1. Guest, the 'News in Brief' for the week beginning 12th July 2021 is here.
    Dismiss Notice
  2. Welcome! To read the Core Purpose and Values of our forum, click here.
    Dismiss Notice
  3. Contribute to feedback on the CDC Evidence Review, for more details click here
    Dismiss Notice

Attachment styles, identification of feelings and psychiatric symptoms in functional neurological disorders, 2021, Cuoco et al

Discussion in 'Health News and Research unrelated to ME/CFS' started by Andy, Jun 8, 2021.

  1. Andy

    Andy Committee Member (& Outreach when energy allows)

    Messages:
    13,559
    Likes Received:
    98,043
    Location:
    Hampshire, UK
    Highlights

    • FND patients have high depression and alexithymia.
    • The avoidance pattern of attachment is associated with mood disorders and alexithymia.
    • Sex, anxiety and alexithymia were significantly associated with functional seizures.

    Abstract

    Objective
    The contribution of psychological and psychiatric symptoms in the development of Functional Neurological Disorders (FND) is unclear. We therefore aimed to investigate the role of different attachment styles (AS) and their relationship with psychiatric symptoms in FND patients as compared with both subjects with neurological disorders (ND) and healthy controls (HC); and the possible differences between patients with functional movement disorders (FMD) and with functional seizures.

    Methods
    In this case-control study, forty-six patients with FND were compared to 34 with ND and 30 HC, by means of an extensive battery to investigate the presence of alexithymia, depression, anxiety, dissociation and to explore their AS using the Revised Experiences in Close Relationships instrument (ECR-R).

    Results
    Patients with FND had higher depression and alexithymia as well as an avoidant pattern on the ECR-R than patients with ND. In the FND group, ECR-R avoidance was an independent predictor of psychiatric symptoms and, altogether, ECR-R avoidance, the somatic-affective component of depression and difficulty identifying feelings were independent predictors of FND. Gender, anxiety and difficulty identifying feelings predicted the presence of functional seizures.

    Conclusion
    The avoidant AS may be an important psychological factor influencing the presence of mood disorders and alexithymia. Their co-occurence might drive maladaptive responses underlying the presence of FND. Although we demonstrated a large overlap between FND phenotypes, patients with functional seizures might have higher alexithymia, which in turn could explain a defensive response less anchored to body reactions and physical symptoms.

    Paywall, https://www.sciencedirect.com/science/article/abs/pii/S0022399921001847
     
  2. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    6,761
    Likes Received:
    54,711
    Location:
    Canada
    Yes, but how many karma points do they have? And what is their Thetan load or their cosmic, uh, let's go with "vibrational rating" ratio vs their Meyers-Brigg type?

    This is a parody of science, a complete perversion of both the letter and spirit of science. How does no one in medicine see that and put this out of its misery? Even the homeopathic A&E sketch by Mitchell & Webb is less ridiculous than this.
     
    ukxmrv, geminiqry, Mithriel and 9 others like this.
  3. Mithriel

    Mithriel Senior Member (Voting Rights)

    Messages:
    1,992
    Likes Received:
    16,008
    Every statement in the conclusion has a may or a might. Hardly compelling.
     
    Sean, Michelle, ukxmrv and 1 other person like this.

Share This Page