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The relationship between types of life events and the onset of [FN] (conversion) [D] in adults: a systematic review.., 2021, Carson, Stone et al

Discussion in 'Other psychosomatic news and research' started by Andy, Nov 26, 2021.

  1. Andy

    Andy Committee Member

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    Full title: The relationship between types of life events and the onset of functional neurological (conversion) disorder in adults: a systematic review and meta-analysis

    Abstract

    Adverse life events precede the onset of functional neurological disorder (FND, also known as conversion disorder) more commonly than other neuropsychiatric conditions, but their aetiological role is unclear.

    We conducted a systematic review and quantitative analysis of the type, timing and number of life events preceding the onset of FND in adults, and a meta-analysis of the proportions of types of events in controlled studies. Fifty-one studies of different designs, covering 4247 patients, were eligible for inclusion. There was no clear majority of any type of preceding event. Family problems were the most common category of events, followed by relationship problems. Females were more likely to experience preceding family/relationship problems than males, who reported more work problems. Family problems were the commonest type of preceding event in studies in developing countries, whereas family and health problems were equally common in developed countries. Abuse was associated with early symptom onset, while patients with later onset were more likely to report family problems. The median number of events was one, and the events occurred closer to onset than in controls. Meta-analysis found that family, relationship and work events were all relatively more common in patients than pathological controls, as were events where symptoms might provide a solution to the stressor.

    In conclusion, although a range of events precede the onset of FND, they do not appear to do so uniformly. This may support a different aetiological role for stressors than in other disorders, although the support is indirect and the quality generally low.

    Paywall, https://www.cambridge.org/core/jour...metaanalysis/C8826AE461F07F21D87F44194847B4F9
     
  2. Sean

    Sean Moderator Staff Member

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    Translation: We got nothing.
     
    alktipping, Amw66, MEMarge and 13 others like this.
  3. Andy

    Andy Committee Member

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    Yep, basically. I'm surprised that they actually published this, or didn't go with a more positive abstract.
     
    alktipping, oldtimer, MEMarge and 9 others like this.
  4. Charles B.

    Charles B. Senior Member (Voting Rights)

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    The fun thing about “adverse life events” is that you could subjectively deem literally anything an adverse event, thus justifying the causal model.

    Undercooked salmon three weeks prior to onset?

    Favorite football side’s goalkeeper spills one into his own net?

    Shampoo permeates the eyes during a morning shower?

    The entire field is so hapless and cynical. How does this persist unchallenged by anyone with a credible and sizable platform?
     
    Sean, alktipping, oldtimer and 10 others like this.
  5. rvallee

    rvallee Senior Member (Voting Rights)

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    But they'll keep saying it anyway, it's even the first thing they say in the abstract, they repeat their hypothesis as a fact. Because they don't even trust their own research unless it says exactly what they wanted it to say.

    There are other papers that suggest otherwise, and as long as they have FUD, they can say whatever they want, they're allowed because no one oversees this or cares about the patients stuck in this manufactured nightmare.
     
    Sean, alktipping, oldtimer and 3 others like this.
  6. CRG

    CRG Senior Member (Voting Rights)

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    FMMM1, Sean, alktipping and 1 other person like this.
  7. rvallee

    rvallee Senior Member (Voting Rights)

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    Hell I've seen good events being twisted into being bad, like getting a promotion but now that's just too much stress, or something like that, no matter that, no, it's not, in fact it's a very positive thing.

    They don't care. Ideologues never care about being wrong. Or about what they're doing to others.
     
    Sean, alktipping, MEMarge and 2 others like this.

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