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Updated: Jun 10, 2026

Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging

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Abreaction for conversion disorder: systematic review with meta-analysis.

Norman A Poole¹, Axel Wuerz, Niruj Agrawal

¹St Bartholomew's Hospital, East London Foundation Trust, West Smithfield, London EC1A 7BE, UK. norman.poole@googlemail.com

The British Journal of Psychiatry : the Journal of Mental Science

|August 4, 2010

Summary

This summary is machine-generated.

Drug interviews may benefit conversion disorder treatment, especially for resistant cases. Suggestion and emotional release during interviews correlate with recovery, but more research is needed.

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Area of Science:

Psychiatry
Psychopharmacology
Dissociative Disorders

Background:

The efficacy of drug interviews for conversion disorder remains largely unestablished.
Conversion disorder, also known as dissociative disorder, presents complex treatment challenges.

Purpose of the Study:

To systematically review English-language literature on drug interviews for conversion/dissociative disorder.
To identify predictors of treatment response through meta-analysis.

Main Methods:

Comprehensive database searches (EMBASE, MEDLINE, PsycINFO) from 1920-2009.
Inclusion of studies reporting drug interviews in conversion/dissociative disorder patients.
Qualitative and quantitative data extraction with meta-analytic techniques for predictor analysis.

Main Results:

55 relevant papers were identified; no studies utilized control groups.
Two studies indicated high response rates in treatment-resistant conversion disorder.
Meta-analysis revealed suggestion and emotional catharsis positively predicted recovery, while polypharmacy and comorbid psychiatric disorders predicted poorer outcomes.

Conclusions:

Evidence for drug interviews in conversion disorder is limited but suggests potential benefits for acute and treatment-resistant cases.
Proactive suggestion during interviews may enhance treatment outcomes.
Conventional treatment is recommended for comorbid psychiatric disorders; further experimental studies are necessary to confirm efficacy.