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Functional (psychogenic) movement disorders associated with normal scores in psychological questionnaires: A case control study
- Source :
- Journal of Psychosomatic Research, 79(3), 190-194. PERGAMON-ELSEVIER SCIENCE LTD
- Publisher :
- Elsevier Inc.
-
Abstract
- Objective: Functional movement disorders (FMDs) fall within the broader category called functional neurological symptom disorder (FNSD). New DSM-5 criteria for FNSD no longer require the presence of a 'psychological conflict' suggesting that some patients with FMD may not have obvious psychological comorbidity. We studied patients with FMD in comparison to patients with a neurblogical movement disorder (MD) and healthy controls (HC) to identify whether there is a subgroup of patients with FMD who have normal psychological test scores.Methods: We assessed self-rated measures of depression/anxiety (SCL-90), dissociation and personality disorder (PDQ-4) in patients attending neurological clinics and healthy controls. The proportion of patients scoring within normal ranges was determined, and the levels of somatic and psychological symptoms were compared between the three groups.Results: Among the FMD group, 39% (20/51) scored within the normal range for all measures compared to 38% (13/34) of MD subjects and 89% (47/53) of healthy controls. There were no differences in overall scores in the SCL-90 and PDQ-4 between FMD and MD patients. FMD patients also did not differ from controls on a self-rated measure of personality pathology.Conclusion: Our data show that a substantial proportion of patients with FMD score within the normal range in psychological questionnaires, lending some support to the new DSM-5 criteria. (C) 2015 Elsevier Inc. All rights reserved.
- Subjects :
- Adult
Male
medicine.medical_specialty
SYMPTOMS
Movement disorders
Functional neurological symptoms
Comorbidity
Dissociative Disorders
Anxiety
Personality Disorders
Internal medicine
Outpatients
medicine
Functional neurological symptom disorder
Psychogenic disease
Humans
Psychological testing
Functional movement disorder
Conversion disorder
EPILEPSY
TRAUMA
Movement Disorders
Personality disorder
Depression
Psychogenic
DISSOCIATION
Middle Aged
medicine.disease
WEAKNESS
Personality disorders
Diagnostic and Statistical Manual of Mental Disorders
Psychiatry and Mental health
Clinical Psychology
Case-Control Studies
Physical therapy
SEIZURES
Female
Self Report
medicine.symptom
FOLLOW-UP
Psychology
Subjects
Details
- Language :
- English
- ISSN :
- 00223999
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of Psychosomatic Research
- Accession number :
- edsair.doi.dedup.....5994aa194bea979c66dc8b17f652a8e0
- Full Text :
- https://doi.org/10.1016/j.jpsychores.2015.06.002