Differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia

Adriana Pastore, Grazia Pierri, Giada Fabio, Silvia Ferramosca, Angelo Gigante, Maria Superbo, Roberta Pellicciari, Francesco Margari Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy Purpose: Typically, the diagnos...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Pastore A, Pierri G, Fabio G, Ferramosca S, Gigante A, Superbo M, Pellicciari R, Margari F
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://doaj.org/article/ebd4ba4ff5854816890887ce40358877
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:ebd4ba4ff5854816890887ce40358877
record_format dspace
spelling oai:doaj.org-article:ebd4ba4ff5854816890887ce403588772021-12-02T00:50:25ZDifferences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia1178-2021https://doaj.org/article/ebd4ba4ff5854816890887ce403588772018-05-01T00:00:00Zhttps://www.dovepress.com/differences-in-psychopathology-and-behavioral-characteristics-of-patie-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Adriana Pastore, Grazia Pierri, Giada Fabio, Silvia Ferramosca, Angelo Gigante, Maria Superbo, Roberta Pellicciari, Francesco Margari Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy Purpose: Typically, the diagnosis of conversion motor disorder (CMD) is achieved by the exclusion of a wide range of organic illnesses rather than by applying positive criteria. New diagnostic criteria are highly needed in this scenario. The main aim of this study was to explore the use of behavioral features as an inclusion criterion for CMD, taking into account the relationship of the patients with physicians, and comparing the results with those from patients affected by organic dystonia (OD). Patients and methods: Patients from the outpatient Movement Disorder Service were assigned to either the CMD or the OD group based on Fahn and Williams criteria. Differences in sociodemographics, disease history, psychopathology, and degree of satisfaction about care received were assessed. Patient–neurologist agreement about the etiological nature of the disorder was also assessed using the k-statistic. A logistic regression analysis estimated the discordance status as a predictor to case/control status. Results: In this study, 31 CMD and 31 OD patients were included. CMD patients showed a longer illness life span, involvement of more body regions, higher comorbidity with anxiety, depression, and borderline personality disorder, as well as higher negative opinions about physicians’ delivering of proper care. Contrary to our expectations, CMD disagreement with neurologists about the etiological nature of the disorder was not statistically significant. Additional analysis showed that having at least one personality disorder was statistically associated with the discordance status. Conclusion: This study suggests that CMD patients show higher conflicting behavior toward physicians. Contrary to our expectations, they show awareness of their psychological needs, suggesting a possible lack of recognition of psychological distress in the neurological setting. Keywords: functional movement disorder, patient–doctor relationship, diagnosis, psychopathologyPastore APierri GFabio GFerramosca SGigante ASuperbo MPellicciari RMargari FDove Medical PressarticleFunctional Movement Disorderpatient-doctor relationshipdiagnosispsychopathologyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 1287-1295 (2018)
institution DOAJ
collection DOAJ
language EN
topic Functional Movement Disorder
patient-doctor relationship
diagnosis
psychopathology
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Functional Movement Disorder
patient-doctor relationship
diagnosis
psychopathology
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Pastore A
Pierri G
Fabio G
Ferramosca S
Gigante A
Superbo M
Pellicciari R
Margari F
Differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia
description Adriana Pastore, Grazia Pierri, Giada Fabio, Silvia Ferramosca, Angelo Gigante, Maria Superbo, Roberta Pellicciari, Francesco Margari Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy Purpose: Typically, the diagnosis of conversion motor disorder (CMD) is achieved by the exclusion of a wide range of organic illnesses rather than by applying positive criteria. New diagnostic criteria are highly needed in this scenario. The main aim of this study was to explore the use of behavioral features as an inclusion criterion for CMD, taking into account the relationship of the patients with physicians, and comparing the results with those from patients affected by organic dystonia (OD). Patients and methods: Patients from the outpatient Movement Disorder Service were assigned to either the CMD or the OD group based on Fahn and Williams criteria. Differences in sociodemographics, disease history, psychopathology, and degree of satisfaction about care received were assessed. Patient–neurologist agreement about the etiological nature of the disorder was also assessed using the k-statistic. A logistic regression analysis estimated the discordance status as a predictor to case/control status. Results: In this study, 31 CMD and 31 OD patients were included. CMD patients showed a longer illness life span, involvement of more body regions, higher comorbidity with anxiety, depression, and borderline personality disorder, as well as higher negative opinions about physicians’ delivering of proper care. Contrary to our expectations, CMD disagreement with neurologists about the etiological nature of the disorder was not statistically significant. Additional analysis showed that having at least one personality disorder was statistically associated with the discordance status. Conclusion: This study suggests that CMD patients show higher conflicting behavior toward physicians. Contrary to our expectations, they show awareness of their psychological needs, suggesting a possible lack of recognition of psychological distress in the neurological setting. Keywords: functional movement disorder, patient–doctor relationship, diagnosis, psychopathology
format article
author Pastore A
Pierri G
Fabio G
Ferramosca S
Gigante A
Superbo M
Pellicciari R
Margari F
author_facet Pastore A
Pierri G
Fabio G
Ferramosca S
Gigante A
Superbo M
Pellicciari R
Margari F
author_sort Pastore A
title Differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia
title_short Differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia
title_full Differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia
title_fullStr Differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia
title_full_unstemmed Differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia
title_sort differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/ebd4ba4ff5854816890887ce40358877
work_keys_str_mv AT pastorea differencesinpsychopathologyandbehavioralcharacteristicsofpatientsaffectedbyconversionmotordisorderandorganicdystonia
AT pierrig differencesinpsychopathologyandbehavioralcharacteristicsofpatientsaffectedbyconversionmotordisorderandorganicdystonia
AT fabiog differencesinpsychopathologyandbehavioralcharacteristicsofpatientsaffectedbyconversionmotordisorderandorganicdystonia
AT ferramoscas differencesinpsychopathologyandbehavioralcharacteristicsofpatientsaffectedbyconversionmotordisorderandorganicdystonia
AT gigantea differencesinpsychopathologyandbehavioralcharacteristicsofpatientsaffectedbyconversionmotordisorderandorganicdystonia
AT superbom differencesinpsychopathologyandbehavioralcharacteristicsofpatientsaffectedbyconversionmotordisorderandorganicdystonia
AT pellicciarir differencesinpsychopathologyandbehavioralcharacteristicsofpatientsaffectedbyconversionmotordisorderandorganicdystonia
AT margarif differencesinpsychopathologyandbehavioralcharacteristicsofpatientsaffectedbyconversionmotordisorderandorganicdystonia
_version_ 1718403470057275392