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The vicious cycle of functional neurological disorders: a synthesis of healthcare professionals’ views on working with patients with functional neurological disorder

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Pages 1802-1811 | Received 02 Jun 2020, Accepted 09 Sep 2020, Published online: 24 Sep 2020

References

  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington (VA): American Psychiatric Publishing; 2013.
  • Stone J, Aybek S. Functional limb weakness and paralysis. In: Hallet M, Stone, J, Carson A, editors. Functional neurologic disorders. Vol. 139. Handbook of clinical neurology. Amsterdam: Elsevier; 2016. p. 213–228.
  • Schwingenschuh P, Deuschl G. Functional tremor. In: Hallet M, Stone, J, Carson A, editors. Functional neurologic disorders. Vol. 139. Handbook of clinical neurology. Amsterdam: Elsevier; 2016. p. 229–233.
  • Reuber M, Rawlings GH. Nonepileptic seizures–subjective phenomena. In: Hallet M, Stone, J, Carson A, editors. Functional neurologic disorders. Vol. 139. Handbook of clinical neurology. Amsterdam: Elsevier; 2016. p. 283–296.
  • Barnett C, Armes J, Smith C. Speech, language and swallowing impairments in functional neurological disorder: a scoping review. Int J Lang Commun Disord. 2019;54(3):309–320.
  • Griem J, Stone J, Carson A, et al. Psychologic/functional forms of memory. In: Hallet M, Stone, J, Carson A, editors. Functional neurologic disorders. Vol. 139. Handbook of clinical neurology. Amsterdam: Elsevier; 2016. p. 407–417.
  • National Neurosciences Advisory Group. Mental health and neurosciences leaders away day. 2019 [cited 2020 Aug 24]. Available from: https://www.neural.org.uk/wp-content/uploads/2020/07/EMBAROGED-24.07_20-NNAG-Mental-Health-and-Neurosciences-Leaders-Away-Day-report-Final-003.pdf
  • Edwards MJ, Bhatia KP. Functional (psychogenic) movement disorders: merging mind and brain. Lancet Neurol. 2012;11(3):250–260.
  • Daum C, Hubschmid M, Aybek S. The value of ‘positive’ clinical signs for weakness, sensory and gait disorders in conversion disorder: a systematic and narrative review. J Neurol Neurosurg Psychiatry. 2014;85(2):180–190.
  • Espay A, Aybek S, Carson A, et al. Current concepts in diagnosis and treatment of functional neurological disorders. JAMA Neurol. 2018;75(9):1132–1141.
  • Stone J, Carson A, Duncan R, et al. Symptoms ‘unexplained by organic disease’ in 1144 new neurology out-patients: how often does the diagnosis change at follow-up? Brain. 2009;132(Pt 10):2878–2888.
  • Stone J, Edwards M. Trick or treat? Showing patients with functional (psychogenic) motor symptoms their physical signs. Neurology. 2012;79(3):282–284.
  • Rommelfanger K, Factor S, LaRoche S, et al. Disentangling stigma from functional neurological disorders: conference report and roadmap for the future. Front Neurol. 2017;8(106):1–7.
  • Tolchin B, Baslet G, Dworetzky B. Psychogenic seizures and medical humor: jokes as a damaging defense. Epilepsy Behav. 2016;64(Pt A):26–28.
  • Stone J, Carson A, Sharpe M. Functional symptoms in neurology: management. J Neurol Neurosurg Psychiatry. 2005;76(suppl_1):i13–21.
  • Stone J, Carson A, Hallett M. Explanation as treatment for functional neurological disorders. In: Hallet M, Stone, J, Carson A, editors. Functional neurologic disorders. Vol. 139. Handbook of clinical neurology. Amsterdam: Elsevier; 2016. p. 543–553.
  • Stone J. Functional neurological disorders: the neurological assessment as treatment. Pract Neurol. 2016;16(1):7–17.
  • Carson A, Lehn A. Epidemiology. In: Hallet M, Stone, J, Carson A, editors. Functional neurologic disorders. Vol. 139. Handbook of clinical neurology. Amsterdam: Elsevier; 2016. p. 47–60.
  • Nielsen G, Edwards M, Stone J, et al. Functional disorders presenting to the stroke service. In: Caplan LR, Biller J, Leary M, editors. Primer on cerebrovascular diseases. 2nd ed. London: Elsevier; 2017. p. 623–630.
  • Adams C, Anderson J, Madva E, et al. You’ve made the diagnosis of functional neurological disorder: now what? Pract Neurol. 2018;18(4):323–330.
  • Healthcare Improvement Scotland. Stepped care for functional neurological symptoms: a new approach to improving outcomes for a common neurological problem in Scotland. Report and recommendations. 2012. Scotland: NHS Scotland.
  • Nielsen G, Buszewicz M, Edwards MJ, et al. A qualitative study of the experiences and perceptions of patients with functional motor disorder. Disabil Rehabil. 2019;22:1–6.
  • Nettleton S, Watt I, O’Malley L, et al. Understanding the narratives of people who live with medically unexplained illness. Patient Educ Couns. 2005;56(2):205–210.
  • Rawlings GH, Reuber M. What patients say about living with psychogenic nonepileptic seizures: a systematic synthesis of qualitative studies. Seizure. 2016;41:100–111.
