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[Conversion disorders in children and adolescents. A multidisciplinary approach]
1Barne- og ungdomspsykiatrisk seksjon, Barneklinikken Rikshospitalet, Oslo.
Summary
Conversion disorders involve physical symptoms without a neurological basis, often seen in girls. Early, multidisciplinary treatment by specialists can improve outcomes for children with these neurological conversion symptoms.
Area of Science:
- Neurology
- Child Psychology
- Psychosomatic Medicine
Background:
- Conversion disorders present as neurological symptoms like paralysis or seizures.
- These symptoms lack an identifiable organic neurological cause upon examination.
- They are more prevalent in girls and typically emerge after age seven.
Observation:
- A correlation exists between a child's conscientious personality and family dynamics.
- Families often exhibit high expectations, health anxiety, and fear of stigma.
- Symptoms can be triggered by physical trauma or infection, with potential links to abuse.
Findings:
- Multiprofessional assessment is crucial for diagnosis and management.
- Involvement of neuropediatricians, therapists, and educators is key.
- A structured treatment approach can mitigate 'doctor shopping' and enhance recovery.
Implications:
- Early and comprehensive intervention improves patient outcomes.
- Understanding family dynamics is vital for effective treatment strategies.
- Addressing psychosomatic aspects is essential for managing conversion disorders in children.