Pehlivantürk B, Unal F
Department of Child and Adolescent Psychiatry, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Turk J Pediatr. 2000 Apr-Jun;42(2):132-7.
The aim of this study was to determine some of the demographical and clinical characteristics of conversion disorder in children and adolescents and to ascertain comorbidity with depressive and anxiety disorders. For this purpose 51 children and adolescents (mean age: 13.2 +/- 1.9, range: 9-16 years) who met DSM-IV criteria for conversion disorder were compared with a control group. The subjects of this study were mostly postpubertal girls, and pseudoseizure was the most frequent presentation. Misdiagnoses were frequent among these patients. Eight (15.7%) patients received a comorbid diagnosis of major depression and 19 (37.2%) patients had comorbid anxiety disorders according to DSM-IV diagnostic criteria. Significant differences between the two groups on depression and anxiety scales supported the clinical findings. It was concluded that clinicians should screen every patient with conversion disorder for major depression and anxiety disorders for a better outcome.
本研究的目的是确定儿童和青少年转换障碍的一些人口统计学和临床特征，并确定其与抑郁和焦虑障碍的共病情况。为此，将51名符合DSM-IV转换障碍标准的儿童和青少年（平均年龄：13.2±1.9岁，范围：9 - 16岁）与一个对照组进行比较。本研究的受试者大多是青春期后的女孩，假性癫痫是最常见的表现。这些患者中误诊很常见。根据DSM-IV诊断标准，8名（15.7%）患者被诊断为合并重度抑郁症，19名（37.2%）患者患有合并焦虑障碍。两组在抑郁和焦虑量表上的显著差异支持了临床发现。得出的结论是，临床医生应对每一位转换障碍患者进行重度抑郁症和焦虑障碍的筛查，以获得更好的治疗效果。
