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转换障碍的结局:一项随访研究。

Outcome in conversion disorder: a follow up study.

作者信息

Couprie W, Wijdicks E F, Rooijmans H G, van Gijn J

机构信息

University Department of Neurology, Utrecht, The Netherlands.

出版信息

J Neurol Neurosurg Psychiatry. 1995 Jun;58(6):750-2. doi: 10.1136/jnnp.58.6.750.

Abstract

Fifty six patients who had been admitted with a conversion disorder other than pseudoseizures were interviewed; mostly by telephone. The median interval was 4.5 years. If a patient had improved during a stay in hospital the eventual outcome was good in 96%, against only 30% in the others (risk ratio 3.2 (95% CI 1.8-5.6)). Rapid improvement was, in turn, related to recent onset of the symptoms. Two patients (4%) subsequently developed an organic deficit that, in retrospect, might be related to the initial episode.

摘要

对56名因除假性癫痫外的转换障碍入院的患者进行了访谈;大多通过电话进行。中位间隔时间为4.5年。如果患者在住院期间病情有所改善,最终结局良好的比例为96%,而其他患者中这一比例仅为30%(风险比3.2(95%可信区间1.8 - 5.6))。病情迅速改善又与症状近期发作有关。两名患者(4%)随后出现了器质性缺损,事后回想起来,这可能与最初的发作有关。

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本文引用的文献

1
The prognosis of certain hysterical symptoms.某些癔症症状的预后
Br Med J. 1949 Jun 18;1(4615):1076-9. doi: 10.1136/bmj.1.4615.1076.
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Hysterical conversion: a prognostic study.癔症性转换:一项预后研究。
Br J Psychiatry. 1980 Jun;136:548-51. doi: 10.1192/bjp.136.6.548.
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