Psychoeducational Diagnosis Communication Impact on Illness Perception, Satisfaction, and Behavior in Functional Neurological Movement Disorders Using a Within-Subject Intervention Design

What this Trial Is About

Functional neurological movement disorders are common conditions that can cause significant limitations in daily life and result from a functional brain disorder. Researchers are studying how a clear, detailed, and empathetic explanation of the diagnosis affects patients' understanding of their condition, symptom progression, and their experience of communication with their doctor. The study also includes a one-time brain imaging scan to explore possible differences in brain function related to symptom changes and quality of life. Participants will receive a structured psychoeducational communication session delivered by physicians using a 14-step framework designed to explain the diagnosis of functional movement disorders. This approach aims to foster a shared understanding of the condition, validate patient experiences, and support rehabilitation efforts. The study follows a within-subject design, with assessments at baseline, before diagnosis, immediately after diagnosis, four weeks later, and three months later. During the study, participants will complete questionnaires and undergo assessments related to illness perception, symptom burden, trust in diagnosis, communication quality, and intentions about seeking additional medical opinions. Physicians' confidence in communicating the diagnosis will also be evaluated. A one-time MRI scan will be performed to examine brain anatomy and function. The total participation period includes a four-week waiting phase without intervention, followed by multiple follow-up assessments to monitor changes over time.

The Effect of Psychoeducational Diagnosis Communication on Perception of Illness, Satisfaction, and Behavioral Intentions Among Patients With Functional Neurological Movement Disorders