The Occurence of Psychogenic Disorders in Neurology

Česká verzia

Authors: K. Obereignerů ¹; J. Mareš ¹; R. Obereignerů ^1,2; P. Kaňovský ¹
Authors place of work: Neurologická klinika LF UP a FN Olomouc ¹; Katedra psychológie FF UP v Olomouci ²
Published in the journal: Cesk Slov Neurol N 2010; 73/106(5): 529-533
Category: Original Paper

Summary

A third of neurological patients complain of various symptoms resembling some kind of neurological disorder for which obvious explanations are lacking. The aim of this study was to investigate the proportion of inpatients suffering from an actual functional disorder admitted to the neurological clinic of the University Hospital, Olomouc, over a 4-month period from August to November 2007. Methods: The total number of inpatients was 560, 28 of whom (23 females, 5 males), with an average age of 42 years (SD 12.3), range 22–61 years, appeared to be presenting with pain attributable to psychogenic origins. All these patients underwent psychological and psychiatric evaluation. A neuropsychologist administered the Minnesota multiphasic personality inventory (MMPI-2). Results: Dissociative motor and sensory symptoms were confirmed in 50% of cases. A quarter of patients suffered from affective disorder, 11% from anxious-depressive syndrome, while hypochondriac and somatoform disorders were of equal prevalence (7%). There was no pathological finding in MMPI-2 for one quadriplegic patient. Conclusions: The proportion of inpatients with pseudoneurological symptoms over a 4-month period was 4.82%.

Key words:
psychogenic disorder – dissociative disorder – depression – anxiety

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