Alqassas Maryam, Alatiyah Mohammad H, Aldharman Sarah S, Alburayman Mohammed Z, Alrashed Mohammed H, Al-Sultan Abdulmuhsin A, Alrahil Reham
Department of Medicine, Ministry of National Guard Health Affairs, Jeddah, SAU.
College of Medicine, King Faisal University, Al-Ahsa, SAU.
Cureus. 2022 Dec 21;14(12):e32770. doi: 10.7759/cureus.32770. eCollection 2022 Dec.
Background Functional movement disorders (FMDs) are neurological disorders that consist of abnormal and involuntary movements that have no specific organic cause. Given the prevalence of FMDs and the scarcity of information on neurologists' approaches to FMDs, we aimed to assess the neurologists' approaches and clinical practice in managing FMDs in Saudi Arabia. Methods A validated online questionnaire in English was used. The data were collected through a self-reported questionnaire. The data were analyzed using the statistical software IBM SPSS version 22 (SPSS, Inc., Armonk, NY). Results A total of 231 neurologists completed the study survey. A total of 129 (55.8%) were males. Regarding the predictors for a diagnosis other than FMD, the highest rating predictor was for evidence of physical injury and lack of psychiatric history of psychological stressors, while the lowest rating was for the male gender. Regarding the effective treatment strategies of FMD, the most effective treatment strategy reported by the clinicians was patient education, while the least was alternative or complementary medicine. The management ability of clinicians was generally restricted by cultural beliefs about psychological illnesses and the availability of referral services. The reported predictors by clinicians for a better prognosis of FMD include acceptance of the diagnosis by the patient followed by identification and management of psychological stressors and concurrent psychiatric disorder and a supportive social network. Generally, the most used terminology in this study was "functional movement disorder". Conclusions There is a variation in the approach and clinical practice of FMD among neurologists in Saudi Arabia. Shared knowledge regarding diagnosis and effective management is crucial. Collaborative efforts are required to establish practice guidelines in the future.
功能性运动障碍（FMDs）是一种神经系统疾病，由无特定器质性病因的异常和不自主运动组成。鉴于FMDs的患病率以及关于神经科医生对FMDs治疗方法的信息匮乏，我们旨在评估沙特阿拉伯神经科医生对FMDs的治疗方法和临床实践。方法：使用经过验证的英文在线问卷。数据通过自我报告问卷收集。使用统计软件IBM SPSS 22版（SPSS公司，纽约州阿蒙克）进行数据分析。结果：共有231名神经科医生完成了研究调查。其中129名（55.8%）为男性。关于FMD以外诊断的预测因素，评分最高的预测因素是身体损伤的证据和无心理应激源的精神病史，而评分最低的是男性性别。关于FMD的有效治疗策略，临床医生报告的最有效治疗策略是患者教育，而最无效的是替代或补充医学。临床医生的管理能力通常受到对心理疾病的文化信仰以及转诊服务可用性的限制。临床医生报告的FMD预后较好的预测因素包括患者接受诊断，随后识别和管理心理应激源及并发的精神障碍以及支持性的社会网络。一般来说，本研究中最常用的术语是“功能性运动障碍”。结论：沙特阿拉伯神经科医生对FMD的治疗方法和临床实践存在差异。关于诊断和有效管理的共享知识至关重要。未来需要共同努力制定实践指南。
