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Conversion Disorder in an Appalachian Community.

Sarah Slocum1, Suzanne Holroyd1

  • 1From the Department of Psychiatry and Behavioral Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia.

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|August 5, 2016
PubMed
Summary
This summary is machine-generated.

Conversion disorder (CD) prevalence in rural Appalachia was 6.0%. This study found younger patients with CD had more trauma and neurological issues, not supporting theories of higher prevalence in rural or lower socioeconomic groups.

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Area of Science:

  • Psychiatry
  • Neurology
  • Epidemiology

Background:

  • Conversion disorder (CD) involves physical/neurological symptoms without organic cause.
  • Literature on CD prevalence in rural areas is sparse.
  • No prior studies evaluated CD prevalence in rural Appalachian populations.

Purpose of the Study:

  • Determine the prevalence of CD in a rural Appalachian psychiatric consultation service.
  • Characterize the demographic and clinical features of CD in this population.
  • Compare CD patients with control patients from the same service.

Main Methods:

  • Retrospective chart review of patients diagnosed with CD (DSM-5 criteria).
  • Inclusion of 21 CD cases and 42 controls from a rural Appalachian academic medical center.
  • Data collection on sociodemographics, comorbidities, and symptomatology.

Main Results:

  • The prevalence of CD was 6.0% (21/351).
  • CD cases were younger and more likely to have a history of sexual abuse, seizure disorder, and prior neurological referrals/testing.
  • Fewer CD cases reported alcohol and drug use compared to controls.

Conclusions:

  • The 6.0% CD prevalence does not support historical theories of higher prevalence in rural or lower socioeconomic populations.
  • This study provides characterization of CD within the Appalachian population.
  • Findings highlight specific comorbidities and risk factors in this unique demographic.