Antecedent Psychological Factors in the Onset of Vasovagal Syncope

Antecedent Psychological Factors in the Onset of Vasovagal Syncope
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血管迷走性晕厥发作的心理因素

DOI:
10.1097/00006842-197811000-00004
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发表时间:
1978
影响因子:
3.3
通讯作者:
W. Sledge
W. Sledge
中科院分区:
医学3区
文献类型:
--
作者:
W. Sledge

文献摘要

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&NA;对18名血管迷走性晕厥飞行员与31名对照者的广泛心理社会前因进行了比较。直接的想法,幻想,和昏厥者的感情进行了详细的检查。晕倒者对工作的不满程度明显高于对照组。昏厥者的晕厥前幻想证实了恩格尔的关于血管迷走神经性晕厥的直接心理背景(预期身体伤害、否认恐惧和屈服于威胁)的观察,并将他的表述扩展到包括羞辱、尴尬和丧失威望等形式的心理伤害。
&NA; Broad psychosocial antecedents for 18 aviators with vasovagal syncope are compared with 31 controls. The immediate thoughts, fantasies, and feelings of the fainters are examined in detail. The fainters had significantly more job dissatisfaction than the controls. The presyncope fantasies of the fainters confirm Engel's observations of the immediate psychological context for vasovagal syncope (anticipation of bodily harm, denial of fear, and submission to a threat), and extend his formulation to include psychological harm in the form of humiliation, embarrassment, and loss of prestige.