest present.