Clinical Tutor, Department of Psychiatry, Christian Medical College, Vellore-2.
Indian J Psychiatry. 1980 Jan;22(1):63-8.
A clinical study of 276 patients diagnosed as Hysteria in the Department of Psychiatry, Unit-2, Christian Medical College, Vellore, during the period of 1970-1974 is described.This group of 276 patients formed 10.81% of the total new consultations during this period. 61.2% of these were females. The peak age of onset was 10-20 years. The majority were married. 75% of them had conversion symptoms, 20.3% had dissociative states, and 4.7% had both features. 52.5% showed possible precipitating factors. 66.0% h i d features of extraversion in their personality make up. 14.1% showed evidence of parental deprivation. There was over-representation of the early born. Somatic symptoms (aches and pains) was the most common mode of presentation. The other common clinical manifestations were fainting attacks, "fits", vomiting, involuntary movements and paralysis of limbs. The immediate follow up showed that 11 patients recovered, 120 improved, 3 were unchanged and 1 patient became worse. Only 93 patients could be contacted for the final follow up. Among these, 28 recovered completely; 50 were improved; 2 became worse and 2 died.It is emphasized that Hysteria continues to remain a clinical entity.
描述了 1970 年至 1974 年期间在韦洛尔基督教医学院第二单元精神病科被诊断为癔症的 276 名患者的临床研究。这组 276 名患者占该期间新咨询患者总数的 10.81%。其中 61.2%为女性。发病的高峰年龄为 10-20 岁。大多数已婚。其中 75%有转换症状，20.3%有分离状态，4.7%两者兼有。52.5%有明显的诱发因素。66.0%的患者在人格构成上表现出外向特征。14.1%有父母剥夺的证据。早生儿的比例过高。躯体症状（疼痛）是最常见的表现形式。其他常见的临床表现包括晕厥发作、“发作”、呕吐、不自主运动和四肢瘫痪。即时随访显示，11 名患者康复，120 名患者好转，3 名患者无变化，1 名患者病情恶化。只有 93 名患者可以联系进行最终随访。在这些患者中，28 名完全康复；50 名好转；2 名恶化，2 名死亡。强调癔症仍然是一种临床实体。
