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

Abstract 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 mean...

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Autores principales:	Xin-Yi Xie, Guo-zhen Lin, Qiang Huang, Chun-Bo Li, Mark Hallett, Valerie Voon, Ru-jing Ren, Sheng-di Chen, Gang Wang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Functional movement disorders Psychogenic movement disorders Survey Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2f9c083eeb164d569cb161cbbb0f3ad8
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spelling	oai:doaj.org-article:2f9c083eeb164d569cb161cbbb0f3ad82021-11-14T12:13:30ZOpinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China10.1186/s12883-021-02474-41471-2377https://doaj.org/article/2f9c083eeb164d569cb161cbbb0f3ad82021-11-01T00:00:00Zhttps://doi.org/10.1186/s12883-021-02474-4https://doaj.org/toc/1471-2377Abstract 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.Xin-Yi XieGuo-zhen LinQiang HuangChun-Bo LiMark HallettValerie VoonRu-jing RenSheng-di ChenGang WangBMCarticleFunctional movement disordersPsychogenic movement disordersSurveyNeurology. Diseases of the nervous systemRC346-429ENBMC Neurology, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Functional movement disorders Psychogenic movement disorders Survey Neurology. Diseases of the nervous system RC346-429
spellingShingle	Functional movement disorders Psychogenic movement disorders Survey Neurology. Diseases of the nervous system RC346-429 Xin-Yi Xie Guo-zhen Lin Qiang Huang Chun-Bo Li Mark Hallett Valerie Voon Ru-jing Ren Sheng-di Chen Gang Wang Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China
description	Abstract 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.
format	article
author	Xin-Yi Xie Guo-zhen Lin Qiang Huang Chun-Bo Li Mark Hallett Valerie Voon Ru-jing Ren Sheng-di Chen Gang Wang
author_facet	Xin-Yi Xie Guo-zhen Lin Qiang Huang Chun-Bo Li Mark Hallett Valerie Voon Ru-jing Ren Sheng-di Chen Gang Wang
author_sort	Xin-Yi Xie
title	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_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_sort	opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in china
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2f9c083eeb164d569cb161cbbb0f3ad8
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Opinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China

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