Incidence and 12-month outcome of non-transient childhood conversion disorder in the UK and Ireland
Incidence and 12-month outcome of non-transient childhood conversion disorder in the UK and Ireland
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DOI：
10.1192/bjp.bp.112.116707
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发表时间：
2013-06-01
影响因子：
10.5
通讯作者：
Garralda, Elena
中科院分区：
文献类型：
--
作者：
Ani, Cornelius;Reading, Richard;Garralda, Elena
背景对儿童期转换障碍知之甚少。目的记录英国和爱尔兰16岁以下儿童非暂时性转换障碍的临床发病率、特征、治疗和12个月的结局。方法通过英国儿科监测单位和儿童和青少年精神病学监测系统进行监测。结果共204例（年龄范围7-15岁），12个月发生率为1.30/100 000（95% CI 1.11-1.52）。最常见的症状是运动无力和运动异常。以多种症状表现是正常的。80.8%的人报告了先前的压力源，最常见的是学校里的欺凌。大多数儿童需要住院治疗，并经常进行医疗检查。147名儿童在12个月时进行了随访，所有转换障碍症状均报告为改善。大多数家庭（91%）接受了非医学解释的症状完全或部分conclusionsChildhood转换障碍是一种罕见的，但在英国和爱尔兰显着的临床负担。
BackgroundLittle is known about conversion disorder in childhood.AimsTo document clinical incidence, features, management and 12-month outcome of non-transient conversion disorder in under 16-year-olds in the UK and Ireland.MethodSurveillance through the British Paediatric Surveillance Unit and Child and Adolescent Psychiatry Surveillance System.ResultsIn total, 204 cases (age range 7-15 years) were reported, giving a 12-month incidence of 1.30/100 000 (95% CI 1.11-1.52). The most common symptoms were motor weakness and abnormal movements. Presentation with multiple symptoms was the norm. Antecedent stressors were reported for 80.8%, most commonly bullying in school. Most children required in-patient admission with frequent medical investigations. Follow-up at 12 months was available for 147 children, when all conversion disorder symptoms were reported as improved. Most families (91%) accepted a non-medical explanation of the symptoms either fully or partially.ConclusionsChildhood conversion disorder represents an infrequent but significant clinical burden in the UK and Ireland.