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Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey
BACKGROUND: Functional neurological disorders (FND) are disabling medical conditions commonly seen in neurological practice. Neurologists play an essential role in managing FND, from establishing a diagnosis to coordination of multidisciplinary team-based treatment for patients. With this study, we...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9021063/ https://www.ncbi.nlm.nih.gov/pubmed/34665330 http://dx.doi.org/10.1007/s00415-021-10840-y |
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author | Tinazzi, Michele Fiorio, Mirta Berardelli, Alfredo Bonetti, Bruno Bonifati, Domenico Marco Burlina, Alessandro Cagnin, Annachiara Calabria, Francesca Corbetta, Maurizio Cortelli, Pietro Giometto, Bruno Guidoni, Silvia Vittoria Lopiano, Leonardo Mancardi, Gianluigi Marchioretto, Fabio Pellegrini, Maria Teatini, Francesco Tedeschi, Gioacchino Tesolin, Lucia Turinese, Emanuele Zappia, Mario Marotta, Angela |
author_facet | Tinazzi, Michele Fiorio, Mirta Berardelli, Alfredo Bonetti, Bruno Bonifati, Domenico Marco Burlina, Alessandro Cagnin, Annachiara Calabria, Francesca Corbetta, Maurizio Cortelli, Pietro Giometto, Bruno Guidoni, Silvia Vittoria Lopiano, Leonardo Mancardi, Gianluigi Marchioretto, Fabio Pellegrini, Maria Teatini, Francesco Tedeschi, Gioacchino Tesolin, Lucia Turinese, Emanuele Zappia, Mario Marotta, Angela |
author_sort | Tinazzi, Michele |
collection | PubMed |
description | BACKGROUND: Functional neurological disorders (FND) are disabling medical conditions commonly seen in neurological practice. Neurologists play an essential role in managing FND, from establishing a diagnosis to coordination of multidisciplinary team-based treatment for patients. With this study, we investigated the knowledge and the clinical experience of Italian neurologists in managing patients with FND. METHODS: Members of the Italian Society of Neurology were invited via e-mail to participate in this ad hoc online survey; 492 questionnaires were returned completed. RESULTS: The term “Functional neurological disorders” in reference to FND was used more frequently than other psychological (e.g., psychogenic or conversion), or descriptive terms (e.g., non-organic or stress-related). When speaking with patients, the respondents stated that they preferred explaining symptoms based on abnormal functioning of the nervous system than discussing mental illness and that they would refer their patient to a psychologist rather than to a psychiatrist. Few considered that physiotherapy and psychiatric interventions are useful approaches to treating FND. Some believed that patients simulate their symptoms. CONCLUSIONS: Overall, the responses suggest that knowledge about scientific advances in FND is somewhat sparse. A psychiatric-centered view of FND opens the way to an approach in which neurobiological and psychological aspects constitute essential factors of the condition. In this context, professional education could improve understanding of FND and optimize patient management. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00415-021-10840-y. |
format | Online Article Text |
id | pubmed-9021063 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-90210632022-05-04 Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey Tinazzi, Michele Fiorio, Mirta Berardelli, Alfredo Bonetti, Bruno Bonifati, Domenico Marco Burlina, Alessandro Cagnin, Annachiara Calabria, Francesca Corbetta, Maurizio Cortelli, Pietro Giometto, Bruno Guidoni, Silvia Vittoria Lopiano, Leonardo Mancardi, Gianluigi Marchioretto, Fabio Pellegrini, Maria Teatini, Francesco Tedeschi, Gioacchino Tesolin, Lucia Turinese, Emanuele Zappia, Mario Marotta, Angela J Neurol Original Communication BACKGROUND: Functional neurological disorders (FND) are disabling medical conditions commonly seen in neurological practice. Neurologists play an essential role in managing FND, from establishing a diagnosis to coordination of multidisciplinary team-based treatment for patients. With this study, we investigated the knowledge and the clinical experience of Italian neurologists in managing patients with FND. METHODS: Members of the Italian Society of Neurology were invited via e-mail to participate in this ad hoc online survey; 492 questionnaires were returned completed. RESULTS: The term “Functional neurological disorders” in reference to FND was used more frequently than other psychological (e.g., psychogenic or conversion), or descriptive terms (e.g., non-organic or stress-related). When speaking with patients, the respondents stated that they preferred explaining symptoms based on abnormal functioning of the nervous system than discussing mental illness and that they would refer their patient to a psychologist rather than to a psychiatrist. Few considered that physiotherapy and psychiatric interventions are useful approaches to treating FND. Some believed that patients simulate their symptoms. CONCLUSIONS: Overall, the responses suggest that knowledge about scientific advances in FND is somewhat sparse. A psychiatric-centered view of FND opens the way to an approach in which neurobiological and psychological aspects constitute essential factors of the condition. In this context, professional education could improve understanding of FND and optimize patient management. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00415-021-10840-y. Springer Berlin Heidelberg 2021-10-19 2022 /pmc/articles/PMC9021063/ /pubmed/34665330 http://dx.doi.org/10.1007/s00415-021-10840-y 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/) . |
spellingShingle | Original Communication Tinazzi, Michele Fiorio, Mirta Berardelli, Alfredo Bonetti, Bruno Bonifati, Domenico Marco Burlina, Alessandro Cagnin, Annachiara Calabria, Francesca Corbetta, Maurizio Cortelli, Pietro Giometto, Bruno Guidoni, Silvia Vittoria Lopiano, Leonardo Mancardi, Gianluigi Marchioretto, Fabio Pellegrini, Maria Teatini, Francesco Tedeschi, Gioacchino Tesolin, Lucia Turinese, Emanuele Zappia, Mario Marotta, Angela Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey |
title | Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey |
title_full | Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey |
title_fullStr | Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey |
title_full_unstemmed | Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey |
title_short | Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey |
title_sort | opinion, knowledge, and clinical experience with functional neurological disorders among italian neurologists: results from an online survey |
topic | Original Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9021063/ https://www.ncbi.nlm.nih.gov/pubmed/34665330 http://dx.doi.org/10.1007/s00415-021-10840-y |
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