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Conversion Disorder

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1. Conversion and somatic symptom disorders

Conversion and somatic symptom disorders Conversion and somatic symptom disorders - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Conversion and somatic symptom disorders Last reviewed: February 2019 Last updated: March 2018 Summary Conversion and somatic symptom disorders are both categorised as somatic symptom and related disorders, previously termed somatoform disorders. Somatic symptom and related disorders (...) psychiatric conditions benefit overall functioning and recovery. Long-term management involves interrupting perpetuating factors, maintaining the same doctor, and providing strategies for self-efficacy, distress tolerance, coping, and modulating the interaction of anxiety, stress, and physical symptoms. Definition Conversion and somatic symptom disorders are psychiatric conditions that fall under the somatic symptoms and related disorders category of the DSM-5. Somatic symptom and related disorders

2018 BMJ Best Practice

2. Use of functional recovery outcome measures in children and adolescents with somatic symptom disorder and conversion disorder: a systematic review

Use of functional recovery outcome measures in children and adolescents with somatic symptom disorder and conversion disorder: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2019 PROSPERO

3. What relationship do stressful life events, neglect and abuse have with functional neurological disorder (conversion disorder)?

What relationship do stressful life events, neglect and abuse have with functional neurological disorder (conversion disorder)? Functional neurological disorder (conversion disorder) Search National Elf Service Search National Elf Service » » » » What relationship do stressful life events, neglect and abuse have with functional neurological disorder (conversion disorder)? Mar 9 2018 Posted by Functional neurological disorder (conversion disorder) is a common cause of disabling neurological (...) symptoms. Despite its frequency in normal medical practice, it has occupied an unenviable twilight zone in terms of understanding its pathophysiology. The most pervasive idea has been that traumatic life events, in particular childhood trauma, are causal. There is a logical consequence of this idea, encapsulated in the theory of conversion disorder put forward by Breuer and Freud, that treatment of this disorder rests on the uncovering, exploration and resolution of the underlying trauma, through which

2018 The Mental Elf

4. Association of Substance Use Disorders With Conversion From Schizotypal Disorder to Schizophrenia. (PubMed)

Association of Substance Use Disorders With Conversion From Schizotypal Disorder to Schizophrenia. Understanding the role of substance use disorders in conversion from schizotypal disorder to schizophrenia may provide physicians and psychiatrists with important tools for prevention or early detection of schizophrenia.To investigate whether substance use disorders, in particular cannabis use disorder, are associated with conversion to schizophrenia in individuals with schizotypal disorder.This (...) on substance use disorders and receipt of antipsychotics and adjusted for parental history of mental disorders, sex, birth year, and calendar year were used to estimate hazard ratios (HRs) and 95% CIs for conversion to schizophrenia.A total of 2539 participants with incident schizotypal disorder were identified (1448 men [57.0%] and 1091 women [43.0%]; mean [SD] age, 20.9 [4.4] years). After 2 years, 16.3% (95% CI, 14.8%-17.8%) experienced conversion to schizophrenia. After 20 years, the conversion rate

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2018 JAMA psychiatry (Chicago, Ill.)

5. Personality Disorder Symptom Severity Predicts Onset of Mood Episodes and Conversion to Bipolar I Disorder in Individuals with Bipolar Spectrum Disorder (PubMed)

Personality Disorder Symptom Severity Predicts Onset of Mood Episodes and Conversion to Bipolar I Disorder in Individuals with Bipolar Spectrum Disorder Although personality disorders (PDs) are highly comorbid with bipolar spectrum disorders (BSDs), little longitudinal research has been conducted to examine the prospective impact of PD symptoms on the course of BSDs. The aim of this study is to examine whether PD symptom severity predicts shorter time to onset of bipolar mood episodes (...) and conversion to bipolar I disorder over time among individuals with less severe BSDs. Participants (n = 166) with bipolar II disorder, cyclothymia, or bipolar disorder not otherwise specified completed diagnostic interview assessments of PD symptoms and self-report measures of mood symptoms at baseline. They were followed prospectively with diagnostic interviews every 4 months for an average of 3.02 years. Cox proportional hazard regression analyses indicated that overall PD symptom severity significantly

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2017 Journal of abnormal psychology

6. Neural correlates of conversion disorder: overview and meta-analysis of neuroimaging studies on motor conversion disorder. (PubMed)

Neural correlates of conversion disorder: overview and meta-analysis of neuroimaging studies on motor conversion disorder. Conversion Disorders (CD) are prevalent functional disorders. Although the pathogenesis is still not completely understood, an interaction of genetic, neurobiological, and psychosocial factors is quite likely. The aim of this study is to provide a systematic overview on imaging studies on CDs and investigate neuronal areas involved in Motor Conversion Disorders (MCD