  • Rawlings GH, Reuber M. Health care practitioners’ perceptions of psychogenic nonepileptic seizures: a systematic review of qualitative and quantitative studies. Epilepsia. 2018;59(6):1109–1123.
  • Centre for Reviews and Dissemination. Systematic reviews: CRD’s guidance for undertaking reviews in health care. York: University of York; 2009.
  • Popay J, Roberts H, Sowden A, et al. Guidance on the conduct of narrative synthesis in systematic reviews: a product from the ESRC Methods Programme. Lancaster: University of Lancaster; 2006.
  • Stern C, Jordan Z, McArthur A. Developing the review question and inclusion criteria. Am J Nurs. 2014;114(4):53–56.
  • Ahern L, Stone J, Sharpe MC. Attitudes of neuroscience nurses toward patients with conversion symptoms. Psychosomatics. 2009;50(4):336–339.
  • Dickson B, Hay-Smith E, Dean S. Demonised diagnosis: the influence of stigma on interdisciplinary rehabilitation of somatoform disorder. New Zeal J Physiother. 2009;37(3):115–122.
  • Edwards MJ, Stone J, Nielsen G. Physiotherapists and patients with functional (psychogenic) motor symptoms: a survey of attitudes and interest. J Neurol Neurosurg Psychiatry. 2012;83(6):655–658.
  • Espay AJ, Goldenhar LM, Voon V, et al. Opinions and clinical practices related to diagnosing and managing patients with psychogenic movement disorders: an international survey of movement disorder society members. Mov Disord. 2009;24(9):1366–1374.
  • Kanaan R, Armstrong D, Wessely S. Limits to truth-telling: neurologists’ communication in conversion disorder. Patient Educ Couns. 2009;77(2):296–301.
  • Kanaan R, Armstrong D, Barnes P, et al. In the psychiatrist’s chair: how neurologists understand conversion disorder. Brain. 2009;132(Pt 10):2889–2896.
  • Kanaan R, Armstrong D, Wessely S. Neurologists’ understanding and management of conversion disorder. J Neurol Neurosurg Psychiatry. 2011;82(9):961–966.
  • Lehn A, Bullock-Saxton J, Newcombe P, et al. Survey of the perceptions of health practitioners regarding Functional Neurological Disorders in Australia. J Clin Neurosci. 2019;67:114–123.
  • O’Connell N. Functional neurological disorder in acute stroke and mental health: a mixed methods assessment of experiences, prevalence, associated clinical factors, and treatment [dissertation]. London: Inst Psychiatry, Psychol Neurosci King’s Coll London; 2018.
  • de Schipper L, Vermeulen M, Eeckhout A, et al. Diagnosis and management of functional neurological symptoms: the Dutch experience. Clin Neurol Neurosurg. 2014;122:106–112.
  • Yon K, Nettleton S, Walters K, et al. Junior doctors’ experiences of managing patients with medically unexplained symptoms: a qualitative study. BMJ Open. 2015;5(12):e009593.
  • Critical Appraisal Skills Programme. CASP qualitative checklist. Oxford: Oxford Centre for Triple Value Healthcare; 2018.
  • Centre for Evidence Based Management. Critical appraisal of a survey. Oxford: University of Oxford; no date.
  • Dixon-Woods M, Agarwal S, Jones D, et al. Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy. 2005;10(1):45–53.
  • Moher D, Liberati A, Tetzlaff J, PRISMA Group, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.
  • Noyes J, Booth A, Flemming K, et al. Cochrane Qualitative and Implementation Methods Group guidance series-paper 3: methods for assessing methodological limitations, data extraction and synthesis, and confidence in synthesized qualitative findings. J Clin Epidemiol. 2018;97:49–58.
  • Heijmans M, Olde Hartman TC, van Weel-Baumgarten E, et al. Experts’ opinions on the management of medically unexplained symptoms in primary care. A qualitative analysis of narrative reviews and scientific editorials. Fam Pract. 2011;28(4):444–455.
  • Daum C, Gheorghita F, Spatola M, et al. Interobserver agreement and validity of bedside ‘positive signs’ for functional weakness, sensory and gait disorders in conversion disorder: a pilot study. J Neurol Neurosurg Psychiatry. 2015;86(4):425–430.
  • Robson C, Lian O. Blaming, shaming, humiliation”: stigmatising medical interactions among people with non-epileptic seizures. Wellcome Open Res. 2017;2:55.
  • Department of Health. Liberating the NHS: no decision about me, without me. London: NHS Commissioning Policy and Sponsorship; 2012.
  • Nielsen G, Stone J, Matthews A, et al. Physiotherapy for functional motor disorders: a consensus recommendation. J Neurol Neurosurg Psychiatry. 2015;86(10):1113–1119.
  • Nicholson C, Edwards MJ, Carson AJ, et al. Occupational therapy consensus recommendations for functional neurological disorder. J Neurol Neurosurg Psychiatry. 2020;91(10):1–9.
  • Sandelowski M, Barroso J. Creating metasummaries of qualitative findings. Nurs Res. 2003;52(4):226–233.

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