Psychological assessment and support in functional neurological disorder: a longitudinal study

In the Department of Neuroscience in Clinical Neurological unit of our hospital, between 2020 and 2024, 58 adult patients were diagnosed with functional neurological disorder (FND). Out of these, 42 patients agreed to participate in a structured intervention consisting of 10 sessions of psychotherap...

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Main Authors: Yvonne Radin, Matteo Bulfon, Paola Caruso, Egidio Barbi, Paolo Manganotti, Andrea Clarici
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1506069/full
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author Yvonne Radin
Matteo Bulfon
Paola Caruso
Egidio Barbi
Paolo Manganotti
Andrea Clarici
author_facet Yvonne Radin
Matteo Bulfon
Paola Caruso
Egidio Barbi
Paolo Manganotti
Andrea Clarici
author_sort Yvonne Radin
collection DOAJ
description In the Department of Neuroscience in Clinical Neurological unit of our hospital, between 2020 and 2024, 58 adult patients were diagnosed with functional neurological disorder (FND). Out of these, 42 patients agreed to participate in a structured intervention consisting of 10 sessions of psychotherapy. This study aimed to investigate the demographic and clinical characteristics of the patient cohort, examine their reported symptoms, and evaluate the effectiveness and adherence to the psychotherapy program. The Affective Neuroscience Personality Scales (ANPS) were administered to assess the affective states of the patients, while the Shedler-Westen Assessment Procedure (SWAP-200) was used to evaluate their main personality style. A central objective of the research was to explore patterns or correlations between self-reported data from the patients and the evaluations completed by their therapists. This comparison sought to identify any alignment or discrepancies in the perception of symptoms and therapeutic progress, as measured by both the ANPS and SWAP-200 scales. The study’s preliminary findings are reported to provide valuable insights into the impact of psychotherapeutic interventions for FND, including an understanding of the degree to which patient self-reports correspond with clinical assessments. These results will inform the optimization of treatment strategies and enhance patient outcomes by integrating patient feedback with clinical evaluations. The research contributes to the broader knowledge of FND management, emphasizing the importance of aligning patient and therapist perspectives in the therapeutic process.
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spelling doaj-art-1c7d30b289ee48b0befd11fc87b064762025-02-10T06:49:04ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-02-011610.3389/fpsyg.2025.15060691506069Psychological assessment and support in functional neurological disorder: a longitudinal studyYvonne Radin0Matteo Bulfon1Paola Caruso2Egidio Barbi3Paolo Manganotti4Andrea Clarici5Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, ItalyInstitute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, ItalyDepartment of Medical, Surgical and Health Sciences, Cattinara Hospital, University of Trieste, Trieste, ItalyInstitute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, ItalyDepartment of Medical, Surgical and Health Sciences, Cattinara Hospital, University of Trieste, Trieste, ItalyDepartment of Medical, Surgical and Health Sciences, Cattinara Hospital, University of Trieste, Trieste, ItalyIn the Department of Neuroscience in Clinical Neurological unit of our hospital, between 2020 and 2024, 58 adult patients were diagnosed with functional neurological disorder (FND). Out of these, 42 patients agreed to participate in a structured intervention consisting of 10 sessions of psychotherapy. This study aimed to investigate the demographic and clinical characteristics of the patient cohort, examine their reported symptoms, and evaluate the effectiveness and adherence to the psychotherapy program. The Affective Neuroscience Personality Scales (ANPS) were administered to assess the affective states of the patients, while the Shedler-Westen Assessment Procedure (SWAP-200) was used to evaluate their main personality style. A central objective of the research was to explore patterns or correlations between self-reported data from the patients and the evaluations completed by their therapists. This comparison sought to identify any alignment or discrepancies in the perception of symptoms and therapeutic progress, as measured by both the ANPS and SWAP-200 scales. The study’s preliminary findings are reported to provide valuable insights into the impact of psychotherapeutic interventions for FND, including an understanding of the degree to which patient self-reports correspond with clinical assessments. These results will inform the optimization of treatment strategies and enhance patient outcomes by integrating patient feedback with clinical evaluations. The research contributes to the broader knowledge of FND management, emphasizing the importance of aligning patient and therapist perspectives in the therapeutic process.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1506069/fullfunctional neurological disorderAffective Neuroscience Personality ScalespsychoanalysisPANIC systemSWAP-200Stroke Mimic
spellingShingle Yvonne Radin
Matteo Bulfon
Paola Caruso
Egidio Barbi
Paolo Manganotti
Andrea Clarici
Psychological assessment and support in functional neurological disorder: a longitudinal study
Frontiers in Psychology
functional neurological disorder
Affective Neuroscience Personality Scales
psychoanalysis
PANIC system
SWAP-200
Stroke Mimic
title Psychological assessment and support in functional neurological disorder: a longitudinal study
title_full Psychological assessment and support in functional neurological disorder: a longitudinal study
title_fullStr Psychological assessment and support in functional neurological disorder: a longitudinal study
title_full_unstemmed Psychological assessment and support in functional neurological disorder: a longitudinal study
title_short Psychological assessment and support in functional neurological disorder: a longitudinal study
title_sort psychological assessment and support in functional neurological disorder a longitudinal study
topic functional neurological disorder
Affective Neuroscience Personality Scales
psychoanalysis
PANIC system
SWAP-200
Stroke Mimic
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1506069/full
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