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Hyperemesis gravidarum as conversion disorder.

R S el-Mallakh1, N R Liebowitz, M S Hale

  • 1Department of Psychiatry, University of Connecticut Health Center, Farmington 06032.

The Journal of Nervous and Mental Disease
|October 1, 1990
PubMed
Summary
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Psychosocial factors contribute to hyperemesis gravidarum (HG). This study identifies HG as a conversion reaction in some cases, suggesting psychodynamic interventions may aid treatment.

Area of Science:

  • Psychiatry
  • Obstetrics
  • Psychosomatic Medicine

Background:

  • Psychosocial factors are recognized in the pathogenesis of emesis gravidarum (morning sickness) and hyperemesis gravidarum (HG).
  • Despite extensive research over 30 years, HG has not been classified as a conversion reaction.

Observation:

  • Two cases of hyperemesis gravidarum are presented.
  • Both patients met the diagnostic criteria for conversion disorder.

Findings:

  • Hyperemesis gravidarum can manifest as a conversion reaction in a subset of patients.
  • Strong psychodynamic conflicts may underlie this potentially dangerous symptom.

Implications:

  • This study suggests a psychodynamic component in certain HG cases.

Related Experiment Videos

  • Dynamic interventions may be a valuable therapeutic option for specific patients with HG.