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- W2092303939 abstract "Current theories of conversion disorder (CD) propose that motor symptoms are related to heightened self-monitoring and excessive cognitive control of movements. We tested this hypothesis using quantification of performance on a continuous perceptuo-motor task involving quiet standing. Twelve CD patients and matched controls maintained static balance on a force platform under various attention conditions: (1) with eyes open; (2) with eyes closed (requiring enhanced attention to proprioceptive information to regulate posture); and (3) while performing an attention demanding cognitive task. Compared to controls, CD patients displayed a greater decrease in postural stability in the ‘eyes-closed’ versus ‘eyes-open’ condition. In contrast, cognitive distraction led to a normalization of balance in CD. Moreover, sensitivity to the balance interventions correlated significantly with trauma reports and dissociative symptoms. These results indicate that attention plays a crucial role in postural control in CD. More specifically, patients seem to inadvertently use deliberate control of posture (i.e., cognitive investment) of an otherwise nearly automatized perceptuo-motor task. Attentional distraction resulted in a temporary normalization of balance, which may be used to train individuals with CD to guide their attention in a more effective way." @default.
- W2092303939 created "2016-06-24" @default.
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- W2092303939 date "2015-03-01" @default.
- W2092303939 modified "2023-09-30" @default.
- W2092303939 title "Attention and postural control in patients with conversion paresis" @default.
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- W2092303939 doi "https://doi.org/10.1016/j.jpsychores.2014.11.009" @default.
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