Agrawal M, Chaturvedi P, Dey S
Indian Pediatr. 1989 Mar;26(3):257-62.
Thirty eight cases of childhood hysteria admitted to a rural medical college hospital, were studied for epidemiological characteristics, clinical presentation, precipitating factors and psychosocial environment and behaviour. Hysteria was commonly seen during adolescence (73.2%) and in males (63.2%). It was more common in the lower socio-economic status (60.5%) and in children for nuclear (94.7%) and large size families (81.6%). Eldest or youngest siblings of the families were found to be more prone to develop hysteria. Motor symptoms were most frequently observed (71.1%) and 55.3% cases had more than one symptom at the time of presentation. In a majority of cases hysteria was acute in onset. Precipitating psychological event was identified in 81.6% cases; scolding (26.3%) being the commonest followed by school avoidance (13.2%), examination fear (10.5%) and quarrel with peers (10.5%). Past history of 52.6% of patients of hysteria and 18.4% of their parents revealed subtle behavioural abnormalities. All patients improved with psychotherapy and modification of the psychosocial environment.
对一所乡村医学院附属医院收治的38例儿童癔症患者进行了研究，分析其流行病学特征、临床表现、诱发因素、心理社会环境及行为表现。癔症常见于青少年期（73.2%），男性患者居多（63.2%）。在社会经济地位较低人群中更为常见（60.5%），在核心家庭（94.7%）和大家庭（81.6%）的儿童中也较为多见。发现家庭中的老大或老小更容易患癔症。运动症状最为常见（71.1%），55.3%的患者在就诊时有不止一种症状。大多数病例癔症起病急。81.6%的病例可确定有诱发心理事件；责骂（26.3%）最为常见，其次是逃学（13.2%）、考试恐惧（10.5%）和与同伴争吵（10.5%）。52.6%的癔症患者及其18.4%的父母有既往轻微行为异常史。所有患者经心理治疗及心理社会环境调整后均有改善。
