scholarly journals Somatic Symptom Disorder, Medically Unexplained Symptoms, Somatoform Disorders, Functional Neurological Disorder: How DSM-5 Got It Wrong

2020 ◽  
Vol 65 (5) ◽  
pp. 301-305 ◽  
Author(s):  
Anton Scamvougeras ◽  
Andrew Howard
Keyword(s):  
Neurological Disorder ◽  
Somatic Symptom ◽  
Somatoform Disorders ◽  
Medically Unexplained Symptoms ◽  
Somatic Symptom Disorder ◽  
Dsm 5 ◽  
Medically Unexplained ◽  
Unexplained Symptoms ◽  
Functional Neurological Disorder

24 An analysis of sentiment and publicity of functional neurological disorder and non-epileptic attack disorder on twitter

2020 ◽  
Vol 91 (8) ◽  
pp. e17.3-e18
Author(s):  
Felix May ◽  
Rohan Kandasamy
Keyword(s):  
Health Professionals ◽  
Neurological Disorder ◽  
Public Discourse ◽  
Medically Unexplained Symptoms ◽  
Awareness Campaigns ◽  
Search Terms ◽  
Epileptic Attack ◽  
Medically Unexplained ◽  
Unexplained Symptoms ◽  
Functional Neurological Disorder

ObjectivesTwitter may provide a platform for clinicians and allied health professionals to publicise Functional Neurological Disorder (FND) and Non-Epileptic Attack Disorder (NEAD), and also provides a platform for patients and their communities to discuss the disorders. The prevalence and sentiment of discussions of these disorders have not been reported before now. We wrote a program to collect and analyse ‘Tweets’ about the subjects in their sentiment, connectivity and content.MethodsPreliminary searches and graph analyses identified the most relevant search terms. Tweets were collected automatically, along with available metadata. Sentiment analysis was performed using natural language processing with valence aware dictionary analysis, allowing automatic interpretation of text including idioms and ‘emojis’.Results13347 tweets were collected, with tweets not in English having been excluded from the analysis. The analysis showed a majority positive sentiment in the tweets. The most negative discourse was related to search terms: ‘Medically Unexplained Symptoms’ and ‘Psychosomatic’. Engagement with charities and tweets aiming to promote awareness of the disorders in question were common. Most frequent links to posts about FND were synonyms for the disorder, along with NEAD and charities and awareness movements. For NEAD, the most common links made were with FND, awareness campaigns, synonyms for NEAD, and Chronic Fatigue Syndrome.ConclusionsFND and NEAD have active communities on Twitter. These include both health professionals, patients and lay advocates. The overall sentiment is positive (p<0.05), but with some negativity from sceptical patients and some who are disappointed with their care, and with more negativity associated with certain search terms. (For example, more negative sentiment in tweets about ‘Medically Unexplained Symptoms’ compared to ones about ‘Functional Neurological Disorder’, p<0.0005). Public discourse analysis on websites such as Twitter may prove fruitful for monitoring patient understanding, trends in patient acceptance of diagnosis and factors contributing to these.

Functional neurological disorder and somatic symptom disorder in Parkinson's disease

2021 ◽  
pp. 120017
Author(s):  
Marco Onofrj ◽  
Mirella Russo ◽  
Claudia Carrarini ◽  
Stefano Delli Pizzi ◽  
Astrid Thomas ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Neurological Disorder ◽  
Somatic Symptom ◽  
Somatic Symptom Disorder ◽  
Functional Neurological Disorder

Factors influencing adherence to therapeutic recommendations made after diagnostic reassessment of medically unexplained symptoms in children and adolescents

2019 ◽  
Vol 25 (1) ◽  
pp. 62-77
Author(s):  
Sam LB Bonduelle ◽  
Johan Vanderfaeillie ◽  
Katrien Denijs ◽  
Annik Lampo ◽  
Lindita Imeraj
Keyword(s):  
Children And Adolescents ◽  
Influencing Factors ◽  
Somatoform Disorders ◽  
Medically Unexplained Symptoms ◽  
Primary Outcome Measure ◽  
Influential Factors ◽  
Cross Sectional ◽  
Medically Unexplained ◽  
Therapeutic Recommendations ◽  
Unexplained Symptoms

