Levita, L. orcid.org/0000-0001-6002-6817, Mayberry, E., Mehmood, A. et al. (1 more author) (2020) Evaluation of LiNES : a new measure of trauma, negative affect, and relationship insecurity over the life span in persons with FND. The Journal of Neuropsychiatry and Clinical Neurosciences, 32 (1). pp. 43-49. ISSN 0895-0172
Abstract
Objective:
The authors evaluated potential predisposing vulnerabilities and perpetuating factors among individuals with functional neurological disorder (FND) by using the novel Lifespan Negative Experiences Scale (LiNES), which assesses retrospective self-report of interpersonal trauma, negative affect, and relationship insecurity at three developmental stages: childhood, adolescence, and adulthood.
Methods:
The LiNES, Childhood Abuse and Trauma Scale (CATS), Relationship Scales Questionnaire (RSQ), and Positive and Negative Affect Schedule (PANAS) were administered to 71 individuals with FND. The reliability and validity of LiNES were examined by correlation with the other measures. FND patients’ responses on LiNES were compared with those of 170 healthy control subjects.
Results:
LiNES scores in the FND group were internally consistent and correlated highly with CATS, RSQ, and PANAS scores. At each developmental stage, LiNES trauma scores were higher among patients with FND, compared with control subjects. The FND subgroup, which comprised patients who also had nonepileptic attack disorder, had higher trauma scores, compared with the FND-only subgroup. Compared with control subjects, patients with FND reported greater negative affect and relationship insecurity in adulthood. Lifetime LiNES scores for interpersonal trauma and relationship insecurity predicted FND group classification with >80% accuracy.
Conclusions:
This study provides further support for the links between FND and trauma, negative affect, and insecure attachment. Recognition of these factors is likely to be important for treatment and stratification of important subpopulations in research. These findings provide new insights into the association between the timing of negative experiences and their effect, with LiNES emerging as a potentially useful measure for patients presenting with FND.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 American Psychiatric Association Publishing. This is an author-produced version of a paper subsequently published in The Journal of Neuropsychiatry and Clinical Neurosciences. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Functional Neurological Symptom Disorder; Life Experiences; Interpersonal Trauma; Attachment; Negative Affect |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) The University of Sheffield > Sheffield Teaching Hospitals |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 07 Jan 2020 12:32 |
Last Modified: | 19 Oct 2021 13:35 |
Status: | Published |
Publisher: | American Psychiatric Association Publishing |
Refereed: | Yes |
Identification Number: | 10.1176/appi.neuropsych.19050121 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:155336 |