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Women's Issues and Female-specific Factors in Functional Neurological Disorder
Kelly A Boylan1, Primavera A Spagnolo2, Mary Angela O'Neal3
1Department of Neurology, Mass General Brigham, Boston, Massachusetts, United States.
Seminars in Neurology
|December 23, 2025
Summary
Functional neurological disorder (FND) disproportionately affects females, with biological sex differences and gender influencing its development. This review explores FND
Area of Science:
- Neurology
- Neuroscience
- Psychiatry
Background:
- Functional neurological disorder (FND) predominantly impacts females, suggesting biological sex differences play a role.
- Both biological sex and gender identity can influence the presentation and progression of FND.
Purpose of the Study:
- To review the historical context of sex and gender in FND.
- To discuss common comorbidities, hormonal influences, and reproductive factors relevant to FND.
- To outline future research directions for understanding sex and gender in FND.
Main Methods:
- Literature review and synthesis of existing research on sex differences and gender-related factors in FND.
- Analysis of epidemiological data and clinical observations.
- Discussion of hormonal and reproductive health considerations.
Main Results:
- Evidence supports biological sex differences in FND onset and development.
- Gender identity and societal factors significantly impact FND experiences and management.
- Common comorbidities and hormonal/reproductive factors require further investigation.
Conclusions:
- Acknowledging sex and gender differences is crucial for comprehensive FND research and clinical practice.
- Future research should focus on elucidating the specific mechanisms underlying sex and gender influences in FND.
- Personalized approaches considering individual sex and gender are essential for effective FND treatment.
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