References for ‘Psychogenic movement disorders’
Posted by anjasmith on November 12, 2007
Hinson V.K. , Haren W.B. (2006) Psychogenic movement disorders. Lancet Neurology, 5: 695-700.
Bauer M. , Boegner F. (1996) Neurological Syndromes in Factitious disorder. The journal of Nervous and Mental Disease, 184(5):281-288.
I would like to add that psychogenic movement disorders are divided into three diagnostic categories: ‘Somatoform disorders encompass conversion disorders (where physical symptoms are brought on by psychological stressors ) and somatization disorders (a multitude of physical, non-organic symptoms). Factitious disorders are associated with symptoms that are intentionally produced with the purpose of achieving some psychological gain, whereas Malingering is intentional symptom production for material (eg. financial) gain … Psychogenic movement disorders are commonly associated with other axis I psychiatric disorders, usually depression and anxiety’ – Quoted from the literature review ‘psychogenic movement disorders’.
I mentioned in my last post that I think it is important for nurses to learn how to understand and recognize these disorders. Now, I am talking of Nurses working and specialised in Medical or Surgical nursing. Nurses working and specialised in Mental Health would obviously be more knowledgeable when confronted with these patients. But The problem is that these patients would not always go straight to the psychiatric hospital, they would most often be admitted to medical wards through the ER. It is there that the medical team have to diagnose the problem and that a psychiatric consultation is made as soon as one of these disorders is suspected so that the patient can be helped as early as possible with intensive psychotherapy and rehabilitation. It is my opinion, based on the evidence in the above articles, that Nurses specialised in Neurology should be well prepared to deal with such particular cases, as there are often close links with neurology and the symptoms presented by these disorders.
Psychogenic Movement Disorders « Anamnesis said
[...] However, I later did the same search in Pubmed, and I found some very interesting articles, that I thought very useful: ‘Psychogenic movement disorders’ and ‘Neurological syndromes in factitious disorder’. The former was actually a literature review, and the latter a quantitative study of the frequency of the occurrence of factitious disorder in one particular hospital’s department of neurology (Freie Universität Berlin). Now, I am no expert (yet) in research articles, so I would not recommend taking every word and every finding I read as the absolute truth, but I think that these articles gave me a clearer understanding of how the disorder works, and how to recognize it. References for these articles and further definitions can be found here. [...]