Evidence map›Paper›PMID 34665330›Full record

ArticleJournal of neurology2022

Opinion, knowledge, and clinical experience with functional neurological disorders among Italian neurologists: results from an online survey.

Michele Tinazzi, Mirta Fiorio, Alfredo Berardelli, Bruno Bonetti, Domenico Marco Bonifati, Alessandro Burlina, Annachiara Cagnin, Francesca Calabria, Maurizio Corbetta, Pietro Cortelli and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Treatment of Functional Neurological Disorders.Journal of clinical neurology (Seoul, Korea) · 2026
    Review
  3. Clinical diagnosis and communication in functional neurological disorders: a survey among Italian neurologists.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
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  7. Observational
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  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 14 institutions in 1 country.

Michele TinazziDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Mirta FiorioDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Alfredo BerardelliDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Bruno BonettiNeurology Unit, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
Domenico Marco BonifatiNeurology Unit, Cà Foncello Hospital, Treviso, Italy.
Alessandro BurlinaNeurology Unit, St Bassiano Hospital, Bassano del Grappa, Italy.
Annachiara CagninDepartment of Neuroscience, University of Padua, Padua, Italy.
Francesca CalabriaNeurology Unit, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
Maurizio CorbettaDepartment of Neuroscience, University of Padua, Padua, Italy.
Pietro CortelliIRCCS, Istituto di Scienze Neurologiche di Bologna, Bologna, Italy.
Bruno GiomettoDepartment of Neurology, Santa Chiara Hospital, Trento, Italy.
Silvia Vittoria GuidoniNeurology Unit, Cà Foncello Hospital, Treviso, Italy.
Leonardo LopianoDepartment of Neurosciences Rita Levi Montalcini, University of Torino, Turin, Italy.
Gianluigi MancardiDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child, University of Genova, Genoa, Italy.
Fabio MarchiorettoNeurology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona, Italy.
Maria PellegriniDepartment of Neurology, Santa Chiara Hospital, Trento, Italy.
Francesco TeatiniFunctional Movement Disorders Outpatient Clinic, Clinical Neurology and Stroke Unit Department, Central Country Hospital, Bolzano, Italy.
Gioacchino TedeschiDepartment of Advanced Medical and Surgical Sciences, University of Campania, Naples, Italy.
Lucia TesolinFunctional Movement Disorders Outpatient Clinic, Clinical Neurology and Stroke Unit Department, Central Country Hospital, Bolzano, Italy.
Emanuele TurineseNeurology Unit, St Bassiano Hospital, Bassano del Grappa, Italy.
Mario ZappiaDepartment of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Neuroscience Section, University of Catania, Catania, Italy.
Angela MarottaDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy. angela.marotta@univr.it.ORCID http://orcid.org/0000-0002-0738-0240
University of Verona · ITAzienda Ospedaliera Universitaria Integrata Verona · ITCa' Foncello Hospital · ITOspedale di Bolzano · ITOspedale San Bassiano · ITOspedale Santa Chiara · ITUniversity of Padua · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITInstitute of Neurological Sciences · ITIstituti Clinici Scientifici Maugeri · ITIstituto Neurologico Mediterraneo · ITOspedale Sacro Cuore Don Calabria · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctional neurological disorders (FND) are disabling medical conditions commonly seen in neurological practice. Neurologists play an essential role in managing FND, from establishing a diagnosis to coordination of multidisciplinary team-based treatment for patients. With this study, we investigated the knowledge and the clinical experience of Italian neurologists in managing patients with FND.

methodsMembers of the Italian Society of Neurology were invited via e-mail to participate in this ad hoc online survey; 492 questionnaires were returned completed.

resultsThe term "Functional neurological disorders" in reference to FND was used more frequently than other psychological (e.g., psychogenic or conversion), or descriptive terms (e.g., non-organic or stress-related). When speaking with patients, the respondents stated that they preferred explaining symptoms based on abnormal functioning of the nervous system than discussing mental illness and that they would refer their patient to a psychologist rather than to a psychiatrist. Few considered that physiotherapy and psychiatric interventions are useful approaches to treating FND. Some believed that patients simulate their symptoms.

conclusionsOverall, the responses suggest that knowledge about scientific advances in FND is somewhat sparse. A psychiatric-centered view of FND opens the way to an approach in which neurobiological and psychological aspects constitute essential factors of the condition. In this context, professional education could improve understanding of FND and optimize patient management.

Indexed as

Conversion DisorderNervous System DiseasesHumansNeurologistsSurveys and QuestionnairesConversion disordersEducationFunctional neurological disordersNeurological practiceSurvey

Identifiers

PMID34665330
PMCPMC9021063
OpenAlexW3205095959

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.