Functional neurological disorder in Europe: regional differences in education and health policy Article Swipe
Tereza Serranová
,
Ilaria Antonella Di Vico
,
Michèle Tinazzi
,
Selma Aybek
,
Ervina Bilić
,
Stefanie Binzer
,
Erlend Bøen
,
Arnout Bruggeman
,
Christo Bratanov
,
Verónica Cabreira
,
Dawn Golder
,
Anna Dunalska
,
Cristian Falup‐Pecurariu
,
Béatrice Garcin
,
Jeannette Gelauff
,
Aoife Laffan
,
Simon Podnar
,
Isabel Pareés
,
Tom Plender
,
Stoyan Popkirov
,
V.I. Romanenko
,
Petra Schwingenschuh
,
Yury Seliverstov
,
C. David Sjöström
,
Matěj Škorvánek
,
María Stamelou
,
Donatas Zailskas
,
Mark J. Edwards
,
Jon Stone
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/ene.16350
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/ene.16350
Background Functional neurological disorder (FND) is a common cause of neurological disability. Despite recent advances in pathophysiological understanding and treatments, application of this knowledge to clinical practice is variable and limited. Objective Our aim was to provide an expert overview of the state of affairs of FND practice across Europe, focusing on education and training, access to specialized care, reimbursement and disability policies, and academic and patient‐led representation of people with FND. Methods We conducted a survey across Europe, featuring one expert per country. We asked experts to compare training and services for people with FND to those provided to people with multiple sclerosis (MS). Results Responses from 25 countries revealed that only five included FND as a mandatory part of neurological training, while teaching about MS was uniformly included. FND was part of final neurology examinations in 3/17 countries, unlike MS that was included in all 17. Seventeen countries reported neurologists with an interest in FND but the estimated mean ratio of FND‐interested neurologists to MS neurologists was 1:20. FND coding varied, with psychiatric coding for FND impacting treatment access and disability benefits in the majority of countries. Twenty countries reported services refusing to see FND patients. Eight countries reported an FND special interest group or network; 11 reported patient‐led organizations. Conclusions FND is largely a marginal topic within European neurology training and there is limited access to specialized care and disability benefits for people with FND across Europe. We discuss how this issue can be addressed at an academic, healthcare and patient organization level.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/ene.16350
- OA Status
- gold
- Cited By
- 9
- References
- 35
- Related Works
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- OpenAlex ID
- https://openalex.org/W4401613087
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4401613087Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/ene.16350Digital Object Identifier
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Functional neurological disorder in Europe: regional differences in education and health policyWork title
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articleOpenAlex work type
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enPrimary language
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2024Year of publication
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2024-08-15Full publication date if available
- Authors
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Tereza Serranová, Ilaria Antonella Di Vico, Michèle Tinazzi, Selma Aybek, Ervina Bilić, Stefanie Binzer, Erlend Bøen, Arnout Bruggeman, Christo Bratanov, Verónica Cabreira, Dawn Golder, Anna Dunalska, Cristian Falup‐Pecurariu, Béatrice Garcin, Jeannette Gelauff, Aoife Laffan, Simon Podnar, Isabel Pareés, Tom Plender, Stoyan Popkirov, V.I. Romanenko, Petra Schwingenschuh, Yury Seliverstov, C. David Sjöström, Matěj Škorvánek, María Stamelou, Donatas Zailskas, Mark J. Edwards, Jon StoneList of authors in order
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https://doi.org/10.1111/ene.16350Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1111/ene.16350Direct OA link when available
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Medicine, PsychiatryTop concepts (fields/topics) attached by OpenAlex
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9Total citation count in OpenAlex
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2025: 8, 2024: 1Per-year citation counts (last 5 years)
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35Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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