Clinical, Socio-Demographic Profile and Stressors in Patients with Conversion/Dissociative Disorders: An Exploratory Study from Southern India

2021 ◽  
Vol 2021 ◽  
Author(s):  
Abu Bashar

Background Patients present with ‘conversion disorder’ as a response to the underlying stressful conditions. It is clinically important to evaluate the presence, type, and temporal relation of the stressors resulting in conversion. Further knowing the Socio-demographic and psychological profile of the conversion patient helps in their better management. Aim To study the clinical features and presentations, Socio-demographic characteristics, and underlying psychosocial stressors associated with conversion disorder.Material & Methods Fifty patients admitted to the department of psychiatry, NRI Medical College and Hospital, Vishakhapatnam, India from 1st January 2013 to 31st December, 2014 who fulfilled the inclusion criteria of the study were evaluated for socio-demographic characteristics, clinical presentations, and stressors on a semi-structured proforma.Results Majority of the patients with conversion symptoms were children and young adults (74.0%), females (62.0%), students (46.0%), currently married (54.0%) and those living in nuclear families (78.0%) and having rural background (62.0%). Socioeconomic status wise, majority (66.0%) of the patients belonged to middle class. Majority of the patients (92.0%) had a recognizable precipitating factor, of which family-related/marital (36.0%) and education/school-related (18.0%) problems accounted for the major types. Purely motor symptoms were the predominant presentation (84.0%) with unresponsiveness /syncopal attack and pseudo seizure being the commonest.Conclusion Conversion disorders are commonly seen in females, children and young adults, students and in those people belonging to middle class in socioeconomic status and rural areas. Underlying psychosocial stressors could be identifiable in majority of the cases of conversion disorder. 

2021 ◽  
Author(s):  
Ravi Bammidi ◽  
K. Suresh Abu Kumar ◽  
MD Abu Bashar

Abstract Background Patients present with ‘conversion disorder’ as a response to the underlying stressful situation. It is clinically important to evaluate the presence, type, and temporal relation of the stressors resulting in conversion. Further knowing the Socio-demographic and psychological profile of the conversion patient helps in better management. Aim To study the clinical presentations, Socio-demographic characteristics and underlying stressors associated with conversion disorder. Methods Fifty patients admitted to the department of psychiatry, NRI Medical College and Hospital, Vishakhapatnam, during January 2013 to December, 2014 who fulfilled the inclusion criteria of the study were evaluated for Socio-demographic characteristics, clinical presentations and stressor on a semi-structured proforma. Results Majority of the patients with conversion symptoms were children and young adults (74.0%), females (62.0%), students (46.0%), married (54.0%) and those from nuclear families (78.0%) and rural background (62.0%). Socioeconomic status wise, majority (66.0%) of the patients belonged to middle class. Majority of the patients (92.0%) had a recognizable precipitating factor, of which family-related/marital (36.0%) and education/school-related (18.0%) problems accounted for the major types. Purely motor symptoms were the predominant presentation (84.0%) with unresponsiveness /syncopal attack and pseudo seizure being the commonest. Conclusion Conversion disorders are commonly seen in females, children and young adults, students and in those belonged to middle class in socioeconomic status and rural areas. Underlying psycho-social stressors could be identified in majority of the cases of conversion disorder.


2010 ◽  
Vol 17 (04) ◽  
pp. 715-720
Author(s):  
NIAZ MAQSOOD ◽  
BUSHRA AKRAM ◽  
WAJID ALI

Objectives: To assess the frequency of the various psychosocial stressors and stressful life events in patients presenting with conversion disorder. Study Design: Case series study. Place & Duration of Study: The study was conducted in the Department of Psychiatry & Behavioural Sciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur from January, 2009 to March, 2009. Subjects & Methods: The sample consisted of 100 in-patients (89 Female, 11 Male) with Conversion Disorder. They were interviewed andresults were analysed from the entries in a Performa. Results: Stressors were clearly identified in 100 patients. In all patients, we found more than one stressor. Among patients, there were (24%) In-laws problems, (23%) Love problems, (21%) Relationship problems with family, (20%) exam/study stress, (15%) marriage against will, (13%) demanding and pampered child, (11%) Issue less, (10%) sexual abuse, (8%) demand of marriage, (6%) overage in wait of marriage, (4%) death of partner, (3%) husband abroad and (3%) patient’s engagement break. Conclusions: We concluded that stressors and life events were present in all conversion disorder’s patients and these stressful life events are important causal factors for Conversion Disorder. Conversion Disorder has strong relationship with psychosocial stressors. 


2017 ◽  
Vol 21 (3) ◽  
pp. e12561 ◽  
Author(s):  
Qijing Yu ◽  
Ana M. Daugherty ◽  
Dana M. Anderson ◽  
Mayu Nishimura ◽  
David Brush ◽  
...  

2021 ◽  
pp. 1-7
Author(s):  
Elysia Alvarez ◽  
Thuy Le ◽  
Justine Kahn ◽  
Lena Winestone ◽  
Qian Li ◽  
...  