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2016 BMC psychiatry

7. Upper extremity conversion disorder in children. (PubMed)

Upper extremity conversion disorder in children. Conversion disorder in children presents a challenge to orthopedic surgeons. The condition is frequently associated with unnecessary diagnostic tests, treatments, and cost. The purpose of this study was to report a series of children with upper extremity conversion disorder to raise awareness for this uncommon condition and to assist with its diagnosis and management.A retrospective review was conducted of 4 pediatric patients with upper (...) extremity conversion disorder at a tertiary pediatric hospital from 2015 to 2017. Medical records were reviewed for patient demographics, including psychiatric history, clinical findings, diagnostic studies, treatment, and cost of care.Patients presented with upper extremity muscle stiffness, unremitting dysmorphic muscle spasms, weakness, pain, very limited shoulder range of motion, and complaints of recurrent shoulder dislocations. All patients had been evaluated by multiple specialists and had

2019 Journal of Shoulder and Elbow Surgery

8. Clinical Profiles and Conversion Rates Among Young Individuals With Autism Spectrum Disorder Who Present to Clinical High Risk For Psychosis Services. (PubMed)

Clinical Profiles and Conversion Rates Among Young Individuals With Autism Spectrum Disorder Who Present to Clinical High Risk For Psychosis Services. The overlap versus independence of autism spectrum disorder (ASD) and schizophrenia is a topic that has garnered the attention of generations of clinicians and scientists. Although high rates of psychotic symptoms have been identified in individuals with ASD, the nature, prevalence, and prognostic significance of subclinical psychotic experiences (...) in ASD remain poorly understood.This study sought to compare baseline characteristics, clinical profiles, and conversion outcomes between young individuals at clinical high risk for psychosis (CHR) who presented with or without a prior ASD diagnosis during the second phase of the North American Prodrome Longitudinal Study (NAPLS, N=764).Patients with CHR and ASD (CHR/ASD+, n=26) tended to exhibit greater social and social cognitive difficulties, but expressed relatively similar levels of core

2019 Journal of the American Academy of Child and Adolescent Psychiatry

9. Editorial: Autism Spectrum Disorders in Individuals at Clinical High Risk for Psychosis: Possible Association With Social Deficits but Not Conversion Rates. (PubMed)

Editorial: Autism Spectrum Disorders in Individuals at Clinical High Risk for Psychosis: Possible Association With Social Deficits but Not Conversion Rates. The relationship between autistic and psychotic disorders has been a subject of considerable scientific debate for a large part of the 20th century before the wider agreement on their distinct nosological status was reached. However, refinement and broadening of these diagnostic constructs, as well as evidence from epidemiological studies (...) and advances in genetics and neuroimaging, still keep their association at the focus of systematic enquiry.1 Several models have been proposed to explain overlapping features and differentiating neurodevelopmental trajectories in these two groups of disorders, with a number of emerging research suggestions providing a framework for future directions.2 These attempts are not merely theoretical; understanding the relative contributions of comorbidity in children and young people presenting

2019 Journal of the American Academy of Child and Adolescent Psychiatry

10. Conversion Disorder Manifesting as Functional Visual Loss. (PubMed)

Conversion Disorder Manifesting as Functional Visual Loss. Children with conversion disorder experience neurological symptoms without a definable organic cause. Clinical presentation of conversion disorders is uncommon in the emergency department (ED).An 11-year-old previously healthy girl presented to the ED for management of lobar pneumonia. She developed acute visual loss subsequent to accidental placement of an intra-arterial cannula in her arm. Clinical assessments by the emergency (...) physician, neurology, ophthalmology, and psychiatry services, and negative neuroimaging studies established the diagnosis of functional visual loss as a manifestation of conversion disorder. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Conversion disorder symptoms are often without any specific markers and do not fit standard clinical guidelines. A comprehensive and step-wise evaluation of unusual clinical presentation by multiple specialties and ancillary test results should be considered

2019 Journal of Emergency Medicine

11. Cognitive Behavioural Therapy and Adjunctive Physical Activity for Functional Movement Disorders (Conversion Disorder): A Pilot, Single-Blinded, Randomized Study. (PubMed)

