Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders

Autores
Myers, Lorna; Sarudiansky, Mercedes; Korman, Guido Pablo; Baslet, Gaston
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Functional neurological disorder (FND) frequently presents with comorbid psychopathology (e.g., anxiety, depressive, post-traumatic stress disorders (PTSD), somatic symptom and pain syndromes, and dissociative and personality disorders). It can become chronic and lead to unemployment and disability for many patients. Psychosocial factors play an important role in the onset and perpetuation of symptoms. Consequently, psychotherapy is recommended for the treatment of FND in general, and especially for the single symptom-based subtype of functional seizures (FS). Some of the psychotherapy approaches that have been utilized for FND include cognitive-behavioral therapy (CBT), third wave approaches, and psychodynamic psychotherapies as well as group therapeutic and psychoeducational interventions. For patients with FS and PTSD, prolonged exposure therapy, a CBT-based treatment has been implemented. The purpose of this manuscript is to describe and analyze specific elements (e.g., theoretical foundations, tools, targets, definitions of success) of the main psychotherapeutic approaches used in patients with FND. Our premise is that these modalities will overlap considerably in some respects. We will conclude by discussing how discrete differences may render them more suitable for subgroups of patients with FND or for patients at different timepoints of their recovery process.
Fil: Myers, Lorna. Northeast Regional Epilepsy Group; Estados Unidos
Fil: Sarudiansky, Mercedes. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología. Instituto de Investigaciones; Argentina
Fil: Korman, Guido Pablo. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología. Instituto de Investigaciones; Argentina
Fil: Baslet, Gaston. Harvard Medical School; Estados Unidos
Materia
CONVERSION DISORDER
EVIDENCE-BASED MEDICINE
FUNCTIONAL NEUROLOGICAL DISORDER
GUIDELINES
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/166277
Acceder
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network_acronym_str CONICETDig
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network_name_str CONICET Digital (CONICET)
spelling Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disordersMyers, LornaSarudiansky, MercedesKorman, Guido PabloBaslet, GastonCONVERSION DISORDEREVIDENCE-BASED MEDICINEFUNCTIONAL NEUROLOGICAL DISORDERGUIDELINEShttps://purl.org/becyt/ford/5.1https://purl.org/becyt/ford/5Functional neurological disorder (FND) frequently presents with comorbid psychopathology (e.g., anxiety, depressive, post-traumatic stress disorders (PTSD), somatic symptom and pain syndromes, and dissociative and personality disorders). It can become chronic and lead to unemployment and disability for many patients. Psychosocial factors play an important role in the onset and perpetuation of symptoms. Consequently, psychotherapy is recommended for the treatment of FND in general, and especially for the single symptom-based subtype of functional seizures (FS). Some of the psychotherapy approaches that have been utilized for FND include cognitive-behavioral therapy (CBT), third wave approaches, and psychodynamic psychotherapies as well as group therapeutic and psychoeducational interventions. For patients with FS and PTSD, prolonged exposure therapy, a CBT-based treatment has been implemented. The purpose of this manuscript is to describe and analyze specific elements (e.g., theoretical foundations, tools, targets, definitions of success) of the main psychotherapeutic approaches used in patients with FND. Our premise is that these modalities will overlap considerably in some respects. We will conclude by discussing how discrete differences may render them more suitable for subgroups of patients with FND or for patients at different timepoints of their recovery process.Fil: Myers, Lorna. Northeast Regional Epilepsy Group; Estados UnidosFil: Sarudiansky, Mercedes. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología. Instituto de Investigaciones; ArgentinaFil: Korman, Guido Pablo. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología. Instituto de Investigaciones; ArgentinaFil: Baslet, Gaston. Harvard Medical School; Estados UnidosElsevier2021-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/166277Myers, Lorna; Sarudiansky, Mercedes; Korman, Guido Pablo; Baslet, Gaston; Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders; Elsevier; Epilepsy and Behavior Reports; 16; 1-2021; 1-102589-9864CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S2589986421000526info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ebr.2021.100478info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:56:29Zoai:ri.conicet.gov.ar:11336/166277instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 09:56:29.433CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders
title Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders
spellingShingle Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders
Myers, Lorna
