The Walton Centre NHS Foundation Trust, Merseycare NHS Trust, University of Liverpool, United Kingdom.
Clin Psychol Rev. 2022 Jun;94:102146. doi: 10.1016/j.cpr.2022.102146. Epub 2022 Mar 20.
Functional Movement Disorders (FMD) can be identified by limb weakness, gait disorders, or involuntary movements which are inconsistent with a neurological diagnosis. Despite the prevalence of such symptoms, there has been little consensus on models for treatment. This scoping review set out to identify the literature exploring the efficacy of psychological interventions for the treatment of FMD, either as a stand-alone intervention or as part of a multi-disciplinary team approach. Studies set in an adult inpatient and outpatient setting were considered for inclusion. The final review consisted of 33 papers; 13 reviewing psychological treatments only, and 20 reviewing multidisciplinary approaches that included a psychological intervention. This review of the literature reaffirms the inconsistency across treatment for FMD, although identifies a trend towards an MDT approach in recent years. The review also identifies areas where consistency in methodology may be beneficial in future research, in order to improve the validity of results for greater comparison of treatments. There are promising outcomes that support the continued investigation focused on an interdisciplinary, collaborative approach to care, for the reduction of symptoms.
功能性运动障碍（FMD）可表现为肢体无力、步态障碍或不自主运动，这些与神经诊断不符。尽管存在此类症状，但针对其治疗模式尚未达成广泛共识。本范围性综述旨在确定探索心理干预治疗 FMD 有效性的文献，无论是作为单一干预措施，还是多学科团队方法的一部分。纳入了成人住院和门诊环境中的研究。最终综述包括 33 篇论文；其中 13 篇仅回顾心理治疗，20 篇则回顾多学科方法，其中包括心理干预。本文献综述再次证实了 FMD 治疗的不一致性，但近年来确实存在向 MDT 方法发展的趋势。该综述还确定了在未来研究中，在方法上保持一致性可能有助于提高结果的有效性，以便更好地比较治疗方法。有一些有前景的结果支持持续开展针对症状缓解的跨学科、协作式护理的进一步研究。
