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Movement Disorders
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Movement Disorders
Article . 2013 . Peer-reviewed
License: Wiley Online Library User Agreement
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Response inhibition in motor conversion disorder

Authors: Valerie, Voon; Vindhya, Ekanayake; Edythe, Wiggs; Sarah, Kranick; Rezvan, Ameli; Neil A, Harrison; Mark, Hallett;

Response inhibition in motor conversion disorder

Abstract

ABSTRACTConversion disorders (CDs) are unexplained neurological symptoms presumed to be related to a psychological issue. Studies focusing on conversion paralysis have suggested potential impairments in motor initiation or execution. Here we studied CD patients with aberrant or excessive motor movements and focused on motor response inhibition. We also assessed cognitive measures in multiple domains. We compared 30 CD patients and 30 age‐, sex‐, and education‐matched healthy volunteers on a motor response inhibition task (go/no go), along with verbal motor response inhibition (color‐word interference) and measures of attention, sustained attention, processing speed, language, memory, visuospatial processing, and executive function including planning and verbal fluency. CD patients had greater impairments in commission errors on the go/no go task (P < .001) compared with healthy volunteers, which remained significant after Bonferroni correction for multiple comparisons and after controlling for attention, sustained attention, depression, and anxiety. There were no significant differences in other cognitive measures. We highlight a specific deficit in motor response inhibition that may play a role in impaired inhibition of unwanted movement such as the excessive and aberrant movements seen in motor conversion. Patients with nonepileptic seizures, a different form of conversion disorder, are commonly reported to have lower IQ and multiple cognitive deficits. Our results point toward potential differences between conversion disorder subgroups. © 2013 Movement Disorder Society

Keywords

Adult, Male, Memory Disorders, Movement Disorders, Middle Aged, Neuropsychological Tests, Verbal Learning, Inhibition, Psychological, Conversion Disorder, Case-Control Studies, Reaction Time, Humans, Female, Cognition Disorders

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
30
Top 10%
Top 10%
Top 10%
bronze