Bammidi Ravi, Ravipati Lakshmi Prasad, Bashar Md Abu, Kumar Kota Suresh
Department of Psychiatry, NRI Medical College, Vishakhapatnam, Andhra Pradesh, India.
Department of Psychiatry, NRI Medical College, Guntur, Andhra Pradesh, India.
Ind Psychiatry J. 2020 Jul-Dec;29(2):222-227. doi: 10.4103/ipj.ipj_100_20. Epub 2021 Mar 15.
Patients present with "conversion disorder" as a response to any underlying stressful situation. It is clinically important to evaluate the presence, type, and temporal relation of the stressors, resulting in conversion. Further, knowing the sociodemographic and psychological profile of the conversion patient helps in better management.
The aim of the study was to study the clinical presentations, sociodemographic characteristics, and underlying stressors associated with conversion disorder.
Fifty patients admitted to the Department of Psychiatry, NRI Medical College and Hospital, Guntur, Andhra Pradesh, from January 2013 to December 2014, who fulfilled the inclusion criteria of the study were evaluated for sociodemographic characteristics, clinical presentations, and stressor on a semi-structured pro forma.
Majority of the patients with conversion symptoms were children and young adults (74.0%), females (62.0%), students (46.0%), married (54.0%), and those from nuclear families (78.0%) and rural background (62.0%). Socioeconomic status wise, majority (66.0%) of the patients belonged to middle class. Majority of the patients (92.0%) had a recognizable precipitating factor, of which family-related/marital (36.0%) and education/school-related (18.0%) problems accounted for the major types. Purely motor symptoms were the predominant presentation (84.0%) with unresponsiveness/syncopal attack and pseudo seizure being the commonest.
Conversion disorders are commonly seen in females, children and young adults, students, and in those belonged to middle class in socioeconomic status and rural areas. They are mostly preceded by identifiable psychosocial stressors.
患者出现“转换障碍”是对任何潜在应激情况的一种反应。评估导致转换的应激源的存在、类型及时间关系在临床上很重要。此外，了解转换障碍患者的社会人口统计学和心理特征有助于更好地进行管理。
本研究的目的是研究与转换障碍相关的临床表现、社会人口统计学特征及潜在应激源。
2013年1月至2014年12月期间，入住印度安得拉邦贡图尔市NRI医学院医院精神科的50例符合本研究纳入标准的患者，通过半结构化表格对其社会人口统计学特征、临床表现及应激源进行评估。
出现转换症状的患者多数为儿童和年轻人（74.0%）、女性（62.0%）、学生（46.0%）、已婚（54.0%），来自核心家庭（78.0%）且为农村背景（62.0%）。在社会经济地位方面，多数患者（66.0%）属于中产阶级。多数患者（92.0%）有可识别的诱发因素，其中与家庭/婚姻相关（36.0%）和与教育/学校相关（18.0%）的问题占主要类型。单纯运动症状是主要表现形式（84.0%），无反应/晕厥发作和假性癫痫最为常见。
转换障碍常见于女性、儿童和年轻人、学生以及社会经济地位为中产阶级且来自农村地区的人群。它们大多 preceded by identifiable psychosocial stressors.（此处原文可能有误，若按字面翻译为“ preceded by identifiable psychosocial stressors”是“由可识别的心理社会应激源引起”，但结合上文推测可能是“在……之前有可识别的心理社会应激源” ）之前有可识别的心理社会应激源。
