頁籤選單縮合
題名 | Sex Distribution and Psychiatric Features of Child and Adolescent Conversion Disorder Across 2 Decades=兒童青少年轉化症之性別比例與精神疾患共病性之變化 |
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作 者 | 黃凱琳; 蘇東平; 李鶯僑; 白雅美; 徐如維; 楊誠弘; 陳映雪; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 72:9 2009.09[民98.09] |
頁次 | 頁471-477+CA88 |
分類號 | 415.9517 |
關鍵詞 | 受虐; 轉化症; 性別比例; 精神疾患共病性; Abuse; Conversion disorder; Psychiatric comorbidity; Sex distribution; |
語文 | 英文(English) |
英文摘要 | Background: Earlier research suggested female predominance in adult conversion disorder, and the strong association between conversion disorder and experiences of being abused is well known. However, the data for child and adolescent populations are limited. In Taiwan, the dramatic increase in child abuse may have some impact on the features of child and adolescent conversion disorder. This study aimed to compare the demographic characteristics, psychiatric comorbidity, and experiences of being abused in Taiwanese children and adolescents diagnosed with conversion disorder in psychiatric consultations across 2 decades. Methods: Retrospective and consecutive chart reviews were conducted for child and adolescent patients (< 20 years old) who were newly diagnosed with conversion disorder in psychiatric consultations at Taipei Veterans General Hospital from 1987 to 2006. The first group included patients who were diagnosed between 1987 and 1996 (the first decade), and the second group included patients who were diagnosed between 1997 and 2006 (the second decade). Results: A total of 42 patients diagnosed with conversion disorder were included in this study. Nineteen of the 42 subjects were diagnosed in the first decade (from 1987 to 1996), and 23 in the second decade (from 1997 to 2006). There existed among patients a tendency toward an increasing number of male subjects (p < 0.05), suffering more abuse (p < 0.05), and higher prevalence rates of depression and dysthymia comorbidity (p < 0.05) in the second decade compared to the first. Conclusion: The sex distribution in conversion disorder might have significantly changed over the past 2 decades. There is an increasing need for screening and interventions for psychiatric comorbidity and experiences of being abused in children and adolescents with conversion disorder. Because of the small sample size of our study, further studies that include multiple study sites and a larger number of patients are needed before a firm conclusion can be drawn. |
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