Neuropsychological Assessment of Conversion Disorder

Demi̇r, Süleyman; Celikel, Feryal Cam; Taycan, Serap Erdoğan; Etikán, Ílker

doi:10.5080/u6960

Cited by 6 publications

(10 citation statements)

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“…When comparing the results of this study to the available literature, neurocognitive impairments in the domains attention, working memory, verbal and visual memory, visuospatial functioning, and information processing speed are commonly found in patients with CD/FND (Brown et al, 2014;Demir et al, 2013;Kozlowska et al, 2015). This study also adds dysfunction in the language domain to the list of impairments, which are also found in the other SSRD group (Al-Adawi et al, 2010;Grace et al, 1999;Hall et al, Hart et al, 2000;Michiels & Cluydts, 2001;Moore et al, 2012;Niemi et al, 2002).…”

Section: Discussionmentioning

confidence: 65%

“…It was predicted that patients with CD/FND will have problems in neurocognitive functioning, based on comparison with population-based normative reference data. Based on earlier studies (Brown et al, 2014;Demir et al, 2013;Kozlowska et al, 2015), these problems are expected especially in the domains attention, (working) memory, planning/executive functioning, and visuospatial functioning. Additionally, we expect that neurocognitive functioning in patients with CD/FND will be poorer compared to patients with other SSRD and that these differences are not accounted for by potential confounders (i.e., age, sex, level of education, depression, and anxiety).…”

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confidence: 99%

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Neurocognitive functioning in patients with conversion disorder/functional neurological disorder

Vroege

Koppenol

Kop

et al. 2020

Journal of Neuropsychology

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Neurocognitive symptoms are common in individuals with somatic symptom and related disorders (SSRD), but little is known about the specific impairments in neurocognitive domains in patients with conversion disorder (CD)/functional neurological disorder (FND). This study examines neurocognitive functioning in patients with CD/FND compared to patients with other SSRD. The sample consisted of 318 patients. Twentynine patients were diagnosed with CD/FND, mean age 42.4, standard deviation (SD) = 13.8 years, 79.3% women, and 289 patients had other SSRD (mean age 42.1, SD = 13.3, 60.2% women). Patients completed a neuropsychological test battery that addressed a broad range of neurocognitive domains, including information processing speed, attention and executive functioning. Patients with CD/FND had clinically significant neurocognitive deficits in all neurocognitive domains based on normative data comparison. Patients with CD/FND also performed significantly worse than patients with other SSRD on information processing speed (Digit Symbol Substitution Test (V = .115, p = .035), Stroop Color-Word Test (SCWT) card 1 (V = .190, p = .006), and SCWT card 2 (V = .244, p < .001). No CD/FND vs. other SSRD differences were observed in other neurocognitive domains. These findings indicate the patients with CD/FND perform worse on information processing speed tests compared to patients with other SSRD. Conversion disorder (CD)/functional neurological disorder (FND) as defined in the DSM-5 is characterized by the presence of one or more deficits in voluntary motor or sensory functions, which causes significant suffering and a burden of disease in multiple areas of This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 65%

mentioning

confidence: 99%

Neurocognitive functioning in patients with conversion disorder/functional neurological disorder

Vroege

Koppenol

Kop

et al. 2020

Journal of Neuropsychology

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“…Previous studies that focused on neurocognitive dysfunctioning of patients with somatoform disorder reported impaired executive functioning (Al-Adawi et al 2010; Demir et al 2013; Brown et al 2014). However, we found relatively low levels of impairment within the domain of executive functioning and documented more deficits in sustained attention, information processing speed, and working memory.…”

Section: Discussionmentioning

confidence: 95%

“…Since no studies are currently available regarding the neurocognitive profile of adults with SSRD, a brief summary of neurocognitive profiles of somatoform disorders is given. In particular, results from studies on neurocognitive dysfunctioning of patients with somatoform disorders suggest impaired (working) memory (Grace et al 1999; Niemi et al 2002; Luerding et al 2008; Al-Adawi et al 2010; Demir et al 2013; Brown et al 2014), executive functioning (Al-Adawi et al 2010; Demir et al 2013; Brown et al 2014), attention and concentration (Grace et al 1999; Niemi et al 2002; Demir et al 2013), and visuospatial functioning (Niemi et al 2002; Demir et al 2013). The pattern of results is inconsistent and most studies have not adjusted for important confounding variables such as comorbid depression, included small sample sizes, or focused on only a limited number of neurocognitive domains.…”

Section: Introductionmentioning

confidence: 99%

Neurocognitive dysfunctioning and the impact of comorbid depression and anxiety in patients with somatic symptom and related disorders: a cross-sectional clinical study

et al. 2017

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“…An increasing number of studies have reported that the interaction of biological, psychological, and social factors is a common cause of FSS (24)(25)(26). Studies of patients with somatoform disorders have shown that their neurocognitive functions of memory, executive function, and attention are impaired (27)(28)(29)(30). In addition, studies of children with chronic pain disorders have found that pain symptoms are related to attention and working memory (31).…”

Section: Introductionmentioning

confidence: 99%

Somatization Symptoms Regulate Emotional Memory Bias in Adolescents With Major Depressive Disorder

et al. 2021

Front. Psychiatry

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Objective: Somatization symptoms are commonly comorbid with depression. Furthermore, people with depression and somatization have a negative memory bias. We investigated the differences in emotional memory among adolescent patients with depressive disorders, with and without functional somatization symptoms (FSS).Methods: We recruited 30 adolescents with depression and FSS, 38 adolescents with depression but without FSS, and 38 healthy participants. Emotional memory tasks were conducted to evaluate the emotional memory of the participants in the three groups. The clinical symptoms were evaluated using the Hamilton Depression Rating Scale (HDRS) and the Children's Somatization Inventory (CSI).Results: The valence ratings and recognition accuracy rates for positive and neutral images of adolescent patients were significantly lower than those of the control group (F = 12.208, P < 0.001; F = 6.801, P < 0.05; F = 14.536, P < 0.001; F = 6.306, P < 0.05, respectively); however, the recognition accuracy rate for negative images of adolescent patients of depression without FSS was significantly lower than that of patients with FSS and control group participants (F = 10.316, P < 0.001). These differences persisted after controlling for HDRS scores. The within-group analysis revealed that patients of depression with FSS showed significantly higher recognition accuracy rates for negative images than the other types (F = 5.446, P < 0.05). The recognition accuracy rate for negative images was positively correlated with CSI scores (r = 0.352, P < 0.05).Conclusion: Therefore, emotional memory impairment exists in adolescent patients of depression and FSS are associated with negative emotional memory retention.

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Neuropsychological Assessment of Conversion Disorder

Cited by 6 publications

References 0 publications

Neurocognitive functioning in patients with conversion disorder/functional neurological disorder

Neurocognitive functioning in patients with conversion disorder/functional neurological disorder

Neurocognitive dysfunctioning and the impact of comorbid depression and anxiety in patients with somatic symptom and related disorders: a cross-sectional clinical study

Somatization Symptoms Regulate Emotional Memory Bias in Adolescents With Major Depressive Disorder

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