Universidad Peruana Cayetano Heredia

Functional neurological disorder and functional somatic syndromes among sexual and gender minority people: A scoping review.

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dc.contributor.author Lerario, Mackenzie P.
dc.contributor.author Fusunyan, Mark
dc.contributor.author Stave, Christopher D.
dc.contributor.author Roldan Galarreta, Valeria Alessandra
dc.contributor.author Keuroghlian, Alex S.
dc.contributor.author Turban, Jack
dc.contributor.author Perez, David L.
dc.contributor.author Maschi, Tina
dc.contributor.author Rosendale, Nicole
dc.date.accessioned 2023-10-12T15:30:08Z
dc.date.available 2023-10-12T15:30:08Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14282
dc.description.abstract OBJECTIVE: To describe the current literature on functional neurological disorder and functional somatic syndromes among sexual and gender minority people (SGM). METHODS: A search string with descriptors of SGM identity and functional disorders was entered into PubMed, Embase, Web of Science, PsycInfo, and CINAHL for articles published before May 24, 2022, yielding 3121 items entered into Covidence, where 835 duplicates were removed. A neurologist and neuropsychiatrist screened titles and abstracts based on predefined criteria, followed by full-text review. A third neurologist adjudicated discrepancies. Eligible publications underwent systematic data extraction and statistical description. RESULTS: Our search identified 26 articles on functional disorders among SGM people. Most articles were case (13/26, 46%) or cross-sectional (4/26, 15%) studies. Gender minority people were represented in 50% of studies. Reported diagnoses included fibromyalgia (n = 8), functional neurological disorder (n = 8), somatic symptom disorder (n = 5), chronic fatigue syndrome (n = 3), irritable bowel syndrome (n = 2), and other functional conditions (n = 3). Three cohort studies of fibromyalgia or somatic symptom disorder reported an overrepresentation of gender minority people compared to cisgender cohorts or general population measures. Approximately half of case studies reported pediatric or adolescent onset (7/13, 54%), functional neurological disorder diagnosis (7/13, 54%), and symptom improvement coinciding with identity-affirming therapeutic interventions (7/13, 58%). CONCLUSION: Despite a methodologically rigorous literature search, there are limited data on functional neurological disorder and functional somatic syndromes among SGM people. Several studies reported increased prevalence of select conditions among transgender people. More observational studies are needed regarding the epidemiology and clinical course of functional disorders among SGM people. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Journal of Psychosomatic Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Functional disorders en_US
dc.subject Functional neurological disorder en_US
dc.subject Health disparities en_US
dc.subject Fibromyalgia en_US
dc.subject Somatoform disorders en_US
dc.subject Sexual and gender minority health en_US
dc.subject.mesh Trastornos de Conversión
dc.subject.mesh Disparidades en Atención de Salud
dc.subject.mesh Fibromialgia
dc.subject.mesh Trastornos Somatomorfos
dc.subject.mesh Minorías Sexuales y de Género
dc.title Functional neurological disorder and functional somatic syndromes among sexual and gender minority people: A scoping review. en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1016/j.jpsychores.2023.111491
dc.relation.issn 1879-1360


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