Clinical Psychology Review ( IF 12.8 ) Pub Date : 2022-03-20 , DOI: 10.1016/j.cpr.2022.102146 Erin M Beal 1 , Peter Coates 1 , Cara Pelser 1
Functional Movement Disorders (FMD) can be identified by limb weakness, gait disorders, or involuntary movements which are inconsistent with a neurological diagnosis. Despite the prevalence of such symptoms, there has been little consensus on models for treatment. This scoping review set out to identify the literature exploring the efficacy of psychological interventions for the treatment of FMD, either as a stand-alone intervention or as part of a multi-disciplinary team approach. Studies set in an adult inpatient and outpatient setting were considered for inclusion. The final review consisted of 33 papers; 13 reviewing psychological treatments only, and 20 reviewing multidisciplinary approaches that included a psychological intervention. This review of the literature reaffirms the inconsistency across treatment for FMD, although identifies a trend towards an MDT approach in recent years. The review also identifies areas where consistency in methodology may be beneficial in future research, in order to improve the validity of results for greater comparison of treatments. There are promising outcomes that support the continued investigation focused on an interdisciplinary, collaborative approach to care, for the reduction of symptoms.
中文翻译:
治疗功能性运动症状的心理干预:文献的系统范围审查
功能性运动障碍 (FMD) 可以通过肢体无力、步态障碍或不自主运动来识别与神经学诊断不一致。尽管此类症状普遍存在,但对治疗模型几乎没有达成共识。该范围审查旨在确定探索心理干预治疗 FMD 疗效的文献,无论是作为独立干预还是作为多学科团队方法的一部分。考虑纳入成人住院和门诊环境中的研究。最终评审包括 33 篇论文;13 只审查心理治疗,20 审查包括心理干预在内的多学科方法。这篇文献回顾重申了 FMD 治疗的不一致,尽管发现了近年来 MDT 方法的趋势。该评价还确定了方法一致性可能对未来研究有益的领域,以提高结果的有效性,以便更好地比较治疗方法。有希望的结果支持继续调查,重点是跨学科、协作的护理方法,以减轻症状。