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Pain in Functional Motor Disorders: Clinical Correlates From the Italian Registry.

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Title: Pain in Functional Motor Disorders: Clinical Correlates From the Italian Registry.
Authors: Nisticò, Veronica (AUTHOR), Demartini, Benedetta (AUTHOR), Geroin, Christian (AUTHOR), Marcuzzo, Enrico (AUTHOR), Sandri, Angela (AUTHOR), Romito, Luigi Michele (AUTHOR), Eleopra, Roberto (AUTHOR), Tesolin, Lucia (AUTHOR), de Bertoldi, Francesco (AUTHOR), Nicoletti, Alessandra (AUTHOR), Mostile, Giovanni (AUTHOR), Modugno, Nicola (AUTHOR), Olivola, Enrica (AUTHOR), Pilotto, Andrea (AUTHOR), Magliozzi, Alessandro (AUTHOR), Ercoli, Tommaso (AUTHOR), Defazio, Giovanni (AUTHOR), Petracca, Martina (AUTHOR), Dallocchio, Carlo (AUTHOR), De Micco, Rosa (AUTHOR)
Source: European Journal of Neurology. May2026, Vol. 33 Issue 5, p1-13. 13p.
Subjects: Fibromyalgia, Symptoms, Epilepsy, Suffering, Quality of life, Anxiety, Movement disorders, Medical registries
Abstract: Background: Pain is a frequent and disabling symptom in patients with Functional Motor Disorders (FMD), yet its clinical correlates and impact have not been characterized in large, representative cohorts. The aims of this study were to identify clinical predictors and correlates of pain intensity and interference among FMD patients. Methods: We conducted a cross‐sectional analysis within the Italian Registry of Functional Motor Disorders, including 466 adults with FMD recruited from 25 movement disorders centers. Pain was assessed using the Brief Pain Inventory (BPI), which captures pain experienced during the 24 h prior to assessment, alongside sociodemographic, clinical, and psychometric data on depression, anxiety, alexithymia, fatigue, and quality of life. Results: Pain was reported by 78.8% of participants. Fibromyalgia strongly predicted pain, whereas comorbid epilepsy was linked to reduced risk. The presence of pain was associated with a poorer self‐reported sense of physical health. Among patients with pain, higher intensity and interference were associated with younger age, Restless Legs Syndrome, Irritable Bowel Syndrome, physical trauma as a precipitating factor for FMD, anxiety, and poorer physical and mental health. Painkillers were prescribed to 41.6% of patients, yet 39.27% reported pain despite medications, and 39.48% had pain while not receiving analgesics. Conclusions: Pain is highly prevalent in FMD when assessed over the previous 24 h and is frequently reported in patients who are either not receiving analgesics or continue to experience pain despite treatment. Multiple factors influence its intensity and interference in daily life. Longitudinal studies are needed to clarify causal relationships and to inform pain management strategies. [ABSTRACT FROM AUTHOR]
Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Pain in Functional Motor Disorders: Clinical Correlates From the Italian Registry.
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  Data: <searchLink fieldCode="AR" term="%22Nisticò%2C+Veronica%22">Nisticò, Veronica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Demartini%2C+Benedetta%22">Demartini, Benedetta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Geroin%2C+Christian%22">Geroin, Christian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marcuzzo%2C+Enrico%22">Marcuzzo, Enrico</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sandri%2C+Angela%22">Sandri, Angela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Romito%2C+Luigi+Michele%22">Romito, Luigi Michele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Eleopra%2C+Roberto%22">Eleopra, Roberto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tesolin%2C+Lucia%22">Tesolin, Lucia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Bertoldi%2C+Francesco%22">de Bertoldi, Francesco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nicoletti%2C+Alessandra%22">Nicoletti, Alessandra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mostile%2C+Giovanni%22">Mostile, Giovanni</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Modugno%2C+Nicola%22">Modugno, Nicola</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Olivola%2C+Enrica%22">Olivola, Enrica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pilotto%2C+Andrea%22">Pilotto, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Magliozzi%2C+Alessandro%22">Magliozzi, Alessandro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ercoli%2C+Tommaso%22">Ercoli, Tommaso</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Defazio%2C+Giovanni%22">Defazio, Giovanni</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Petracca%2C+Martina%22">Petracca, Martina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dallocchio%2C+Carlo%22">Dallocchio, Carlo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Micco%2C+Rosa%22">De Micco, Rosa</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Journal+of+Neurology%22">European Journal of Neurology</searchLink>. May2026, Vol. 33 Issue 5, p1-13. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Fibromyalgia%22">Fibromyalgia</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Epilepsy%22">Epilepsy</searchLink><br /><searchLink fieldCode="DE" term="%22Suffering%22">Suffering</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Movement+disorders%22">Movement disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+registries%22">Medical registries</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Pain is a frequent and disabling symptom in patients with Functional Motor Disorders (FMD), yet its clinical correlates and impact have not been characterized in large, representative cohorts. The aims of this study were to identify clinical predictors and correlates of pain intensity and interference among FMD patients. Methods: We conducted a cross‐sectional analysis within the Italian Registry of Functional Motor Disorders, including 466 adults with FMD recruited from 25 movement disorders centers. Pain was assessed using the Brief Pain Inventory (BPI), which captures pain experienced during the 24 h prior to assessment, alongside sociodemographic, clinical, and psychometric data on depression, anxiety, alexithymia, fatigue, and quality of life. Results: Pain was reported by 78.8% of participants. Fibromyalgia strongly predicted pain, whereas comorbid epilepsy was linked to reduced risk. The presence of pain was associated with a poorer self‐reported sense of physical health. Among patients with pain, higher intensity and interference were associated with younger age, Restless Legs Syndrome, Irritable Bowel Syndrome, physical trauma as a precipitating factor for FMD, anxiety, and poorer physical and mental health. Painkillers were prescribed to 41.6% of patients, yet 39.27% reported pain despite medications, and 39.48% had pain while not receiving analgesics. Conclusions: Pain is highly prevalent in FMD when assessed over the previous 24 h and is frequently reported in patients who are either not receiving analgesics or continue to experience pain despite treatment. Multiple factors influence its intensity and interference in daily life. Longitudinal studies are needed to clarify causal relationships and to inform pain management strategies. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194135693
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        Value: 10.1111/ene.70634
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        Text: English
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        PageCount: 13
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              Text: May2026
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