Journal
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY
Volume 85, Issue 8, Pages 893-898Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/jnnp-2013-305716
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Funding
- National Institute for Health Research (NIHR) Biomedical Research Centre at the South London & Maudsley NHS Trust
- Institute of Psychiatry, King's College London
- MRC [G0701055] Funding Source: UKRI
- Medical Research Council [G0701055] Funding Source: researchfish
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Background Gold standard protocols have yet to be established for the treatment of motor conversion disorder (MCD). There is limited evidence to support inpatient, multidisciplinary intervention in chronic, severe cases. Aims To evaluate the characteristics and outcomes of MCD patients admitted to a specialist neuropsychiatric inpatient unit. Methods All patients admitted to the Lishman Unit (years 2007-2011) with a diagnosis of MCD were included. Data relevant to characteristics and status with regard to mobility, activities of daily living (ADLs) and Modified Rankin Scale (MRS) score at admission and discharge were extracted. Results Thirty-three cases (78.8% female) were included; the median duration of illness was 48 months. In comparison with brain injury patients admitted to the same unit, more cases had histories of childhood sexual abuse (36.4%, n=12), premorbid non-dissociative mental illness (81.1%, n=27) and employment as a healthcare/social-care worker (45.5%, n=15). Cases showed significant improvements in MRS scores (p<0.001), mobility (p<0.001) and ADL (p=0.002) following inpatient treatment. Conclusions Patients with severe, long-standing MCD can achieve significant improvements in functioning after admission to a neuropsychiatry unit.
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