Assessment of Clinical, Socio-demographic Profile and Stressors in patients with Conversion/Dissociative Disorders: An Exploratory study from Southern India

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.

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

Health Sciences ◽

10.15342/hs.2021.438 ◽

2021 ◽

Vol 2021 ◽

Author(s):

Abu Bashar

Keyword(s):

Socioeconomic Status ◽

Young Adults ◽

Middle Class ◽

Rural Areas ◽

Conversion Disorder ◽

Demographic Characteristics ◽

Psychosocial Stressors ◽

Medical College ◽

Conversion Disorders ◽

Children And Young Adults

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.

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Socioeconomic status and hippocampal volume in children and young adults

Developmental Science ◽

10.1111/desc.12561 ◽

2017 ◽

Vol 21 (3) ◽

pp. e12561 ◽

Cited By ~ 23

Author(s):

Qijing Yu ◽

Ana M. Daugherty ◽

Dana M. Anderson ◽

Mayu Nishimura ◽

David Brush ◽

...

Keyword(s):

Socioeconomic Status ◽

Young Adults ◽

Hippocampal Volume ◽

Children And Young Adults

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Comorbidities and socioeconomic status are predictors of survival in children and young adults with Burkitt lymphoma

Leukemia & Lymphoma ◽

10.1080/10428194.2021.1932873 ◽

2021 ◽

pp. 1-7

Author(s):

Elysia Alvarez ◽

Thuy Le ◽

Justine Kahn ◽

Lena Winestone ◽

Qian Li ◽

...

Keyword(s):

Socioeconomic Status ◽

Young Adults ◽

Burkitt Lymphoma ◽

Children And Young Adults

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Antonina Domańska (1853–1917). W środowisku rodzinnym Kremerów

10.24917/9788380844193.2 ◽

2019 ◽

pp. 23-38

Author(s):

Isabel Röskau-Rydel ◽

Keyword(s):

Young Adults ◽

Middle Class ◽

Boarding School ◽

Medical Doctor ◽

Domestic Environment ◽

Middle Class Family ◽

The Family ◽

Children And Young Adults ◽

The City ◽

Close Contacts

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.

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A method of estimating age of undocumented children and young adults of different socioeconomic status in Cambodia

Heliyon ◽

10.1016/j.heliyon.2020.e03476 ◽

2020 ◽

Vol 6 (2) ◽

pp. e03476 ◽

Cited By ~ 1

Author(s):

Loke Kar May ◽

Arlene Yu Mei Shian ◽

Callum Durward ◽

Jayakumar Jayaraman

Keyword(s):

Socioeconomic Status ◽

Young Adults ◽

Children And Young Adults

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The Impact of Sex on Arterial Ischemic Stroke in Young Patients: From Stroke Occurrence to Poststroke Consequences

Children ◽

10.3390/children8030238 ◽

2021 ◽

Vol 8 (3) ◽

pp. 238

Author(s):

Beata Sarecka-Hujar ◽

Ilona Kopyta

Keyword(s):

Young Adults ◽

Ischemic Stroke ◽

Young Patients ◽

Protective Role ◽

Arterial Ischemic Stroke ◽

Clinical Presentations ◽

Children And Young Adults ◽

The Subject ◽

The Impact

The male sex has been suggested to predominate in paediatric patients with arterial ischemic stroke (AIS), especially in newborns. The explanation for this phenomenon remains unsatisfactory since it focuses on the analysis of the potential relationship with trauma and arterial dissection. In turn, in some populations of young adults, men suffer from AIS more frequently than women, which may be related to the protective role of oestrogen. On the other hand, certain data indicate that women dominate over men. Some of the disparities in the frequencies of particular symptoms of AIS and poststroke consequences in both children and young adults have been suggested; however, data are scarce. Unfortunately, the low number of studies on the subject does not allow certain conclusions to be drawn. For adults, more data are available for patients aged over 60 years, the results of which are more obvious. The present literature review aimed to discuss available data on the prevalence of AIS, its clinical presentations, and poststroke consequences in regard to the sex of young patients. We considered young patients to be children from birth up to the age of 19 years of life and young adults to be individuals up to the age of 55 years. The role of sex hormones in AIS and possible gender differences in genetic risk factors for AIS were also discussed briefly.

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