Functional neurological (conversion) symptoms mediate the effect of self-stigma in women seeking psychological help on their psychological well-being

Authors

Keywords:

Functional neurological symptom disorder, Conversion disorder, Psychological well-being, Self-stigma, Mediation analysis

Abstract

Aim: This study aimed to examine the effect of self-stigma of seeking psychological help on psychological well-being in patients diagnosed with functional neurological symptom disorder (formerly conversion disorder) through conversion symptoms.

Materials and Methods: In this cross-sectional study, the Self-Stigma of Seeking Psychological Help Scale (SSPHS), Psychological Well-Being Scale (PWBS), and Somatoform Dissociation Questionnaire (SDQ-20) were administered to the FNSD and HC groups.

Results: The FNSD group consisting of 31 females (12 motor (M)-FNSD, 9 somatosensory (SS)-FNSD, and 10 mixed-FNSD) and the HC group consisting of 32 females were similar in terms of age (p = 0.350), education level (p = 0.386), marital status (p = 0.579), and working status (p = 0.136). Significant differences were observed between the FNSD and HC groups in terms of SSPHS (p<0.001), PWBS (p<0.001), and SDQ-20 (p<0.001). Significant differences were observed between the M-FNSD, SS-FNSD, and Mix-FNSD subgroups in terms of SDQ-20 (p = 0.034), SSPHS (p = 0.028), and PWBS (p = 0.015). The comparison that caused significant differences in terms of SDQ-20, SSPHS, and PWBS scores among the FNSD subgroups was between M-FNSD and Mix-FNSD. The mediating role of the FNSD symptom level (SDQ-20) in the relationship between SPH and PW was examined. The indirect effect of SPH on PW was determined as -0.436 (49.65%). The direct effect of SPH on PW was determined as -0.442 (50.35%). In the correlation analysis performed in the FNSD group, a significant relationship was found between SSPHS and SDQ-20 (r=0.921, p<0.001), between SSPHS and PWBS (r=-0.879, p<0.001), and between PWBS and SDQ-20 (r=-0.882, p<0.001).

Conclusion: This study demonstrates that SPH increases and PW decreases in FNSD and that FNSD symptoms mediate the relationship between SPH and PW.

Downloads

Download data is not yet available.

Downloads

Published

2025-09-25

Issue

Section

Original Articles

How to Cite

1.
Functional neurological (conversion) symptoms mediate the effect of self-stigma in women seeking psychological help on their psychological well-being. Ann Med Res [Internet]. 2025 Sep. 25 [cited 2025 Oct. 7];32(9):401-7. Available from: http://www.annalsmedres.org/index.php/aomr/article/view/4861