Background: Medically unexplained symptoms (MUS) are common among children and adolescents and may be highly impairing. Even after long diagnostic and/or therapeutic trajectories, many of these children and their parents feel dissatisfied with the advice and therapies they were given. Objectives: After a 2-week hospitalisation for somatic and psychiatric reassessment, children and their families were given recommendations for further treatment. This study evaluates which of these recommendations were carried out (primary outcome measure) and which factors influenced the (non-)adherence to therapeutic advice. Methods: Parents of 27 children aged 7–17 with impairing MUS took part in a structured telephone survey to assess adherence to and perceived effectiveness of therapeutic recommendations (cross-sectional study). Influencing factors were analysed retrospectively. Results: Psychotherapy was recommended to all 27 patients and their families; 19 of them (70.4%) carried out this advice. When physiotherapy was recommended, adherence proved lower (6/22 children; 27.3%). No influencing factors were found to have a statistically significant correlation with adherence. Effect sizes may be indicative of clinically relevant influential factors, but should be considered cautiously. Conclusion: Results suggest that more efforts need to be made to ensure adherence to therapeutic recommendations. Known risk factors for non-adherence to treatments for chronic somatic disorders may not apply for children with somatoform disorders.

scholarly journals Medically Unexplained Symptoms and Somatoform Disorders: Diagnostic Challenges to Psychiatrists

2009 ◽  
Vol 72 (5) ◽  
pp. 251-256 ◽  
Author(s):  
Cheng-Ta Li ◽  
Yuan-Hwa Chou ◽  
Kai-Chun Yang ◽  
Cheng-Hung Yang ◽  
Ying-Chiao Lee ◽  
...  
Keyword(s):  
Somatoform Disorders ◽  
Medically Unexplained Symptoms ◽  
Medically Unexplained ◽  
Unexplained Symptoms

Somatic Symptom Disorder and Related Conditions

2017 ◽  
Author(s):  
Stephen Thielke
Keyword(s):  
Somatic Symptom ◽  
Health Anxiety ◽  
Conversion Disorder ◽  
Future Research ◽  
Factitious Disorder ◽  
Patient Relationship ◽  
Somatic Symptom Disorder ◽  
Therapeutic Approaches ◽  
Dsm 5 ◽  
Medically Unexplained

Somatic symptom disorder (SSD) is a novel construct, first presented in the DSM-5. It has two criteria: distressing or impairing bodily symptoms and excessive or disproportionate thoughts, feelings, or behaviors directed toward those symptoms. The criteria must be applied critically to make sense logically and clinically. The framework does not suggest any causal relationship between the elements. SSD uses a different formulation than in previous constructs, with no requirement that symptoms be medically unexplained. Little research has been conducted about SSD, and it is inappropriate to draw conclusions from similar diagnoses. Therefore, almost nothing is known about epidemiology, natural history, and treatment response in SSD. Health anxiety disorder is similar to SSD, but without significant somatic symptoms. Conversion disorder and factitious disorder entail more specific findings than does SSD. Providers should carefully apply diagnostic criteria for SSD, focus on the individual’s distress, and consider how this diagnosis influences the provider-patient relationship. Future research will refine the understanding of the condition and therapeutic approaches to it. This review contains 1 figure, 5 tables, and 39 references. Key words: behaviors, conversion disorder, disproportionate, excessive, factitious disorder, feelings, health anxiety, somatic symptom disorder, somatization, thoughts

Being a botanist and a gardener: using diagnostic frameworks in general practice patients with medically unexplained symptoms

2013 ◽  
Vol 19 (2) ◽  
pp. 90 ◽  
Author(s):  
Louise Stone
Keyword(s):  
Somatoform Disorders ◽  
Medically Unexplained Symptoms ◽  
Multiple Perspectives ◽  
Medical Specialties ◽  
Mixed Methods Approach ◽  
Evidence Based Treatment ◽  
Medically Unexplained ◽  
Unexplained Symptoms ◽  
Reliable Classification ◽  
The Way

Patients with multiple medically unexplained symptoms commonly seek treatment in primary care. Many of these patients seem to have a psychological ‘core’ to their illness that affects the way they experience, conceptualise and communicate their distress. There is considerable debate around diagnosis for this group of patients. Existing diagnoses include somatoform disorders in psychiatry and functional disorders in the medical specialties. Some clinicians use the term ‘heartsink’ patients, which reflects the interpersonal frustration inherent in some therapeutic relationships. A good diagnosis should be clinically useful, helping clinicians and patients understand and manage illness. Diagnosis should also provide a reliable classification for research and evidence-based treatment. The allegory of the botanist and the gardener has been used to describe diagnosis. For the botanist, a good diagnosis produces a taxonomy that is rigorous and reliable. For the gardener, it informs the way a garden is described and understood in a specific context. Clinicians need both: a ‘botanical’ type of classification to bring rigour to research and therapy, and clinical ‘gardening’, which allows for multiple perspectives and diagnostic frameworks. Clinical reasoning is a form of research with therapeutic intent. Botany and gardening represent a mixed-methods approach that can enrich diagnosis. The challenge is to integrate multiple perspectives in clinically helpful ways that help us retain both richness and rigour.

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