PMID- 31399207
OWN - NLM
STAT- MEDLINE
DCOM- 20200831
LR  - 20200831
IS  - 1545-7206 (Electronic)
IS  - 0033-3182 (Linking)
VI  - 60
IP  - 6
DP  - 2019 Nov-Dec
TI  - Functional Neurological Disorder Responds Favorably to Interdisciplinary 
      Rehabilitation Models.
PG  - 556-562
LID - S0033-3182(19)30120-3 [pii]
LID - 10.1016/j.psym.2019.07.002 [doi]
AB  - BACKGROUND: Functional neurological disorder (FND) is difficult to treat and 
      costly. Interdisciplinary chronic pain rehabilitation programs (iCPRPs) are 
      multidimensional functional restoration interventions for pain; their impact on 
      FND specifically has not been assessed. OBJECTIVE: The purpose of this study was 
      to assess iCPRP's impact on functioning in FND. METHODS: Data were examined 
      retrospectively from an Institutional Review Board-approved registry capturing 
      admission and discharge data from patients participating in an outpatient iCPRP. 
      Subjective measures included pain-related disability, depression, anxiety, and 
      stress scores, whereas objective measures included physical functioning measures 
      (timed up and go, stair climbing test, and 6-min walk test). Pre-iCPRP and 
      post-iCPRP measures were compared using a paired t-test approach. RESULTS: 
      Forty-nine FND patients completed care and showed pre-measures and postmeasures. 
      Statistically significant reductions in subjective measures of pain-related 
      disability (46.40-20.91; P < 0.001, d = 1.92), depression (20.38-4.81; P < 0.001, 
      d = 1.53), anxiety (15.09-6.29; P < 0.001, d = 1.18), and stress (21.96-9.70; 
      P < 0.001, d = 1.21) scores were observed. Statistically significant changes in 
      objective measures of mean timed up and go scores (decreased from 15.96 to 8.87 
      s), stair climbing test scores (increased from 40.98 to 71.93 steps), and mean 
      6-minute walk test scores (increased from 0.21 to 0.30 miles) were also observed 
      across the group. CONCLUSIONS: While preliminary and based on a small patient 
      sample, these findings support the use of interdisciplinary care models for FND 
      treatment. Clinical and investigational implications are explored.
CI  - Copyright (c) 2019 Academy of Consultation-Liaison Psychiatry. Published by 
      Elsevier Inc. All rights reserved.
FAU - Jimenez, Xavier F
AU  - Jimenez XF
AD  - Neurological Institute, Cleveland Clinic, Cleveland, OH. Electronic address: 
      jimenex2@ccf.org.
FAU - Aboussouan, Alix
AU  - Aboussouan A
AD  - Department of Psychology, Louisiana State University, Baton Rouge, LA.
FAU - Johnson, Joseph
AU  - Johnson J
AD  - Neurological Institute, Cleveland Clinic, Cleveland, OH.
LA  - eng
PT  - Journal Article
DEP - 20190710
PL  - England
TA  - Psychosomatics
JT  - Psychosomatics
JID - 0376506
SB  - IM
MH  - Adult
MH  - Chronic Pain/etiology/*rehabilitation
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Nervous System Diseases/complications/*rehabilitation
MH  - *Patient Care Team
MH  - Program Evaluation/*methods
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - chronic pain rehabilitation
OT  - conversion disorder
OT  - functional neurological disorder
OT  - functional restoration
OT  - interdisciplinary
EDAT- 2019/08/11 06:00
MHDA- 2020/09/01 06:00
CRDT- 2019/08/11 06:00
PHST- 2019/05/06 00:00 [received]
PHST- 2019/06/28 00:00 [revised]
PHST- 2019/07/01 00:00 [accepted]
PHST- 2019/08/11 06:00 [pubmed]
PHST- 2020/09/01 06:00 [medline]
PHST- 2019/08/11 06:00 [entrez]
AID - S0033-3182(19)30120-3 [pii]
AID - 10.1016/j.psym.2019.07.002 [doi]
PST - ppublish
SO  - Psychosomatics. 2019 Nov-Dec;60(6):556-562. doi: 10.1016/j.psym.2019.07.002. Epub 
      2019 Jul 10.