Cargando…

Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China

BACKGROUND: There is rare reports about opinions and clinical practice of functional movement disorders (FMD) in China. The present survey aimed to investigate the views of FMD in Chinese clinicians. METHODS: The Chinese version survey of FMD were conducted in nationwide practitioners by means of an...

Descripción completa

Detalles Bibliográficos
Autores principales: Xie, Xin-Yi, Lin, Guo-zhen, Huang, Qiang, Li, Chun-Bo, Hallett, Mark, Voon, Valerie, Ren, Ru-jing, Chen, Sheng-di, Wang, Gang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8576952/
https://www.ncbi.nlm.nih.gov/pubmed/34753449
http://dx.doi.org/10.1186/s12883-021-02474-4
_version_ 1784595981419937792
author Xie, Xin-Yi
Lin, Guo-zhen
Huang, Qiang
Li, Chun-Bo
Hallett, Mark
Voon, Valerie
Ren, Ru-jing
Chen, Sheng-di
Wang, Gang
author_facet Xie, Xin-Yi
Lin, Guo-zhen
Huang, Qiang
Li, Chun-Bo
Hallett, Mark
Voon, Valerie
Ren, Ru-jing
Chen, Sheng-di
Wang, Gang
author_sort Xie, Xin-Yi
collection PubMed
description BACKGROUND: There is rare reports about opinions and clinical practice of functional movement disorders (FMD) in China. The present survey aimed to investigate the views of FMD in Chinese clinicians. METHODS: The Chinese version survey of FMD were conducted in nationwide practitioners by means of an online questionnaire. RESULTS: Four hundred and thirty-four Chinese clinicians completed a 21-item questionnaire probing diagnostic and management issues in FMD. More than 80% of respondents considered that atypical movement disorder, multiple somatizations, and emotional disturbance were essential or absolutely necessary for clinically definite diagnosis of FMD. About three quarters of respondents requested standard neurological investigations to rule out organic causes. Over half believed that prior diagnosis of an organic disorder (59.9%), lack of associated non-physiologic deficits (51.8%), and evidence of physical injury (50.0%) were ‘very influential’ or ‘extremely influential’ for a non-FMD diagnosis. The majority (77.4%) of the respondents may refer patients to a neuropsychiatrist or psychiatrist experienced in FMD, followed by psychologist or psychotherapist experienced in FMD (53.2%). However, lack of guidelines, physician knowledge, and training often limited clinicians’ ability in managing patients with FMD. Early diagnosis of FMD, identification and management of concurrent psychiatric disorder, and acceptance of the diagnosis by the patient were considered most important for predicting a favorable prognosis. CONCLUSIONS: Opinions and clinical practice of Chinese practitioners not only varied among Chinese neurologists, but also differed from international peers. Combined efforts are needed to promote related research and establish practice guidelines in China in the future. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-021-02474-4.
format Online
Article
Text
id pubmed-8576952
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-85769522021-11-10 Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China Xie, Xin-Yi Lin, Guo-zhen Huang, Qiang Li, Chun-Bo Hallett, Mark Voon, Valerie Ren, Ru-jing Chen, Sheng-di Wang, Gang BMC Neurol Research BACKGROUND: There is rare reports about opinions and clinical practice of functional movement disorders (FMD) in China. The present survey aimed to investigate the views of FMD in Chinese clinicians. METHODS: The Chinese version survey of FMD were conducted in nationwide practitioners by means of an online questionnaire. RESULTS: Four hundred and thirty-four Chinese clinicians completed a 21-item questionnaire probing diagnostic and management issues in FMD. More than 80% of respondents considered that atypical movement disorder, multiple somatizations, and emotional disturbance were essential or absolutely necessary for clinically definite diagnosis of FMD. About three quarters of respondents requested standard neurological investigations to rule out organic causes. Over half believed that prior diagnosis of an organic disorder (59.9%), lack of associated non-physiologic deficits (51.8%), and evidence of physical injury (50.0%) were ‘very influential’ or ‘extremely influential’ for a non-FMD diagnosis. The majority (77.4%) of the respondents may refer patients to a neuropsychiatrist or psychiatrist experienced in FMD, followed by psychologist or psychotherapist experienced in FMD (53.2%). However, lack of guidelines, physician knowledge, and training often limited clinicians’ ability in managing patients with FMD. Early diagnosis of FMD, identification and management of concurrent psychiatric disorder, and acceptance of the diagnosis by the patient were considered most important for predicting a favorable prognosis. CONCLUSIONS: Opinions and clinical practice of Chinese practitioners not only varied among Chinese neurologists, but also differed from international peers. Combined efforts are needed to promote related research and establish practice guidelines in China in the future. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-021-02474-4. BioMed Central 2021-11-09 /pmc/articles/PMC8576952/ /pubmed/34753449 http://dx.doi.org/10.1186/s12883-021-02474-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Xie, Xin-Yi
Lin, Guo-zhen
Huang, Qiang
Li, Chun-Bo
Hallett, Mark
Voon, Valerie
Ren, Ru-jing
Chen, Sheng-di
Wang, Gang
Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China
title Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China
title_full Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China
title_fullStr Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China
title_full_unstemmed Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China
title_short Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China
title_sort opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in china
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8576952/
https://www.ncbi.nlm.nih.gov/pubmed/34753449
http://dx.doi.org/10.1186/s12883-021-02474-4
work_keys_str_mv AT xiexinyi opinionsandclinicalpracticeoffunctionalmovementdisordersanationwidesurveyofcliniciansinchina
AT linguozhen opinionsandclinicalpracticeoffunctionalmovementdisordersanationwidesurveyofcliniciansinchina
AT huangqiang opinionsandclinicalpracticeoffunctionalmovementdisordersanationwidesurveyofcliniciansinchina
AT lichunbo opinionsandclinicalpracticeoffunctionalmovementdisordersanationwidesurveyofcliniciansinchina
AT hallettmark opinionsandclinicalpracticeoffunctionalmovementdisordersanationwidesurveyofcliniciansinchina
AT voonvalerie opinionsandclinicalpracticeoffunctionalmovementdisordersanationwidesurveyofcliniciansinchina
AT renrujing opinionsandclinicalpracticeoffunctionalmovementdisordersanationwidesurveyofcliniciansinchina
AT chenshengdi opinionsandclinicalpracticeoffunctionalmovementdisordersanationwidesurveyofcliniciansinchina
AT wanggang opinionsandclinicalpracticeoffunctionalmovementdisordersanationwidesurveyofcliniciansinchina