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Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey  (2022)

Authors:
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
Title:
Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey
Year:
2022
Type of item:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Language:
Inglese
Format:
A Stampa
Referee:
Name of journal:
Journal of Neurology
ISSN of journal:
0340-5354
N° Volume:
269
Number or Folder:
5
Page numbers:
2549-2559
Keyword:
Conversion disorders; Education; Functional neurological disorders; Neurological practice; Survey
Short description of contents:
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.
Web page:
https://doi.org/10.1007/s00415-021-10840-y
Product ID:
123052
Handle IRIS:
11562/1051207
Last Modified:
November 15, 2022
Bibliographic citation:
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 «Journal of Neurology» , vol. 269 , n. 52022pp. 2549-2559

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo IRIS

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