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Conversion Disorder Comorbidity and Childhood Trauma.

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Conversion disorder (CD) in women is linked to childhood trauma, depression, and anxiety. Addressing past trauma and comorbidities is crucial for effective treatment and better outcomes.

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Medicine

Background:

  • Conversion disorder (CD) requires further detailed analysis within healthcare settings.
  • Understanding the socio-demographic and clinical profile of CD patients is essential.

Purpose of the Study:

  • To investigate the socio-demographic and clinical characteristics of patients with conversion disorder.
  • To examine the prevalence of comorbidity and the association with childhood traumatic experiences in CD patients.

Main Methods:

  • A study involving 60 female patients diagnosed with conversion disorder (DSM-IV criteria).
  • Utilized questionnaires for sociodemographic data, clinical characteristics, and trauma history (CTQ, DES).
  • Employed rating scales including BPRS, HDRS, and HARS for symptom assessment.

Main Results:

  • The average age of participants was 36.27 years, with most being married and primary school graduates.
  • Common symptoms included asthenia, aphasia, and crying-convulsions.
  • High rates of comorbid depression (50%) and dissociative disorders (48.3%) were observed.
  • A significant positive correlation was found between childhood abuse (emotional, physical, sexual) and dissociative events (DES scores).

Conclusions:

  • Conversion disorder is often complicated by comorbid mental health conditions and a history of trauma.
  • Integrating the assessment of comorbidities and past traumatic experiences into treatment plans can improve patient prognosis.