Zhixu Fang1,2,3,4,5, Yuhang Li1,2,3,4,5, Lingling Xie1,2,3,4,5, Min Cheng1,2,3,4,5, Jiannan Ma1,2,3,4,5, Tingsong Li1,2,3,4,5, Xiujuan Li1,2,3,4,5, Li Jiang6,7,8,9,10. 1. Department of Neurology, Children's Hospital of Chongqing Medical University, No. 136, Zhongshan Er Road, Yuzhong District, Chongqing City, 400014, China. 2. Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, 400014, China. 3. National Clinical Research Center for Child Health and Disorders, Chongqing, 400014, China. 4. China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China. 5. Chongqing Key Laboratory of Pediatrics, Chongqing, China. 6. Department of Neurology, Children's Hospital of Chongqing Medical University, No. 136, Zhongshan Er Road, Yuzhong District, Chongqing City, 400014, China. dr_jiangli@hotmail.com. 7. Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, 400014, China. dr_jiangli@hotmail.com. 8. National Clinical Research Center for Child Health and Disorders, Chongqing, 400014, China. dr_jiangli@hotmail.com. 9. China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China. dr_jiangli@hotmail.com. 10. Chongqing Key Laboratory of Pediatrics, Chongqing, China. dr_jiangli@hotmail.com.
Abstract
BACKGROUND: Dissociative (conversion) disorder in children is a complex biopsychosocial disorder with high rates of medical and psychiatric comorbidities. We sought to identify the characteristics and outcomes of children with dissociative (conversion) disorders in western China. METHODS: We conducted a retrospective cohort study of 66 children admitted with dissociative (conversion) disorders from January 2017 to July 2019, and analyzed their clinical characteristics, socio-cultural environmental variables, and personality and psychiatric/psychological characteristics. Binary logistic regression was used to analyze the variables associated with clinical efficacy. RESULTS: Of these 66 patients, 38 (57.6%) were male and 28 (42.4%) were female, 46 (69.7%) had an antecedent stressor, 30 (45.5%) were left-behind adolescents, and 16 (24.2%) were from single-parent families. In addition, 30 patients (45.5%) were not close to their parents, 38 patients (59.4%) had an introverted personality, and 34 (53.1%) had unstable emotions. Thirteen families (19.7%) were uncooperative with the treatment. Patients who had cormorbid anxiety or depression exhibited significantly lower cognitive ability (P < 0.01). Logistic regression found that better treatment outcomes were positively associated with having a close relationship with parents, parental cooperation with treatment, and having a father with a lower level of education (i.e., less than junior college or higher). CONCLUSIONS: The characteristics and outcomes of children with dissociative (conversion) disorders are related to socio-cultural environmental variables and psychiatric/psychological factors. Timely recognition and effective treatment of dissociative (conversion) disorders are important.
BACKGROUND: Dissociative (conversion) disorder in children is a complex biopsychosocial disorder with high rates of medical and psychiatric comorbidities. We sought to identify the characteristics and outcomes of children with dissociative (conversion) disorders in western China. METHODS: We conducted a retrospective cohort study of 66 children admitted with dissociative (conversion) disorders from January 2017 to July 2019, and analyzed their clinical characteristics, socio-cultural environmental variables, and personality and psychiatric/psychological characteristics. Binary logistic regression was used to analyze the variables associated with clinical efficacy. RESULTS: Of these 66 patients, 38 (57.6%) were male and 28 (42.4%) were female, 46 (69.7%) had an antecedent stressor, 30 (45.5%) were left-behind adolescents, and 16 (24.2%) were from single-parent families. In addition, 30 patients (45.5%) were not close to their parents, 38 patients (59.4%) had an introverted personality, and 34 (53.1%) had unstable emotions. Thirteen families (19.7%) were uncooperative with the treatment. Patients who had cormorbid anxiety or depression exhibited significantly lower cognitive ability (P < 0.01). Logistic regression found that better treatment outcomes were positively associated with having a close relationship with parents, parental cooperation with treatment, and having a father with a lower level of education (i.e., less than junior college or higher). CONCLUSIONS: The characteristics and outcomes of children with dissociative (conversion) disorders are related to socio-cultural environmental variables and psychiatric/psychological factors. Timely recognition and effective treatment of dissociative (conversion) disorders are important.
Authors: Claudio M de Gusmão; Réjean M Guerriero; Miya Elizabeth Bernson-Leung; Danielle Pier; Patricia I Ibeziako; Simona Bujoreanu; Kiran P Maski; David K Urion; Jeff L Waugh Journal: Pediatr Neurol Date: 2014-04-15 Impact factor: 3.372
Authors: Laura B Brown; Timothy R Nicholson; Selma Aybek; Richard A Kanaan; Anthony S David Journal: J Neuropsychol Date: 2013-04-15 Impact factor: 2.864