Conversion disorder and its subtypes: A need for a reclassification


Guz H., Doganay Z., Ozkan A., Colak E., Tomac A., Sarisoy G.

NORDIC JOURNAL OF PSYCHIATRY, vol.57, no.5, pp.377-381, 2003 (SSCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 57 Issue: 5
  • Publication Date: 2003
  • Doi Number: 10.1080/08039480310002723
  • Journal Name: NORDIC JOURNAL OF PSYCHIATRY
  • Journal Indexes: Social Sciences Citation Index (SSCI), Scopus
  • Page Numbers: pp.377-381
  • Keywords: classification, conversion disorder, subtype, NONEPILEPTIC SEIZURES, PSEUDOSEIZURES, PROGNOSIS, NEUROLOGY, BLINDNESS, EPILEPSY
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

Four subtypes of conversion disorder were described in DSM-IV. There are few publications concerning studies aimed at separating the subtypes of the conversion disorder. Usually, pseudoseizures are in focus and attempts are made to differentiate these seizures from other disorders. The aim of the present study has been to investigate differences between the four subtypes of the conversion disorder and to discuss the possibilities for a reclassification. Ninety-five patients were seen by two researchers and diagnosed as conversion disorders. The subtypes were determined according to DSM-IV criteria. All completed the Patients Information Form, developed by the researchers, and the Dissociative Experience Scale ( DES). Twenty-four (25.2%) of the patients had motor symptoms or deficits ( Type 1), 5 (5.2%) sensory symptoms or deficits ( Type 2), 23 (24.2%) seizures or convulsions ( Type 3) and 43 (47.3%) had mixed presentations ( Type 4). There were statistically significant differences between the subtypes as concerns occupation, family history of psychiatric disorders, hospitalizations and place of settlement. Furthermore, the DES scores were statistically different between the groups of patients with different subtypes of conversion disorder.