AIM To develop a cognitive behavioural treatment (CBT) approach that included novel attention training components to support symptom management in children with a primary diagnosis of Functional Movement Disorder (FMD). METHOD Eighteen children (9 male and 9 female) with a mean age of 13 years (sd = 2.46, range 10-18 years) were assessed and completed CBT with novel attention training components. Treatment outcomes were measured using the Child Global Assessment Scale (CGAS) which was administered at baseline and post-treatment. RESULTS Scores on the CGAS improved significantly post-treatment (p < 0.001) with all participants showing significant change in functioning on the basis of the Reliable Change Index (RCI), with clinically significant change across classification boundaries. INTERPRETATION This case series provides support for the use of CBT with attention training components for the management of FMD. Larger trials are necessary to identify which individual treatment components are most effective and to better understand and quantify response to treatment. Future clinical treatment studies would benefit from the inclusion of objective measures of interoception and attentional focus.

中文翻译：

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儿童功能性神经运动：心理学方法管理

目的 开发一种认知行为治疗 (CBT) 方法，其中包括新的注意力训练组件，以支持初步诊断为功能性运动障碍 (FMD) 的儿童的症状管理。方法 对平均年龄为 13 岁（sd = 2.46，范围 10-18 岁）的 18 名儿童（9 名男性和 9 名女性）进行评估并完成了具有新颖注意力训练组件的 CBT。使用在基线和治疗后进行的儿童总体评估量表 (CGAS) 测量治疗结果。结果 CGAS 的分数在治疗后显着提高 (p < 0.001)，所有参与者在可靠变化指数 (RCI) 的基础上显示出显着的功能变化，跨分类边界具有临床显着变化。解释 本案例系列支持使用 CBT 和注意力训练组件来管理 FMD。需要更大规模的试验来确定哪些单独的治疗成分最有效，并更好地理解和量化对治疗的反应。未来的临床治疗研究将受益于内感受和注意力集中的客观测量。