Processing of Emotion in Functional Neurological Disorder

@article{1456016,
   author = {Sojka, Petr and Bareš, Martin and Kašpárek, Tomáš and Světlák, Miroslav},
   article_location = {Lausanne},
   article_number = {479},
   doi = {http://dx.doi.org/10.3389/fpsyt.2018.00479},
   keywords = {functional neurological disorder; interoception; emotion; emotional abuse; predictive coding},
   language = {eng},
   issn = {1664-0640},
   journal = {Frontiers in Psychiatry},
   title = {Processing of Emotion in Functional Neurological Disorder},
   volume = {9},
   year = {2018}
}

TY  - JOUR
ID  - 1456016
AU  - Sojka, Petr - Bareš, Martin - Kašpárek, Tomáš - Světlák, Miroslav
PY  - 2018
TI  - Processing of Emotion in Functional Neurological Disorder
JF  - Frontiers in Psychiatry
VL  - 9
IS  - 479
SP  - 1-13
EP  - 1-13
PB  - Frontiers
SN  - 16640640
KW  - functional neurological disorder
KW  - interoception
KW  - emotion
KW  - emotional abuse
KW  - predictive coding
N2  - Emotions have traditionally been considered crucial in the development of functional neurological disorder, but the evidence underpinning this association is not clear. We aimed to summarize evidence for association between functional neurological disorder and emotions as formulated by Breuer and Freud in their conception of hysterical conversion. Based on a systematic literature search, we identified 34 controlled studies and categorized them into four groups: (i) autonomic arousal, (ii) emotion-motion interactions, (iii) social modulation of symptoms, and (iv) bodily awareness in FND. We found evidence for autonomic dysregulation in FND; convergent neuroimaging findings implicate abnormal limbic-motor interactions in response to emotional stimuli in FND. Our results do not provide enough empirical evidence for social modulation of the symptoms, but there is a clinical support for the role of suggestion and placebo in FND. Our results provide evidence for abnormal bodily awareness in FND. Based on these findings, we propose that functional neurological symptoms are forms of emotional reactions shaped into symptoms by previous experience with illness and possibly reinforced by actual social contexts. Additional research should investigate the effect of social context on the intensity of functional neurological symptoms and associated brain regions.
ER  - 

SOJKA, Petr, Martin BAREŠ, Tomáš KAŠPÁREK and Miroslav SVĚTLÁK. Processing of Emotion in Functional Neurological Disorder. \textit{Frontiers in Psychiatry}. Lausanne: Frontiers, vol.~9, No~479, p.~1-13. ISSN~1664-0640. doi:10.3389/fpsyt.2018.00479. 2018.