Diagnostic communication in functional neurological disorder: A systematic review and meta-analysis of patient acceptance and clinical outcomes.
Patient Educ CounsAug 17, 2026 (epub)
André Ferreira Silva, Bruno Silva
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In 30 seconds
This systematic review and meta-analysis evaluated diagnostic communication in adults with Functional Neurological Disorder (FND). It found that approximately 68% of patients accepted their diagnosis after disclosure, although acceptance rates varied widely. The study included 15 studies, with a meta-analysis of 4 studies involving 481 participants.
Key findings
- Pooled diagnostic acceptance rate was 0.68 (95% CI 0.44-0.88) across studies.
- Acceptance rates varied from 38.7% to 90% depending on assessment timing and method.
- Structured communication was linked to improved understanding and satisfaction.
- Some studies indicated reduced healthcare utilisation following satisfactory diagnostic explanations.
Why it matters
Understanding the dynamics of diagnostic communication in FND is crucial for clinicians, as effective disclosure can influence patient acceptance, satisfaction, and potentially clinical outcomes. Enhanced communication strategies may lead to better patient engagement and management.