Conversion and dissociative disorders in the Sultanate of Oman.
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Biomedical subjects
Publications and source records attributed to S P Chand.
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OBJECTIVE: To study the clinical manifestations and psychosocial aspects of dissociative (conversion) disorders (DD) in the Sultanate of Oman. METHOD: A retrospective analysis was made of data derived from case records of patients admitted as in-patients to the Sultan Qaboos University Hospital, Oman, over a period of 8 years. RESULTS: A higher prevalence of DD was noted in Oman compared to western countries. The female preponderance was less marked in Oman. The most common presentations were dissociative convulsions, dissociative motor and dissociative trance disorders. Interpersonal difficulties with family and academic problems were the important identified precipitants. CONCLUSION: The study highlights the characteristic clinical and psychosocial features of the dissociative phenomena in Oman.
This report outlines a unique case of pseudoseizures associated with doll phobia in a young adult. Early recognition and treatment directed at the aetiological factors led to the effective treatment of the pseudoseizures and doll phobia.
Koro, in its complete, classic form has been described as a culture bound syndrome. It usually occurs in otherwise healthy individuals in the context of acute, severe anxiety. The incomplete form of Koro is said to occur as part of a recognizable primary psychiatric disorder. A case report is presented for the first time of Koro in association with phobia for AIDS. A cognitive-behavioral approach was utilized in the management of the AIDS phobia and symptoms of Koro.
Brain damage has been reported to be associated with the onset of panic disorder. We report a case of panic disorder with agoraphobia (PDA) after recovery from tuberculous meningitis (TBM). The CT brain showed cerebral oedema and basal meningeal enhancement. On recovery from the TBM, the patient developed PDA as well as features of depression. She was treated with alprazolam, amitryptline and underwent behaviour therapy over a period of 18 months. At the end of this period, the patient showed improvement but had not reached her pre-morbid level of functioning. The possibilities of brain damage as aetiological factors for PDA are discussed.