ArticleMovement disorders clinical practice2021
Psychiatric Comorbidities in Functional Movement Disorders: A Retrospective Cohort Study.
Article in Movement disorders clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Co-occurrence of dissociation and anxiety and depressive disorders in adults: a scoping review.Frontiers in psychiatry · 2026Pooled it
- Multicentre validation of a patient-reported outcome measure for functional movement disorders.Journal of neurology, neurosurgery, and psychiatry · 2026Article
- Developmental trauma in functional motor disorder: the mediating roles of affective symptoms and multimorbidity.Psychological medicine · 2026Article
- Comorbidities Across Functional Neurological Disorder Subtypes: A Comprehensive Narrative Synthesis.Life (Basel, Switzerland) · 2025Review
- Cerebellar ataxias and functional movement disorders: navigating clinical overlap.BMJ neurology open · 2025Article
- Neuropsychiatric Approaches to Essential and Functional Tremor: A Comparative Study.Neuropsychiatric disease and treatment · 2025Article
- Positive signs from the history as an aid for early diagnosis in functional movement disorders: The prospective TASMAN study.European journal of neurology · 2025Article
- Exploring therapeutic interventions for functional neurological disorders: a comprehensive scoping review.Journal of neurology · 2024Article
- Functional Movement Disorders: Updates and Clinical Overview.Journal of movement disorders · 2024Article
- Psychiatric Comorbidities in Functional Neurological Disorders and Psychogenic Non-Epileptic Seizures: A Systematic Review and Policy Recommendations for Improving Assessment and Treatment.Neuropsychiatric disease and treatment · 2024Review
- Focal Dystonia and the Stress Network: The Role of Stress Vulnerability and Adverse Childhood Experiences in the Development of Musician's Dystonia.Advances in neurobiology · 2023Article
- Functional neurological disorder and placebo and nocebo effects: shared mechanisms.Nature reviews. Neurology · 2022Review
- Functional neurological disorders: an Australian interdisciplinary perspective.The Medical journal of Australia · 2022Article
- TikTok Tics: A Pandemic Within a Pandemic.Movement disorders clinical practice · 2021Article
- Psychiatric Comorbidities in Functional Neurologic Symptom Disorder.Practical neurology (Fort Washington, Pa.)Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundFunctional movement disorders (FMD) are characterized by abnormal movements and motor symptoms incongruent with a known structural neurologic cause. While psychological stressors have long been considered an important risk factor for developing FMD, little is known about the impact of psychiatric comorbidities on disease manifestations or complexity.
objectivesTo compare characteristics of FMD patients with co-occurring mood and trauma-related psychiatric conditions to FMD patients without psychiatric conditions.
methodsWe performed a retrospective cohort study of patients seen in the University of Colorado Health system between January 1, 2015 and December 31, 2019. Patients were included if they had a diagnosis of FMD, determined by ICD-10 coding and ≥1 phenomenology-related diagnostic code (tremor, gait disturbances, ataxia, spasms, and weakness), and at least one encounter with a neurology specialist. Fisher's exact and unpaired t-tests were used to compare demographics, healthcare utilization, and phenomenologies of patients with psychiatric conditions to those with none.
resultsOur review identified 551 patients with a diagnosis of FMD who met inclusion criteria. Patients with psychiatric conditions (N = 417, 75.7%) had increased five-year healthcare utilization (mean emergency room encounters 9.9 vs. 3.5,
conclusionsPatients with FMD and comorbid psychiatric conditions require more healthcare resources and have greater disease complexity than patients without psychiatric illness. This may have implications for treatment of patients without comorbid psychiatric conditions who may benefit from targeted physiotherapy alone.
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Registered trials
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