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Incidence and 12-Month Outcome of Non-Transient Childhood Conversion Disorder in the Uk and Ireland
- Source :
- British Journal of Psychiatry. 202:413-418
- Publication Year :
- 2013
- Publisher :
- Royal College of Psychiatrists, 2013.
-
Abstract
- BackgroundLittle is known about conversion disorder in childhood.AimsTo document clinical incidence, features, management and 12-month outcome of non-transient conversion disorder in under 16-year-olds in the UK and Ireland.MethodSurveillance through the British Paediatric Surveillance Unit and Child and Adolescent Psychiatry Surveillance System.ResultsIn total, 204 cases (age range 7-15 years) were reported, giving a 12-month incidence of 1.30/100 000 (95% CI 1.11-1.52). The most common symptoms were motor weakness and abnormal movements. Presentation with multiple symptoms was the norm. Antecedent stressors were reported for 80.8%, most commonly bullying in school. Most children required in-patient admission with frequent medical investigations. Follow-up at 12 months was available for 147 children, when all conversion disorder symptoms were reported as improved. Most families (91%) accepted a nonmedical explanation of the symptoms either fully or partially.ConclusionsChildhood conversion disorder represents an infrequent but significant clinical burden in the UK and Ireland.
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Weakness
Adolescent
MEDLINE
03 medical and health sciences
0302 clinical medicine
Risk Factors
medicine
Child and adolescent psychiatry
Humans
0501 psychology and cognitive sciences
Child
Psychiatry
Conversion disorder
business.industry
Incidence
Incidence (epidemiology)
05 social sciences
Stressor
Follow up studies
Bullying
Prognosis
medicine.disease
United Kingdom
Abnormal movements
030227 psychiatry
Motor Skills Disorders
Psychiatry and Mental health
Conversion Disorder
Female
medicine.symptom
business
Ireland
Stress, Psychological
Follow-Up Studies
050104 developmental & child psychology
Subjects
Details
- ISSN :
- 14721465 and 00071250
- Volume :
- 202
- Database :
- OpenAIRE
- Journal :
- British Journal of Psychiatry
- Accession number :
- edsair.doi.dedup.....ebf049bd6fdf500c582b4f3b62c1904b