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[Child with extreme regression after migration and trauma]
Tijdschrift Voor Psychiatrie
|June 27, 2018
Summary
A 12-year-old boy experienced extreme regression, diagnosed as pervasive refusal syndrome (PRS), a severe conversion disorder. Multidisciplinary treatment led to slow recovery over two years, highlighting the need for more case reports.
Area of Science:
- Psychiatry
- Developmental Psychology
- Pediatric Neurology
Background:
- Pervasive refusal syndrome (PRS) is a rare disorder characterized by extreme behavioral regression.
- PRS is considered an extreme manifestation of conversion disorder, impacting psychological and functional states.
Observation:
- A 12-year-old asylum-seeking boy exhibited profound developmental regression to a toddler stage following a minor traffic accident.
- The patient presented with symptoms indicative of pervasive refusal syndrome (PRS).
Findings:
- A multidisciplinary, supportive, and stimulating treatment approach was implemented, considering various influential factors.
- The boy demonstrated a slow but steady recovery, regaining adequate functionality over a two-year period.
Implications:
- This case underscores the complexity of pervasive refusal syndrome (PRS) and conversion disorders in children.
- Further case reports are crucial for enhancing the understanding and treatment strategies for PRS.
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