Behavioral management of conversion disorder in children

Gooch, Judith L.; Wolcott, Roger; Speed, John

doi:10.1016/s0003-9993(97)90031-9

Cited by 43 publications

(47 citation statements)

References 11 publications

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“…Dubowitz and Herzov [8] emphasized that a psychiatric assessment should be requested to help diagnosis and assessment of underlying precipitants or prolonging factors. However, this study, like others [7,10,22,24], noted that psychiatry referral is not always easy given the resistance of some children and their families to psychiatric intervention. The aim was to move the emphasis from the physical to the psychological aspect of the illness at a pace the family could cope with.…”

Section: Discussionmentioning

confidence: 50%

Idiopathic gait disorder among in-patients with acquired gait disorders admitted to a children's hospital

Wassmer

Wright

Rideout

et al. 2002

Pediatric Rehabilitation

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Many children are admitted to hospital for treatment of an acquired gait disorder. Some gait disorders have a definite underlying physical cause and some are idiopathic. A literature review shows that there have been few attempts to estimate the incidence or prevalence of idiopathic gait disorder in children. The economic and social impact may be substantial with regard to therapy and investigations and school absence, respectively. This study attempted to estimate the incidence and impact of idiopathic gait disorder in a tertiary children's hospital. It evaluated prospectively all the children admitted with a gait disorder requiring physiotherapy treatment at Birmingham Children's Hospital, using a standardized pro-forma, during a 3-month period between March-June 1999. One hundred and three children (aged 2-16 years) were admitted with gait disorders (57 female and 46 male). Eight had an idiopathic gait disorder. All eight children exhibited significant functional impairment, pain and school absence. Idiopathic gait disorder accounted for 8% of children admitted to hospital with an acquired gait disorder and had an annual incidence of at least 2-4 per 100,000 children. The economic and social impact of these disorders is, therefore, substantial, especially with regard to diagnosis, investigations, treatment and school absence.

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Section: Discussionmentioning

confidence: 50%

Idiopathic gait disorder among in-patients with acquired gait disorders admitted to a children's hospital

Wassmer

Wright

Rideout

et al. 2002

Pediatric Rehabilitation

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“…Operant conditioning may be used in the form of rewards for improvement (e.g., increased privileges, home visits for inpatients) synchronized with this technique, failures and symptomatic behavior may be ignored [24][25].…”

Section: Discussionmentioning

confidence: 99%

Behavior Therapy in Dissociative Convulsion Disorder

Aamir¹,

Hamayon²

2012

J Depress Anxiety

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Objective: To determine the efficacy and usefulness of Behavior therapy in conversion disorder. Methods:It was a randomized control trial conducted at Psychiatry Unit, Khyber Teaching Hospital, Peshawar, Pakistan on patients (N=18) suffering from conversion disorder (only pseudo seizures). Fifteen sessions of behavior therapy were administered to experimental group over period of 2 and half months.Results: Statistically significant difference was found between the mean number of fits for experimental group (M=6.4 ± 3.7) and control group mean (M=27.8 ± 9.2) t (12) 6.0251, p < 0.0001 on the last follow up session. Conclusion:Behavior therapy can be successfully used for treating conversion disorder (pseudo seizures) by targeting inappropriate mal adaptive behavior replacing it with appropriate adaptive behavior by using suitable reinforcement techniques.

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“…Conversion disorders can be viewed as a kind of 'self-hypnosis', where the patient suppresses a traumatic situation by converting it into a physical problem, thereby refocusing the stress. This is referred to as primary gain [38]. Roelofs et al [39] compared the susceptibility to hypnosis in 50 patients with conversion disorders (including visual loss) compared to patients with anxiety and other affective disorders.…”

Section: Management Of Functional Vision Lossmentioning

confidence: 99%

“…Some believe that reassurance is best [4,8,40]. Others believe that as some conversion disorders like gait impairment are treated with active therapies [3,6,38], the patient with FVL can also be offered harmless placebos such as visual 'exercises' [37,41]. The bottom line is that although there are many proposed therapies for functional vision loss (even spa treatments), there are no well designed studies to answer if one treatment is superior to another [7].…”

Section: Management Of Functional Vision Lossmentioning

confidence: 99%