CONVERSION DISORDER
EVIDENCE-BASED MEDICINE
FUNCTIONAL NEUROLOGICAL DISORDER
GUIDELINES
title_short Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders
title_full Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders
title_fullStr Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders
title_full_unstemmed Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders
title_sort Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders
dc.creator.none.fl_str_mv Myers, Lorna
Sarudiansky, Mercedes
Korman, Guido Pablo
Baslet, Gaston
author Myers, Lorna
author_facet Myers, Lorna
Sarudiansky, Mercedes
Korman, Guido Pablo
Baslet, Gaston
author_role author
author2 Sarudiansky, Mercedes
Korman, Guido Pablo
Baslet, Gaston
author2_role author
author
author
dc.subject.none.fl_str_mv CONVERSION DISORDER
EVIDENCE-BASED MEDICINE
FUNCTIONAL NEUROLOGICAL DISORDER
GUIDELINES
topic CONVERSION DISORDER
EVIDENCE-BASED MEDICINE
FUNCTIONAL NEUROLOGICAL DISORDER
GUIDELINES
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.1
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv Functional neurological disorder (FND) frequently presents with comorbid psychopathology (e.g., anxiety, depressive, post-traumatic stress disorders (PTSD), somatic symptom and pain syndromes, and dissociative and personality disorders). It can become chronic and lead to unemployment and disability for many patients. Psychosocial factors play an important role in the onset and perpetuation of symptoms. Consequently, psychotherapy is recommended for the treatment of FND in general, and especially for the single symptom-based subtype of functional seizures (FS). Some of the psychotherapy approaches that have been utilized for FND include cognitive-behavioral therapy (CBT), third wave approaches, and psychodynamic psychotherapies as well as group therapeutic and psychoeducational interventions. For patients with FS and PTSD, prolonged exposure therapy, a CBT-based treatment has been implemented. The purpose of this manuscript is to describe and analyze specific elements (e.g., theoretical foundations, tools, targets, definitions of success) of the main psychotherapeutic approaches used in patients with FND. Our premise is that these modalities will overlap considerably in some respects. We will conclude by discussing how discrete differences may render them more suitable for subgroups of patients with FND or for patients at different timepoints of their recovery process.
Fil: Myers, Lorna. Northeast Regional Epilepsy Group; Estados Unidos
Fil: Sarudiansky, Mercedes. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología. Instituto de Investigaciones; Argentina
Fil: Korman, Guido Pablo. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología. Instituto de Investigaciones; Argentina
Fil: Baslet, Gaston. Harvard Medical School; Estados Unidos
description Functional neurological disorder (FND) frequently presents with comorbid psychopathology (e.g., anxiety, depressive, post-traumatic stress disorders (PTSD), somatic symptom and pain syndromes, and dissociative and personality disorders). It can become chronic and lead to unemployment and disability for many patients. Psychosocial factors play an important role in the onset and perpetuation of symptoms. Consequently, psychotherapy is recommended for the treatment of FND in general, and especially for the single symptom-based subtype of functional seizures (FS). Some of the psychotherapy approaches that have been utilized for FND include cognitive-behavioral therapy (CBT), third wave approaches, and psychodynamic psychotherapies as well as group therapeutic and psychoeducational interventions. For patients with FS and PTSD, prolonged exposure therapy, a CBT-based treatment has been implemented. The purpose of this manuscript is to describe and analyze specific elements (e.g., theoretical foundations, tools, targets, definitions of success) of the main psychotherapeutic approaches used in patients with FND. Our premise is that these modalities will overlap considerably in some respects. We will conclude by discussing how discrete differences may render them more suitable for subgroups of patients with FND or for patients at different timepoints of their recovery process.
publishDate 2021
dc.date.none.fl_str_mv 2021-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/166277
Myers, Lorna; Sarudiansky, Mercedes; Korman, Guido Pablo; Baslet, Gaston; Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders; Elsevier; Epilepsy and Behavior Reports; 16; 1-2021; 1-10
2589-9864
CONICET Digital
CONICET
url http://hdl.handle.net/11336/166277
identifier_str_mv Myers, Lorna; Sarudiansky, Mercedes; Korman, Guido Pablo; Baslet, Gaston; Using evidence-based psychotherapy to tailor treatment for patients with functional neurological disorders; Elsevier; Epilepsy and Behavior Reports; 16; 1-2021; 1-10
2589-9864
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S2589986421000526
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ebr.2021.100478
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.13397

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