Insights into Chronic Functional Movement Disorders: The Value of Qualitative Psychiatric Interviews

被引：17

作者：

Epstein, Steven A. ^{[1
]}

Maurer, Carine W. ^{[2
]}

LaFaver, Kathrin ^{[2
,3
]}

Ameli, Rezvan ^{[4
]}

Sinclair, Stephen ^{[5
]}

Hallett, Mark ^{[2
]}

机构：

[1] Georgetown Univ, Sch Med & MedStar Hlth, Dept Psychiat, Washington, DC USA

[2] NINDS, Human Motor Control Sect, Med Neurol Branch, NIH, Bldg 36,Rm 4D04, Bethesda, MD 20892 USA

[3] Univ Louisville, Dept Neurol, Louisville, KY 40292 USA

[4] NIMH, Expt Therapeut & Pathophysiol Branch, NIH, Bethesda, MD 20892 USA

[5] NIMH, Sect Affect Cognit Neurosci, NIH, Bethesda, MD 20892 USA

来源：

PSYCHOSOMATICS | 2016年 / 57卷 / 06期

关键词：

functional movement disorder; psychogenic movement disorder; conversion disorder; qualitative; interview; PSYCHOGENIC NONEPILEPTIC SEIZURES; RANDOMIZED CLINICAL-TRIAL; CONVERSION DISORDER; SYMPTOMS; PSYCHOPATHOLOGY; PSYCHOTHERAPY; PROFILES; LIFE;

D O I：

10.1016/j.psym.2016.04.005

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: Patients with functional movement disorders (FMDs) are commonly seen by neurologists and psychosomatic medicine psychiatrists. Research literature provides scant information about the subjective experiences of individuals with this often chronic problem. Objective: To enhance our understanding of psychologic aspects of FMDs by conducting qualitative interviews of research subjects. Methods: In total, 36 patients with FMDs were recruited from the Human Motor Control clinic at the National Institutes of Health. Each subject participated in a qualitative psychiatric interview and a structured diagnostic psychiatric interview. Results: Of our 36 subjects, 28 had current or lifetime psychiatric disorders in addition to conversion disorder and 22 had current disorders. Qualitative interviews provided rich information on patients' understanding of their illnesses and impaired cognitive processing of emotions. Conclusion: Our study supports the addition of open-ended qualitative interviews to delineate emotional dynamics and conceptual frameworks among such patients. Exploratory interviews generate enhanced understanding of such complex patients, above and beyond that gained by assessing DSM diagnostic comorbidities.

引用

页码：566 / 575

页数：10

共 27 条

[1] Impact of psychogenic movement disorders versus Parkinson's on disability, quality of life, and psychopathology [J].

Anderson, Karen E. ;

Gruber-Baldini, Ann L. ;

Vaughan, Christopher G. ;

Reich, Stephen G. ;

Fishman, Paul S. ;

Weiner, William J. ;

Shulman, Lisa M. .

MOVEMENT DISORDERS, 2007, 22 (15) :2204-2209

[2] Neural Correlates of Recall of Life Events in Conversion Disorder [J].

Aybek, Selma ;

Nicholson, Timothy R. ;

Zelaya, Fernando ;

O'Daly, Owen G. ;

Craig, Tom J. ;

David, Anthony S. ;

Kanaan, Richard A. .

JAMA PSYCHIATRY, 2014, 71 (01) :52-60

[3]

Baslet G, 2016, PSYCHOSOMATICS, V57, P1, DOI 10.1016/j.psym.2015.10.004

[4]

Breuer J, STUDIES HYSTERIA, P86

[5] Functional movement disorders: Successful treatment with a physical therapy rehabilitation protocol [J].

Czarnecki, Kathrin ;

Thompson, Jeffrey M. ;

Seime, Richard ;

Geda, Yonas E. ;

Duffy, Joseph R. ;

Ahlskog, J. Eric .

PARKINSONISM & RELATED DISORDERS, 2012, 18 (03) :247-251

[6] The role of alexithymia in the development of functional motor symptoms (conversion disorder) [J].

Demartini, Benedetta ;

Petrochilos, Panayiota ;

Ricciardi, Lucia ;

Price, Gary ;

Edwards, Mark J. ;

Joyce, Eileen .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2014, 85 (10) :1132-1137

[7] Comparison of Psychogenic Movement Disorders and Psychogenic Nonepileptic Seizures: Is Phenotype Clinically Important? [J].

Driver-Dunckley, Erika ;

Stonnington, Cynthia M. ;

Locke, Dona E. C. ;

Noe, Katherine .

PSYCHOSOMATICS, 2011, 52 (04) :337-345

[8] An Update on Psychogenic Movement Disorders [J].

Ellenstein, Aviva ;

Kranick, Sarah M. ;

Hallett, Mark .

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS, 2011, 11 (04) :396-403

[9]

Feinstein A, 2001, NEUROPSY NEUROPSY BE, V14, P169

[10]

First MB, 2002, BIOMETRICS RES NYSPI

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