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Functional neurological disorder in children and young people: Incidence, clinical features, and prognosis 2023 Yong, Stone et al

Discussion in 'Other psychosomatic news and research' started by Andy, Feb 9, 2023.

  1. Andy

    Andy Committee Member

    Hampshire, UK
    Authors include the Edinburgh Paediatric FND Study Group



    To report incidence, demographic and clinical characteristics, and symptom outcome of functional neurological disorder (FND) in children.

    Children diagnosed with FND at a regional children's hospital were prospectively recruited by weekly active surveillance for 36 months. Demographic, clinical, and follow-up data were retrospectively extracted by review of electronic records. Descriptive statistical analyses were used.

    Ninety-seven children (age range 5–15 years) met the case definition of FND (annual incidence 18.3 per 100 000 children). Children with FND were likely to be female (n = 68 [70%]) and older (median 13 years) with no difference in the Scottish Index of Multiple Deprivation (marker of socioeconomic status) compared with the general childhood population. Functional motor (41%) and sensory (41%) symptoms were most common; other somatic symptoms such as headache (31%) and pain (27%) were frequent. Self-reported psychiatric symptoms and infection/inflammation were the most common predisposing and precipitating factors respectively. At a median of 15 months follow-up, 49% of 75 children reported improvement or resolution of FND symptoms with no prognostic factors found.

    At this regional centre, FND in children had a higher incidence than previously reported and a less optimistic outcome than in some other studies.

    Paywall, https://onlinelibrary.wiley.com/doi/10.1111/dmcn.15538
  2. Arnie Pye

    Arnie Pye Senior Member (Voting Rights)

    So the authors are setting up (mainly) girls to not be treated for any health problems in future? And they are doing it really early in life to save money in future?

    This kind of paper makes me feel sick. (Must be FND - sarcasm....)
    Mithriel, bobbler, Lou B Lou and 7 others like this.
  3. rvallee

    rvallee Senior Member (Voting Rights)

    Well, if about half of patients improve on their own, there go any claims about treatments, not that they ever had any basis. They never come anywhere close to this, it's time that is the main factor and that means something, very likely immunological. The big picture is so damn obvious here, but of course nothing will change anyway, just like nothing has changed with Long Covid being "treated" with rehabilitation, their own numbers from active treatments never even come close to half, if that's even a real number, given the poverty of assessment.

    I still can't wrap my head around the fact that medicine cannot see anything wrong with people being ill for years. As if it's nothing, as if losing entire years of your life is no biggie, even less so because of an insane pseudoscientific ideology. It's at least as disruptive as wrongful imprisonment. As if people would just shrug at it if it happened to them.

    That's really the gist here: if this happened to them and they were treated this way they would be furious, they treat people in a way they would never accept for themselves. That's always wrong.
    bobbler, Sean, alktipping and 6 others like this.
  4. Amw66

    Amw66 Senior Member (Voting Rights)

    So 13 years median and female.
    Hormones rampant ,- cue mood swings , sleep shifts , changes in taste and eating habits - with the potential to not consume enough for factors to keep all the systems running smoothly , ( menopause in reverse) , growing pains ( issues with joints and tendons) - add in outside pressures and it's a wonder the FND diagnosis is not higher .
    Endocrine system impacting immune system .....
    Do people ever get it ?
  5. Hutan

    Hutan Moderator Staff Member

    Aotearoa New Zealand
    Well, we don't know that from the abstract. Presumably these young people were shown some diagram wth circles, a few long words such as Central Nervous system sensitisation were wafted around and the young people were told to stop focusing on their symptoms, maybe take up a new hobby or something, maybe given some physio sessions or instructed on how to breathe. So, essentially left to improve on their own, but the clinicians wouldn't see it that way.

    That seems important. I expect that if they had found that traumatic life events, or having a perfectionistic mother or some other fault with the child or the family made recovery less likely, that would have been the title, and most of the abstract. But, as they found no prognostic factors for recovery, it's just a vague sentence.
  6. bobbler

    bobbler Senior Member (Voting Rights)

    The misogyny/narcissism/bigotry agenda continues it seems. I have an issue with papers that are just personal wordy manifestos to change culture being called ‘research’ inferring they are science like well.., science with regs and the rules of science like logic and deduction as well as induction (not properly done as a chosen sample and leading question or assessment looking only for certain things whether there or not etc).

    at least if these things were termed right we could call them the movements, political whatever of agendas that they might turn out to be if the ‘what’ is the bit no one scrutinises (rather than just seen as ok because it’s ‘offering something’)
    Last edited: Feb 11, 2023
    Mithriel, Arnie Pye, Sean and 2 others like this.

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