Bourgeois James A., Chang Celia H., Hilty Donald M., Servis Mark E.
*Department of Psychiatry, University of California at Davis Medical Center, 2230 Stockton Boulevard, Sacramento, CA 95817, USA.
Curr Treat Options Neurol. 2002 Nov;4(6):487-497. doi: 10.1007/s11940-002-0016-2.
Conversion disorder, the acute onset of sensory or motor loss unexplained by physical findings, has long been reported in the neurologic and psychiatric literature. It was once thought to be largely covariate with the "hysterical" (now referred to as "histrionic") personality, but recent work finds that conversion disorder more often presents in the absence of this personality disorder. Conversion disorder may also be part of a chronic pattern of physical expression of psychologic distress known as somatization disorder. Other psychiatric illnesses (particularly mood and anxiety disorders) are frequently comorbid, and conversion disorder and their treatment may affect the prognosis of conversion disorder symptoms. The neurologist suspecting a case of conversion disorder is advised to complete a thorough neurologic evaluation, and to have a low threshold for psychiatric consultation, which facilitates prompt comanagement that may increase the likelihood of a return to premorbid function.
转换障碍，即由体格检查无法解释的急性感觉或运动功能丧失，在神经学和精神病学文献中早有报道。它曾被认为在很大程度上与“癔症性”（现称为“表演型”）人格共变，但最近的研究发现，转换障碍更多地出现在没有这种人格障碍的情况下。转换障碍也可能是心理困扰的一种慢性躯体表现模式（即躯体化障碍）的一部分。其他精神疾病（尤其是心境障碍和焦虑症）常与之共病，且这些精神疾病及其治疗可能会影响转换障碍症状的预后。怀疑患有转换障碍的神经科医生建议进行全面的神经学评估，并且对精神科会诊保持较低的门槛，这有助于迅速进行共同管理，从而增加恢复到病前功能的可能性。
