UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Characteristics of patients with motor functional neurological disorder in a large UK mental health service: a case-control study

O'Connell, N; Nicholson, TR; Wessely, S; David, AS; (2020) Characteristics of patients with motor functional neurological disorder in a large UK mental health service: a case-control study. Psychological Medicine , 50 (3) pp. 446-455. 10.1017/S0033291719000266. Green open access

[thumbnail of David AAM O'Connell Psych_medicine_revised_.pdf]
Preview
Text
David AAM O'Connell Psych_medicine_revised_.pdf - Accepted Version

Download (849kB) | Preview

Abstract

Background Functional neurological disorder (FND), previously known as conversion disorder, is common and often results in substantial distress and disability. Previous research lacks large sample sizes and clinical surveys are most commonly derived from neurological settings, limiting our understanding of the disorder and its associations in other contexts. We sought to address this by analysing a large anonymised electronic psychiatric health record dataset. Methods Data were obtained from 322 patients in the South London and Maudsley NHS Foundation Trust (SLaM) who had an ICD-10 diagnosis of motor FND (mFND) (limb weakness or disorders of movement or gait) between 1st January 2006 and 31st December 2016. Data were collected on a range of socio-demographic and clinical factors and compared to 644 psychiatric control patients from the same register. Results Weakness was the most commonly occurring functional symptom. mFND patients were more likely to be female, British, married, employed pre-morbidly, to have a carer, and a physical health condition, but less likely to have had an inpatient psychiatric admission or to receive benefits. No differences in self-reported sexual or physical abuse rates were observed between groups, although mFND patients were more likely to experience life events linked to inter-personal difficulties. Conclusions mFND patients have distinct demographic characteristics compared to psychiatric controls. Experiences of abuse appear to be equally prevalent across psychiatric patient groups. This study establishes the socio-demographic and life experience profile of this under-studied patient group and may be used to guide future therapeutic interventions designed specifically for mFND.

Type: Article
Title: Characteristics of patients with motor functional neurological disorder in a large UK mental health service: a case-control study
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S0033291719000266
Publisher version: https://doi.org/10.1017/S0033291719000266
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10074320
Downloads since deposit
138Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item