2019 ◽  
pp. 23-38
Author(s):  
Isabel Röskau-Rydel ◽  

Antonina Domańska (1853–1917). Writer’s Domestic Environment The children’s author Antonina Domańska (1853–1917) came from a well-known Kraków middle-class family of German-Austrian descent. Joseph Kremer, the progenitor and grandfather of Antonina, was granted his rights as a citizen of the City of Krakow in 1796. His three sons, Józef, Karol and Aleksander (the father of Antonina) all received a thorough education and in time became accomplished figures of Polish science and arts. Aleksander Kremer (1813–1880) starting in 1842 lived in Kamieniec Podolski and worked there as a doctor. There, he married Modesta Płońska who in 1853 gave birth to their daughter, Antonina. After the fall of the January Uprising of 1863, the family was forced to leave Russian-occupied Poland and return to Krakow. Here Antonina Kremer obtained her education in a boarding school for girls; in 1874 she married Stanisław Domański, a surgeon. She took care of the household and looked after her five children, two of which survived into adulthood. Beginning in 1890, Antonina Domańska took to writing stories for children and young adults. She maintained close contacts with the family of Lucjan Rydel Sr, a medical doctor, whose wife Helena, the daughter of prof. Józef Kremer, was her cousin. But it Isabel Röskau-Rydel was her cousin’s son, the poet and writer Lucjan Rydel Jr (1870–1918), who – as the correspondence between them readily shows – inspired her in her literary endeavours, advised her on publishing her works and was a trustworthy partner for discussions on possible topics for her tales for children and young adults.


2019 ◽  
Vol 17 (1) ◽  
pp. 43-46
Author(s):  
Rekha K. Jalan ◽  
Jyoti Adhikari ◽  
Mohan Belbase

Introduction: Somatoform disorders are characterized by physical symptoms that suggest a medical condition, and which are not fully explainable by general medical condition, or by the direct effects of a substance, or by another mental disorder. Objectives: to study the socio-demographic characteristics and psychosocial stressors in children and adolescents with somatoform disorders. Methods: From 1st January, 2018 to 30th  June 2018, Children and adolescents from 3 to 18 years of age with unexplained physical st thsymptoms were evaluated using DSM – IV criteria. Detailed evaluation followed for those meeting inclusion criteria. Results: Among 65 patients (18, 27.69% boys and 47, 72.31% girls) meeting inclusion criteria, conversion disorder was the most common (37, 56.92%), followed by undifferentiated somatoform disorder (15, 23.08%). Girls were significantly more represented among conversion disorder patients compared to other groups of somatoform disorders (68.08% vs. 27.78%, X2 =8.63, p<0.01) Stressors 2 were identified in 95% and acute precipitating stressors were present in 75% patients. Both the boys and girls had significantly higher rates of academic problems. Boys found to have social and environmental problems while girls had problems in primary support group. Conclusion: Somatoform disorder, particularly conversion disorder is more common and it is found more in girls. Academic problems, poor interpersonal relations and conflict in the family are the important psychosocial stressors.


2014 ◽  
Vol 21 (03) ◽  
pp. 489-494
Author(s):  
Niaz Maqsood ◽  
Bushra Akram ◽  
Naima Luqman ◽  
Rizwana Amin

Objective: Frequency of the psychosocial stressors and stressful life events inchildren presenting with conversion disorder. Study design: A descriptive study. Place &duration of study: The study was conducted in the Department of Psychiatry & BehaviouralSciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur fromJanuary, 2010 to October, 2010. Subjects & methods: The sample consisted of 100 in-patients(62 Female, 38 Male) with Conversion Disorder. They were interviewed and results were analysedfrom the entries in a Performa. The Presumptive Stressful life Events Scale (PSLES) wasadministered by an open ended interview to elicit major life events in the past 10 months.Results: Stressors were clearly identified in 100 patients. In all patients, we found more than onestressor. Among patients, there were (29%) Educational and study stressors, (20%) Parent’sdeath / Separation, (20%) Sexual Abuse, (14%) Sibling Rivalry, (13%) Pampered / DemandingChild, (10%) Attention Seeking, (8%) Peer Group Problems, (8%) Improper Parenting, (8%)Learned behaviour, (7%) Emotional Involvement Issues, (5%) Habit of stealing and (4%) AdoptedChild. Conclusions: We concluded that stressors and life events were present in all conversiondisorder’s patients and these stressful life events are important causal factors for ConversionDisorder. Severe and sudden emotional stress serves to precipitate conversion reaction inpredisposed children. The symptom serves to solve the conflict and the gain obtained served toperpetuate the illness.


Heliyon ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e03476 ◽  
Author(s):  
Loke Kar May ◽  
Arlene Yu Mei Shian ◽  
Callum Durward ◽  
Jayakumar Jayaraman

PLoS ONE ◽  
2018 ◽  
Vol 13 (5) ◽  
pp. e0196449 ◽  
Author(s):  
Magda Bosch de Basea ◽  
Ana Espinosa ◽  
Mariona Gil ◽  
Jordi Figuerola ◽  
Marina Pardina ◽  
...  

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