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PubMed1988

Clinical features of conversion disorder.

This study reviewed the case notes of 52 children diagnosed as suffering from hysterical conversion during admission to a paediatric teaching hospital over a 10 year period. The disorder was rare below 8 years of age and girls outnumbered boys three to one. Altogether 75% of the children presented during spring and summer; at the time of end of year exams and the beginning of the new school year. The presentation was usually polysymptomatic with gait disturbance being the main complaint in 36 children. Sensory abnormality, predominantly pain, was present in 40 children; this indicates a strong association between psychogenic pain and conversion disorder in children. At discharge 32 were completely recovered or had appreciably improved. There was a core group that presented particular difficulties with diagnosis and showed little positive response to treatment.

Adolescent↗
PubMed1990

Inpatient treatment of conversion disorder: a clinical investigation of outcome.

In a retrospective survey, a group of 220 patients with conversion symptoms was subdivided according to clinical findings at the time of discharge. The longer the duration of the symptom and the older the patient, the less was the beneficial effect of treatment. One particular problem with therapy for conversion symptoms lies in the fact that, in his own eyes, the patient is not psychologically ill, but physically ill. Time and again, it proved a therapeutic blind alley to try and convince the patient that the cause of his conversion symptoms was 'purely psychological'. Special guidelines for therapy of conversion symptoms are derived.

Adult↗
PubMed1989

Conversion disorder (DSM-III 300.11): symptomatology and course in childhood and adolescence.

The incidence, age and sex distribution, symptomatology, psychosocial stress factors and course of conversion symptoms in a child and adolescent psychiatric patient sample were studied. Under the age of 10 conversion symptoms are comparatively rare and consequently require careful diagnosis, particularly regarding visual and hearing defects. Predominant conversion symptoms are seizures, gait problems and paralysis.

Adolescent↗