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Behavior therapy in dissociative convulsions disorder.

Tabassum Khattak1, Saeed Farooq, Bahrawar Jan

  • 1Department of Psychiatry, PGMI/Lady Reading Hospital, Peshawar, Pakistan. dr_tabassum@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|June 8, 2006
PubMed
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Behavioral therapy significantly reduced symptoms and improved anxiety and depression in patients with dissociative disorder compared to routine care alone. This intervention offers a more effective management strategy.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Medicine

Background:

  • Dissociative disorders present complex management challenges.
  • Routine clinical care may not fully address symptom remission.
  • Behavioral interventions are increasingly explored for psychiatric conditions.

Purpose of the Study:

  • To compare the efficacy of behavioral therapy combined with routine clinical care versus routine care alone in managing dissociative disorder symptoms.
  • To assess the impact on symptom frequency, anxiety, and depression.

Main Methods:

  • A randomized controlled trial involving 100 patients with dissociative disorder.
  • Patients were allocated to either an intervention group (behavioral therapy + routine care) or a control group (routine care only).

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  • Symptom frequency, anxiety, and depression were assessed at discharge and during four weeks of follow-up using standardized scales.

    • Main Results:

    • No significant baseline differences were observed between the groups.
    • The intervention group demonstrated a highly significant reduction in symptom frequency at discharge and during follow-up (p=0.000).
    • Patients receiving behavioral intervention showed significantly greater improvement in anxiety and depression scores (p=0.000).

    Conclusions:

    • Behavioral intervention is a more effective management strategy for conversion disorder than standard clinical practice.
    • This approach leads to better symptom remission and psychological well-being.
    • Findings support the integration of behavioral therapy into routine care for dissociative disorders.