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Háskólinn í Reykjavík > Samfélagssvið / School of Social Sciences > MSc Viðskiptadeild (og Klínísk sálfræði -2019) / Department of Business Administration >

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  • Titill er á ensku Functional neurological symptoms : clinical manifestations and the effects of interdisciplinary rehabilitation ; a case study
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  • Útdráttur er á ensku

    Functional neurological symptoms (FNS) are physically unexplained complaints such as hemiparesis or seizures that have similar detrimental effect on the wellbeing of patients as organic neurological disorders. Evidence based treatments for FNS are lacking although the results of using CBT and interdisciplinary treatments are promising. This exploratory multiple case study used both qualitative and quantitative measures. Qualitative measures were semi-structured interviews asking about medical conditions and stressful life events. Quantitative measures were Mini-Plus, DASS, SCQ, QOLS and IPQ-R. The study examined the manifestation of FNS and the effects of an individualized interdisciplinary treatment at Reykjalundur for four patients. The manifestation of psychological and socioeconomic factors was in concordance with previous studies. The participants had low levels of education, high incidence of stressful life events and three out of four subjects had mood or personality disorders. The rehabilitation resulted in much less FNS for all subjects and the recovery was maintained after six and twelve months. Two out of four were symptom free at twelve-month follow-up. Psychiatric diagnoses and other symptoms were fewer at twelve months than at admission and other psychological problems such as low self-esteem and poor quality of life improved. All participants had better understanding of their FNS and overall subjects had more confidence in their personal control over their illness. These results are promising, suggesting that an individualized, interdisciplinary rehabilitation program for treating FNSD is effective and improves the wellbeing of FNS patients. A larger project at Reykjalundur is currently underway.
    Keywords: functional neurological symptoms disorder, conversion disorder, functional weakness, psychogenic non-epileptic seizures, interdisciplinary rehabilitation, stressful life-events, self-esteem, quality of life, illness perception

  • 14.8.2017

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