Leslie S A
Department of Child and Family Psychiatry, Booth Hall Children's Hospital, Manchester.
Arch Dis Child. 1988 May;63(5):506-11. doi: 10.1136/adc.63.5.506.
Twenty children with hysterical conversion reactions were reviewed. The ways in which they became ill, the attitudes of their families to their illnesses and their underlying personal problems were noted. Treatment comprised avoiding unnecessary investigations and removing symptoms by using graded exercises given by physiotherapists. Exploration of the underlying psychological problems took place at a pace with which the family could cope because many families were reluctant at first to accept that the illness was psychological. Seventeen of the 20 children recovered completely within three months of starting treatment. The results show that early diagnosis and close liaison between paediatricians, physiotherapists, and child psychiatrists are necessary if prolonged handicap is to be avoided.
对20名患有癔症性转换反应的儿童进行了回顾性研究。记录了他们发病的方式、家人对其疾病的态度以及潜在的个人问题。治疗包括避免不必要的检查，并通过物理治疗师提供的分级锻炼来消除症状。对潜在心理问题的探究以家庭能够应对的节奏进行，因为许多家庭起初不愿接受疾病是心理性的这一事实。20名儿童中有17名在开始治疗后的三个月内完全康复。结果表明，若要避免长期残疾，儿科医生、物理治疗师和儿童精神科医生之间的早期诊断和密切联系是必要的。
