Long-term outcome and prognosis of dissociative disorder with onset in childhood or adolescence

Jans, Thomas; Schneck-Seif, Stefanie; Tobias, Weigand; Schneider, Wolfgang; Ellgring, Heiner; Wewetzer, Christoph; Warnke, Andreas

doi:10.1186/1753-2000-2-19

Cited by 29 publications

(14 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 6 Diagnostic mistakes in the group of patients in the developmental age are estimated between 0-17%. 7 In the case of our patients with somatoform or somatoform and conversion disorders the period of time between the breakout of the disease and final diagnosis was significantly longer than for patients from the control group, which may indicate that their GPs had diagnostic problems - more than 30% of patients had to wait three or more years for their final diagnosis (Supplementary Table 4). It has to be emphasized that acceptance of diagnosis of somatoform and conversion disorders is sometimes difficult for the patients and their families.…”

Section: Discussionmentioning

confidence: 83%

See 1 more Smart Citation

Headaches as somatoform disorders in children and adolescents

et al. 2012

View full text Add to dashboard Cite

Somatoform disorders are often the main cause for seeking professional advice and performing a number of specialist checks. The aim of the study was to determine the frequency of somatoform disorders in the form of headaches in children and adolescents neurologically diagnosed and the risk factors thereof. Analysis of the biological and situational risk factors were established. Somatoform disorders were diagnosed in 27 out of 276 children with headaches. We concluded that in the differential diagnosis of headaches, somatoform headaches should not be omitted as every 10th patient in the developmental age diagnosed on the neurological ward because of headache shows signs of somatoform headaches. In diagnostically difficult cases it is recommended that analysis of biological and situational risk factors be performed with special attention paid to chronic disease of the patient and/or in his immediate family, the patient’s psychological disorders and dysfunctional or low social status families. The creation of separate criteria for somatoform disorders of the developmental age should be considered.

show abstract

Section: Discussionmentioning

confidence: 83%

“…9 Therapy and problem solving should start before reaching maturity as conversion disorders have better prognosis in children and adolescents. 7 , 10…”

Section: Discussionmentioning

confidence: 99%

Headaches as somatoform disorders in children and adolescents

et al. 2012

View full text Add to dashboard Cite

show abstract

“…If this pattern of quicker response to treatment is found with youth, early identification and treatment of DD will be critical. In particular, long-term follow-up studies with children are needed because some research indicates that the initial positive response to treatment observed in children and adolescents, particularly among those diagnosed with conversion disorder rather than complex DD such as DID and DDNOS, may not endure for many patients (Jans et al, 2008).…”

Section: Discussionmentioning

confidence: 98%

An Exploration of Young Adults' Progress in Treatment for Dissociative Disorder

Myrick

Brand

McNary

et al. 2012

Journal of Trauma & Dissociation

View full text Add to dashboard Cite

Although treatment outcome research on dissociative disorders (DD) is increasing, an examination of treatment progress in young adults with these disorders remains noticeably absent from the literature. Many studies of DD patients report mean ages over 35. The present study examined the response to treatment of a subsample of young adults ages 18-30 with dissociative identity disorder and dissociative disorder not otherwise specified who participated in a naturalistic, longitudinal study of DD treatment outcome. Over 30 months, these patients demonstrated decreases in destructive behaviors and symptomatology as well as improved adaptive capacities. Compared to the older adult participants in the study, the young adults were more impaired initially. However, these younger patients improved at a rapid pace, such that their clinical presentations were similar to or more improved than those of the older adults at the 30-month follow-up. This brief report suggests not only that young adult DD patients can benefit from a trauma-focused, phasic treatment approach but that their treatment may progress at a faster pace than that of older adults with DD.

show abstract

“…1993). PN'nin diğer belirtilere oranla en sık görülen KB tipi olduğu belirtilmektedir (Jans ve ark. 2008, Martinez-Toboas ve ark.…”

Section: Introductionunclassified

Childhood Traumas, Attachment and Alexithymia in Adolescents with Psychogenic Nonepileptic Seizure Type of Conversion Disorder

Uzun¹,

Akdemir²,

Topçu³

et al. 2019

Turkish Journal of Psychiatry

View full text Add to dashboard Cite

Bu çalışma psikojenik nöbet (PN) tipinde konversiyon bozukluğu (KB) olan ergenler ile herhangi bir psikiyatrik hastalığı olmayan ergenlerin çocukluk çağı travmaları, bağlanma güvenliği ve aleksitimi açısından karşılaştırıldığı kesitsel bir çalışmadır. Yöntem: Çalışmaya 12-18 yaş arasında, PN tipinde KB olan 42 ergen ve araştırma grubu ile sosyo-demografik değişkenler açısından eşleştirilmiş 38 sağlıklı kontrol alınmıştır. Ergenlerdeki psikiyatrik hastalıkları belirlemek amacıyla Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli kullanılmıştır. Travma sonrası stres bozukluğu (TSSB) belirtileri Çocuk ve Gençler için Klinisyen Tarafından Uygulanan TSSB Ölçeği kullanılarak değerlendirilmiştir.

show abstract

Long-term outcome and prognosis of dissociative disorder with onset in childhood or adolescence

Cited by 29 publications

References 41 publications

Headaches as somatoform disorders in children and adolescents

Headaches as somatoform disorders in children and adolescents

An Exploration of Young Adults' Progress in Treatment for Dissociative Disorder

Childhood Traumas, Attachment and Alexithymia in Adolescents with Psychogenic Nonepileptic Seizure Type of Conversion Disorder

Contact Info

Product

Resources

About