Cognitive Behavioural Therapy and Adjunctive Physical Activity for Functional Movement Disorders (Conversion Disorder): A Pilot, Single-Blinded, Randomized Study. 27744440 2017 03 30 2018 12 02 1423-0348 85 6 2016 Psychotherapy and psychosomatics Psychother Psychosom Cognitive Behavioural Therapy and Adjunctive Physical Activity for Functional Movement Disorders (Conversion Disorder): A Pilot, Single-Blinded, Randomized Study. 381-383 Dallocchio Carlo C Division of Neurology, Ospedale Civile (...) , Voghera, Italy. Tinazzi Michele M Bombieri Frederica F Arnó Natale N Erro Roberto R eng Letter Randomized Controlled Trial 2016 10 15 Switzerland Psychother Psychosom 0024046 0033-3190 IM Adult Cognitive Behavioral Therapy methods Conversion Disorder therapy Exercise Female Humans London Male Movement Disorders therapy Pilot Projects Psychiatric Status Rating Scales Severity of Illness Index Single-Blind Method Treatment Outcome Young Adult 2015 11 30 2016 05 06 2016 10 31 6 0 2017 3 31 6 0 2016 10 17

2017 Psychotherapy and Psychosomatics Controlled trial quality: uncertain

12. Patterns and predictors of conversion to bipolar disorder in 91 587 individuals diagnosed with unipolar depression. (PubMed)

Patterns and predictors of conversion to bipolar disorder in 91 587 individuals diagnosed with unipolar depression. Conversion from unipolar depression (UD) to bipolar disorder (BD) is a clinically important event that should lead to treatment modifications. Unfortunately, recognition of this transition is often delayed. Therefore, the objective of this study was to identify predictors of diagnostic conversion from UD to BD.Historical prospective cohort study based on 91 587 individuals (...) diagnosed with UD in Danish hospital psychiatry between 1995 and 2016. The association between a series of potential predictors and the conversion from UD to BD during follow-up (702 710 person-years) was estimated by means of Cox regression with death as competing risk.During follow-up, 3910 individuals with UD developed BD. The cumulative incidence of conversion was slightly higher in females (8.7%, 95% CI: 8.2-9.3) compared to males (7.7%, 95% CI: 7.0-8.4). The strongest predictor of conversion from

2018 Acta Psychiatrica Scandinavica

13. Stressful life events and maltreatment in conversion (functional neurological) disorder: systematic review and meta-analysis of case-control studies.

Stressful life events and maltreatment in conversion (functional neurological) disorder: systematic review and meta-analysis of case-control studies. Stressful life events and maltreatment have traditionally been considered crucial in the development of conversion (functional neurological) disorder, but the evidence underpinning this association is not clear. We aimed to assess the association between stressors and functional neurological disorder.We systematically reviewed controlled studies (...) reporting stressors occurring in childhood or adulthood, such as stressful life events and maltreatment (including sexual, physical abuse, and emotional neglect) and functional neurological disorder. We did a meta-analysis, with assessments of methodology, sources of bias, and sensitivity analyses.34 case-control studies, with 1405 patients, were eligible. Studies were of moderate-to-low quality. The frequency of childhood and adulthood stressors was increased in cases compared with controls. Odds

2018 The Lancet. Psychiatry

14. Differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia (PubMed)

Differences in psychopathology and behavioral characteristics of patients affected by conversion motor disorder and organic dystonia Typically, the diagnosis of conversion motor disorder (CMD) is achieved by the exclusion of a wide range of organic illnesses rather than by applying positive criteria. New diagnostic criteria are highly needed in this scenario. The main aim of this study was to explore the use of behavioral features as an inclusion criterion for CMD, taking into account (...) the relationship of the patients with physicians, and comparing the results with those from patients affected by organic dystonia (OD).Patients from the outpatient Movement Disorder Service were assigned to either the CMD or the OD group based on Fahn and Williams criteria. Differences in sociodemographics, disease history, psychopathology, and degree of satisfaction about care received were assessed. Patient-neurologist agreement about the etiological nature of the disorder was also assessed using the k

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2018 Neuropsychiatric disease and treatment

15. When symptoms don’t fit: a case series of conversion disorder in the pediatric otolaryngology practice (PubMed)

When symptoms don’t fit: a case series of conversion disorder in the pediatric otolaryngology practice Conversion disorder refers to functional bodily impairments that can be precipitated by high stress situations including trauma and surgery. Symptoms of conversion disorder may mimic or complicate otolaryngology diseases in the pediatric population.In this report, the authors describe 3 cases of conversion disorder that presented to a pediatric otolaryngology-head and neck surgery practice (...) . This report highlights a unique population of patients who have not previously been investigated. The clinical presentation and management of these cases are discussed in detail. Non-organic otolaryngology symptoms of conversion disorder in the pediatric population are reviewed. In addition, we discuss the challenges faced by clinicians in appropriately identifying and treating these patients and present an approach to management of their care.In this report, the authors highlight the importance

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2018 Journal of Otolaryngology - Head & Neck Surgery

