Neuropsychiatric Associations With Gender, Illness Duration, Work Disability, and Motor Subtype in a US Functional Neurological Disorders Clinic Population

被引:39
作者
Matin, Nassim [1 ]
Young, Sigrid S. [1 ]
Williams, Benjamin [1 ]
LaFrance, W. Curt [2 ,3 ]
King, Julie N. [1 ]
Caplan, David [1 ]
Chemali, Zeina [4 ]
Weilburg, Jeffery B. [4 ]
Dickerson, Bradford C. [5 ]
Perez, David L. [1 ,4 ,5 ]
机构
[1] Harvard Med Sch, Massachusetts Gen Hosp, Dept Neurol, Cognit Behav Neurol Unit, Boston, MA 02115 USA
[2] Brown Univ, Alpert Med Sch, Neuropsychiat & Behav Neurol Div, Rhode Isl Hosp,Dept Psychiat, Providence, RI 02912 USA
[3] Brown Univ, Alpert Med Sch, Neuropsychiat & Behav Neurol Div, Rhode Isl Hosp,Dept Neurol, Providence, RI 02912 USA
[4] Harvard Med Sch, Massachusetts Gen Hosp, Dept Psychiat, Neuropsychiat Unit, Boston, MA 02115 USA
[5] Harvard Med Sch, Massachusetts Gen Hosp, Dept Neurol, Frontotemporal Disorders Unit, Boston, MA 02115 USA
关键词
PSYCHOGENIC NONEPILEPTIC SEIZURES; QUALITY-OF-LIFE; MOVEMENT-DISORDERS; ANXIETY DISORDERS; SYMPTOMS; DIAGNOSIS; PREDICTORS; EPILEPSY; PERSPECTIVE; WEAKNESS;
D O I
10.1176/appi.neuropsych.16110302
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The assessment of functional neurological disorders (FND) requires an interdisciplinary approach. The authors retrospectively reviewed charts for 100 outpatients with FND and used univariate and regression analyses to investigate neuropsychiatric associations with gender, illness duration, and work disability; secondary analyses evaluated for differences across motor FND subtypes. Men reported higher rates of cognitive complaints and functional weakness, whereas women endorsed increased past physical/sexual trauma. Number of self-reported medication allergies/sensitivities positively correlated with illness duration. Individuals with functional weakness compared with other motor FND subtypes exhibited lower rates of past psychiatric hospitalization and head trauma. This study supports the feasibility of integrating FND research.
引用
收藏
页码:375 / 382
页数:8
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