A Cognitive Behavioural Intervention for the Treatment of Vasovagal and Unexplained Syncope  

作　　者：France Bedard Andre Marchand Teresa Kus Bernard Thibault Bianca D’Antono 

机构地区：[1]Research Center,Montreal Heart Institute,Montreal,Canada [2]Psychology Department,University of Quebec in Montreal,Montreal,Canada [3]Research Center of Montreal of Mental health University Institute,Montreal,Canada [4]Cardiology Department,Hopital du Sacre-Coeur de Montreal,Montreal,Canada [5]Electrophysiology Service,Montreal Heart Institute,Montreal,Canada [6]Psychology Department,University of Montreal,Montreal,Canada

出　　处：《International Journal of Clinical Medicine》2014年第10期584-598,共15页临床医学国际期刊（英文）

摘　　要：Vasovagal syncope and unexplained syncope are the most commonly observed types of syncope in outpatient and hospital settings. Medical interventions usually target at the physiological mechanisms responsible for loss of consciousness in an attempt to limit the frequency of recurrences. However, this type of intervention does not take into account the psychological and functional impact of syncope, nor the importance of psychological variables in triggering and maintaining syncope. In the present pilot study, four participants presenting significant psychological distress and recurrent syncope were treated using a multimodal intervention targeting at both the medical and psychological aspects of the problem. Results showed a significant reduction in the frequency of syncope/presyncope, in the level of emotional distress experienced, as well as improved functional status in three of the four participants. Several recommendations are made to medical practitioners and psychologists, in view of identifying patients likely to benefit from this type of intervention or components thereof.Vasovagal syncope and unexplained syncope are the most commonly observed types of syncope in outpatient and hospital settings. Medical interventions usually target at the physiological mechanisms responsible for loss of consciousness in an attempt to limit the frequency of recurrences. However, this type of intervention does not take into account the psychological and functional impact of syncope, nor the importance of psychological variables in triggering and maintaining syncope. In the present pilot study, four participants presenting significant psychological distress and recurrent syncope were treated using a multimodal intervention targeting at both the medical and psychological aspects of the problem. Results showed a significant reduction in the frequency of syncope/presyncope, in the level of emotional distress experienced, as well as improved functional status in three of the four participants. Several recommendations are made to medical practitioners and psychologists, in view of identifying patients likely to benefit from this type of intervention or components thereof.

关 键 词：SYNCOPE Cognitive Behavioural Intervention Psychological Distress Functional Status 

分 类 号：R73[医药卫生—肿瘤]