Living with functional movement disorders: a tale of three battles. An interpretative phenomenological analysis.

Functional movement disorders (FMD) have poor prognosis and high physical and psychological co-morbidity. Their pathogenesis remains unclear, clinicians often find them difficult to treat, and lack of agreement between healthcare providers and patients is common. This study aimed to explore the expe...

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Publicado en:Psychology & Health Vol. 39; no. 8; pp. 1130 - 1148
Autores principales: Bazydlo, Sylwia, Eccles, Fiona J. R.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
      vid: 39
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/08870446.2022.2130312
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        atl: Living with functional movement disorders: a tale of three battles. An interpretative phenomenological analysis.
      aug:
        au:
          Bazydlo, Sylwia
          Eccles, Fiona J. R.
        affil: Division of Health Research, Health Innovation One, Sir John Fisher Drive, Lancaster University, Lancaster, UK
      sug:
        subj:
          Movement Disorders
          Persons with Disabilities Psychosocial Factors
          Health Services Needs and Demand
          Life Experiences
          Health Services Accessibility
          Human
          Phenomenological Research
          Qualitative Studies
          Dystonic Disorders
          Somatoform Disorders
          Nervous System Diseases
          United Kingdom
          Semi-Structured Interview
          Audiorecording
          Thematic Analysis
          Stigma
          Hope
          Control (Psychology)
          Empowerment
          National Health Programs
          Male
          Female
          Adult
          Middle Age
          Aged
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Functional movement disorders (FMD) have poor prognosis and high physical and psychological co-morbidity. Their pathogenesis remains unclear, clinicians often find them difficult to treat, and lack of agreement between healthcare providers and patients is common. This study aimed to explore the experiences of living with FMD to improve understanding of its impact and patients' needs. Ten participants across the UK were recruited online through a charity's social media platforms. Semi structured interviews were conducted via video calls and were audio recorded and verbatim transcripts were analysed using interpretative phenomenological analysis. Three superordinate themes were generated from the data, representing the three battles fought by the participants: (1) intrapersonal: the tug of war with the secret agent within- the power struggle with symptoms; (2) interpersonal: navigating stigma and self-preservation; (3) systemic: pursuing hope and treatments against helplessness and passivity. Loss of control, feelings of powerlessness and oppression by symptoms is often mirrored in participants' experiences of seeking healthcare and navigating societal stigma. Active efforts to regain influence, improve quality of life and maintain hope can be jeopardised by others' dismissive attitudes and lack of knowledge. Antonovsky's model of salutogenesis is proposed as a useful framework for facilitating empowerment in FMD service provision.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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