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Attachment State of Mind and complex traumatization in patients with Functional Motor Disorder (Motor Conversion

Cristina Civilotti1, Veronica Nisticò2,3,4, Roberta Tedesco2

  • 1Department of Psychology, Università di Torino, Via Verdi 10, 10124, Torino, Italy.

Brain, Behavior, & Immunity - Health
|December 10, 2024
PubMed
Summary

Functional Motor Disorder (FMD) patients show higher rates of insecure attachment and unresolved childhood trauma compared to healthy controls. These factors significantly increase the likelihood of developing FMD.

Keywords:
AttachmentConversion DisorderFunctional Motor DisorderState of MindTrauma

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Area of Science:

  • Neurology
  • Psychology
  • Psychiatry

Background:

  • Functional Motor Disorder (FMD) presents with neurological symptoms unexplained by conventional diseases.
  • The influence of psychological factors, particularly attachment, on FMD is not well understood.

Purpose of the Study:

  • To investigate the Attachment State of Mind (SoM) in FMD patients using the Adult Attachment Interview (AAI).
  • To examine the association between attachment styles, unresolved childhood trauma, and FMD.

Main Methods:

  • Thirty FMD patients and 30 healthy controls (HC) completed the AAI.
  • Attachment SoM was classified (Secure, Dismissing, Entangled, Unresolved).
  • Childhood adverse experiences were assessed using the Complex Trauma Questionnaire (ComplexTQ).

Main Results:

  • FMD patients exhibited a higher prevalence of Insecure SoM (73.3%) compared to HC (46.7%).
  • Insecure SoM was associated with a threefold increased likelihood of FMD.
  • Unresolved trauma was more common in FMD patients (46.7%) and increased FMD likelihood fourfold.
  • FMD patients reported higher rates of childhood neglect, maternal physical abuse, and parental loss.

Conclusions:

  • FMD is significantly associated with insecure attachment and unresolved childhood trauma.
  • Findings support the role of psychological factors in FMD etiology.
  • Results have implications for understanding FMD pathophysiology and developing therapeutic interventions.