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Psychosocial interventions for conversion disorder.

R Ruddy1, A House

  • 1University of Leeds,Academic Unit of Psychiatry & Behavioural Sciences,15 Hyde Terrace,Leeds,UK LS2 9LT. R.A.Ruddy@leeds.ac.uk

The Cochrane Database of Systematic Reviews
|October 20, 2005
PubMed
Summary
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Psychosocial interventions for conversion disorder show potential but require more research. Current studies are limited in number and quality, preventing definitive conclusions on their benefits or harms.

Area of Science:

  • Neurology
  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Conversion disorder involves loss of physical function due to psychological stress.
  • Psychological and social factors are central to conversion disorder theories.
  • Psychosocial interventions are hypothesized to be beneficial.

Purpose of the Study:

  • To evaluate the effectiveness of psychosocial interventions for conversion disorder.
  • Comparisons included standard care, biological interventions, and other psychosocial interventions.

Main Methods:

  • Searched multiple databases and contacted authors for randomized controlled trials.
  • Included trials comparing psychosocial interventions with control groups.
  • Data extraction and quality assessment were performed; relative risks and weighted mean differences were calculated.

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Main Results:

  • Only three studies (n=119) met inclusion criteria.
  • Interventions included paradoxical injunction therapy and hypnosis.
  • All studies were of poor methodological quality, limiting the ability to draw conclusions.

Conclusions:

  • Randomized controlled trials in this area are feasible.
  • Further research is needed to determine the efficacy and safety of psychosocial interventions for conversion disorder.
  • Current evidence is insufficient to support or refute the use of these interventions.