PSYCHOSOCIAL FACTORS AND ASSOCIATED SYMPTOMS IN PATIENTS WITH FUNCTIONAL NEUROLOGICAL SYMPTOM DISORDER
Abstract
OBJECTIVE
To investigate the symptom type, sociodemographic factors and preceding events in patients with Functional Neurological Symptom Disorder (FNSD).
STUDY DESIGN
Cross-sectional study
PLACE AND DURATION OF STUDY
The study was conducted at Nishtar Medical University Hospital, Multan, Pakistan, from 1st January 2024 to 1st March 2024 (a three month period).
METHOD
Data were collected through a purposive sampling technique from 50 patients diagnosed with FNSD. The Conversion Disorder Questionnaire (Australian Paediatric Surveillance Unit) was used to assess symptom types, and a structured proforma gathered demographic information and psychosocial stressors.
RESULTS
Symptoms of FNSD occurred more frequently among females, unmarried individuals, those with lower education, low socioeconomic status, living in joint families, and belonging to rural areas. Most patients presented with acute symptoms.
CONCLUSION
Female gender, lower level of education, economic disadvantage, joint family structure, rural residence and single marital status appear to be the sociodemographic factors most commonly associated with FNSD in this study sample. Recognising these factors may support earlier detection and improved intervention.
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References
Peeling JL, Muzio MR. Functional Neurologic Disorder. [Updated 2023 May 8]. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551567/
Gupta A. Poverty and child neglect – the elephant in the room?. Families, Relationships and Societies. 2017; 6(1):21-36.
doi: https://doi.org/10.1332/204674315X14207948135699
DSM Task Force, American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5TM. 5th ed. Arlington, VA: American Psychiatric Association Publishing; 2013.
Ratcliff J, Van Der Feltz-Cornelis CM. Conversion Disorder/Functional Neurological Disorder – a narrative review on current research into its pathological mechanism. The European Journal of Psychiatry. 2020; 34(3):143-152. doi: https://doi.org/10.1016/j.ejpsy.2020.03.004
Bokharey IZ, Fahim U, Tahir K. Family Conflicts Are Bitter Splits That Hurt: A Qualitative Inquiry Toward Understanding the Impact of Family Issues in Functional Neurological Symptom Disorder. Front Psychol. 2021;12:652917. doi:10.3389/fpsyg.2021.652917
Bhavsar V, Ventriglio A, Bhugra D. Dissociative trance and spirit possession: Challenges for cultures in transition. Psychiatry Clin Neurosci. 2016;70(12):551-559. doi:10.1111/pcn.12425
Bammidi R, Ravipati LP, Bashar MA, Kumar KS. Clinical, sociodemographic profile and stressors in patients with conversion disorders: An exploratory study from southern India. Ind Psychiatry J. 2020;29(2):222-227. doi:10.4103/ipj.ipj_100_20
Kanaan RAA. Conversion Disorder and Illness Deception. In: Rogers R, Bender SD, editors. Clinical Assessment of Malingering and Deception. 4th ed. New York, NY: The Guilford Press; 2018. p. 236–242.
Haefner J. An application of Bowen family systems theory. Issues Ment Health Nurs. 2014;35(11):835-841. doi:10.3109/01612840.2014.921257
Morsy SK, Aybek S, Carson A, et al. The relationship between types of life events and the onset of functional neurological (conversion) disorder in adults: a systematic review and meta-analysis. Psychol Med. 2022;52(3):401-418. doi:10.1017/S0033291721004669
Kline CL, Shamshair S, Kullgren KA, Leber SM, Malas N. A Review of the Impact of Sociodemographic Factors on the Assessment and Management of Pediatric Somatic Symptom and Related Disorders. J Acad Consult Liaison Psychiatry. 2023;64(1):58-64. doi:10.1016/j.jaclp.2022.10.266
Butler M, Shipston-Sharman O, Seynaeve M, et al. International online survey of 1048 individuals with functional neurological disorder. Eur J Neurol. 2021;28(11):3591-3602. doi:10.1111/ene.15018
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