The importance of screening for functional neurological disorders in patients with persistent post-concussion symptoms.
NeuroRehabilitation
; 53(2): 199-208, 2023.
Article
em En
| MEDLINE
| ID: mdl-37638460
ABSTRACT
BACKGROUND:
Functional neurological disorder (FND) may commonly co-occur with persistent symptoms following a psychological trauma or physical injury such as concussion.OBJECTIVE:
To explore the occurrence of FND in a population with persistent post-concussion symptoms (PPCS) and the associations between FND and depression as well as anxiety in participants with PPCS.METHODS:
Sixty-three individuals with PPCS presenting to a specialized brain injury clinic completed the following questionnaires screening for somatoform disorder conversion disorder subscale (SOM-CD), Rivermead post-concussion symptom questionnaire (RPQ), patient health questionnaire-9 (PHQ-9), and generalized anxiety disorder questionnaire- 7 (GAD-7). Both multiple linear regression and logistic regression were conducted to evaluate the relationship between questionnaires and adjust for covariates.RESULTS:
We found that total RPQ score (ßË=â0.27; 95% CIâ=â[0.16, 0.38]), GAD-7 score (ßË=â0.71; 95% CIâ=â[0.50, 0.92]) and PHQ-9 score (ßË=â0.54; 95% CIâ=â[0.32, 0.76]) were positively associated with SOM-CD score individually, after consideration of other covariates. Participants meeting the criteria for severe FND symptoms were 4.87 times more likely to have high PPCS symptom burden (95% CIâ=â[1.57, 22.84]), 8.95 times more likely to have severe anxiety (95% CIâ=â[3.31, 35.03]) and 4.11 times more likely to have severe depression symptom burden (95% CIâ=â[1.77, 11.53]).CONCLUSION:
The findings of this study indicate an association between FND and post-concussion symptoms as well as an association between FND and symptoms of depression and anxiety in patients with PPCS. Patients with PPCS should be screened for FND to provide a more targeted treatment approach that includes somatic-focused interventions.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Concussão Encefálica
/
Transtorno Conversivo
/
Síndrome Pós-Concussão
Tipo de estudo:
Diagnostic_studies
/
Screening_studies
Limite:
Humans
Idioma:
En
Revista:
NeuroRehabilitation
Ano de publicação:
2023
Tipo de documento:
Article