16. Accuracy of Rating Scales and Clinical Measures for Screening of Rapid Eye Movement Sleep Behavior Disorder and for Predicting Conversion to Parkinson’s Disease and Other Synucleinopathies (PubMed)

Accuracy of Rating Scales and Clinical Measures for Screening of Rapid Eye Movement Sleep Behavior Disorder and for Predicting Conversion to Parkinson’s Disease and Other Synucleinopathies Rapid eye movement (REM) sleep behavior disorder (RBD) is characterized by repeated episodes of REM sleep-related vocalizations and/or complex motor behaviors. Definite diagnosis of RBD is based on history and polysomnography, both of which are less accessible due to the lack of trained specialists and high (...) cost. While RBD may be associated with disorders like narcolepsy, focal brain lesions, and encephalitis, idiopathic RBD (iRBD) may convert to Parkinson's disease (PD) and other synucleinopathies in more than 80% of patients and it is to date the most specific clinical prodromal marker of PD. Identification of individuals at high risk for development of PD is becoming one of the most important topics for current PD-related research as well as for future treatment trials targeting prodromal PD

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2018 Frontiers in neurology

17. Prosopagnosia as a Type of Conversion Disorder (PubMed)

Prosopagnosia as a Type of Conversion Disorder Conversion disorder is a common and debilitating condition that remains poorly understood. We present a previously undescribed form of conversion disorder to highlight the complexity of the condition and consider the interplay of factors that produce conversion symptoms.A 50-year-old male presented with acquired prosopagnosia and language impairment. Neuropsychological testing indicated right temporal lobe dysfunction. Extensive work-up outruled (...) an organic aetiology. Reactivation of childhood trauma coincided with the onset of his symptoms. Childhood trauma is known to have adverse effects on the developing brain which may affect an individual's emotional behaviour and coping style. Functional neuroimaging techniques suggest that conversion symptoms may be linked to the disruption of higher order neural circuitry involved in the integration of emotional processing and cortical functioning.We propose that our patient's adverse childhood

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2018 Case reports in psychiatry

18. Huntington's Disease in a Patient Misdiagnosed as Conversion Disorder (PubMed)

Huntington's Disease in a Patient Misdiagnosed as Conversion Disorder Huntington's disease (HD) is an inherited, progressive, and neurodegenerative neuropsychiatric disorder caused by the expansion of cytosine-adenine-guanine (CAG) trinucleotide in Interested Transcript (IT) 15 gene on chromosome 4. This pathology typically presents in individuals aged between 30 and 50 years and the age of onset is inversely correlated with the length of the CAG repeat expansion. It is characterized by chorea (...) , cognitive deficits, and psychiatric symptoms. Usually the psychiatric disorders precede motor and cognitive impairment, Major Depressive Disorder and anxiety disorders being the most common presentations. We present a clinical case of a 65-year-old woman admitted to our Psychiatric Acute Unit. During the 6 years preceding the admission, the patient had clinical assessments made several times by different specialties that focused only on isolated symptoms, disregarding the syndrome as a whole

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2018 Case reports in psychiatry

19. Comprehension of Generalized Conversational Implicatures by Children With and Without Autism Spectrum Disorder (PubMed)

Comprehension of Generalized Conversational Implicatures by Children With and Without Autism Spectrum Disorder This study evaluates the comprehension of generalized conversational implicatures (GCI) in children with and without autism spectrum disorder (ASD), using a GCI test constructed based on the Levinson model, which distinguishes between three types of implicatures: type Q (or scalar: "what is not referred to does not occur"); type I ("by default, it is not necessary to say what can

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2018 Frontiers in psychology

20. A Risk Calculator to Predict the Individual Risk of Conversion From Subthreshold Bipolar Symptoms to Bipolar Disorder I or II in Youth. (PubMed)

A Risk Calculator to Predict the Individual Risk of Conversion From Subthreshold Bipolar Symptoms to Bipolar Disorder I or II in Youth. Youth with subthreshold mania are at increased risk of conversion to bipolar disorder (BP) I/II. Predictors for conversion have been published for the group as a whole. However, risk factors are heterogeneous, indicating the need for personalized risk assessment.One hundred forty youth with BP not otherwise specified (BP-NOS; 6-17 years old) followed through (...) the Course and Outcome of Bipolar Youth (COBY) study with at least 1 follow-up assessment before conversion to BP-I/II were included. Youths were assessed on average every 7 months (median 11.5 years) using standard instruments. Risk predictors reported in the literature were used to build a 5-year risk calculator. Discrimination was measured using the time-dependent area under the curve after 1,000 bootstrap resamples. Calibration was evaluated by comparing observed with predicted probability

2018 Journal of the American Academy of Child and Adolescent Psychiatry

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