Randomized-clinical trial of multidisciplinary approach versus psychoeducation in patients with functional movement disorders: impact to their quality of life and their caregivers' quality of life. Patients with functional movement disorders are randomized in two arms of a one-month treatment (physiotherapy + cognitive-behavioral therapy versus psychoeducational as sham intervention) with a 3-month and 5-month follow-up where the investigators will measure the change in the patients' and caregivers' quality of life. Movement disorders specialists will review the severity of symptoms as blinded raters in the 3th-month and 5th-month follow-up.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
Patients randomly allocated to this arm of intervention will receive an ambulatory therapy regime of twelve 60-minute physiotherapy sessions plus four 60-minute psychotherapy sessions throughout one month of treatment
Patients randomly allocated to this arm of intervention will receive an ambulatory regime of four 60-minute non-organized psychoeducational sessions throughout one month of treatment.
Hospital Universitario Virgen del Rocío / Instituto de Biomedicina de Sevilla (IBiS)
Seville, Spain
Quality of Life in patients with functional movement disorders measured by The 5-level EQ-5D version (EQ-5D-5L) - EQ visual analogue scale
Change in the patients' quality of life measured by changes in EQ-5D-5L - the EQ visual analogue scale (EQ VAS).
Time frame: 3th-month and 5th-month follow-ups
Quality of Life in patients with functional movement disorders measured by The 5-level EQ-5D version (EQ-5D-5L) - EQ-5D descriptive system.
Change in the patients' quality of life measured by changes in EQ-5D-5L - EQ-5D descriptive system. The digits for the five dimensions (mobility, self-care, usual activities, pain/discomfort and anxiety/depression) can be combined into a 5-digit number that describes the patient's health state.
Time frame: 3th-month and 5th-month follow-ups
Quality of Life in patients with functional movement disorders measured by the 36-Item Short Form Health Survey (SF-36)
Change in the patients' quality of life measured by changes in SF-36
Time frame: 3th-month and 5th-month follow-ups
Quality of Life in caregivers of patients with functional movement disorders
Change in the caregivers' quality of life measured by changes in the Zarit Caregiver Burden Interview
Time frame: 3th-month and 5th-month follow-ups
Severity of functional neurological symptoms of patients with functional movement disorders measured by Clinical Global Impressions (CGI) Scale
Change in the patients' symptoms severity measured by changes in the Clinical Global Impressions (CGI) Scale - Severity
Time frame: 3th-month and 5th-month follow-ups
Improvement of functional neurological symptoms of patients with functional movement disorders
Improvement of the patients' symptoms severity measured by the Clinical Global Impressions (CGI) Scale - Improvement
Time frame: 3th-month and 5th-month follow-ups
Severity of functional neurological symptoms of patients with functional movement disorders
Change in the patients' symptoms severity measured by changes in the simplified-Functional Movement Disorders Rating Scale
Time frame: 3th-month and 5th-month follow-ups
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