Prevalence of pseudoneurologic conversion disorder in an urban community in Manisa, Turkey

Deveci, Artuner; Taşkın, Oryal; Dinç, Gönül; Yılmaz, Hikmet; Demet, M. Murat; Erbay-Dundar, Pinar; Kaya, Ender; Özmen, Erol

doi:10.1007/s00127-007-0233-9

Cited by 51 publications

(38 citation statements)

References 38 publications

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“…Comparing results from these studies is complicated by the use of diverse sampling methods, measurement tools, prevalence indicators, and diagnostic criteria. An epidemiological study using the Composite International Diagnostic Interview (CIDI; World Health Organization, 1991) obtained a lifetime prevalence rate of conversion disorder of 5.6% in 1,086 Turkish urban community residents (age ≥ 15; Deveci et al, 2007); the rate was understandably much lower (1.4%) in a study of 1,035 German adolescents (age 12-17) using a similar methodology (Essau, Conradt, & Petermann, 1999). Faravelli and colleagues (1997) used semi-structured interviews based on the DSM-III-R decision tree for somatoform disorders and found a one-year prevalence for conversion disorder of 0.3% in 673 Italian urban community residents (age ≥ 14 years), although data concerning lifetime prevalence rates are not provided.…”

Section: What Is the Evidence For Variation In Prevalence Rates Of Comentioning

confidence: 99%

“…Loss of consciousness and/or PNES have been identified as the most frequent pseudoneurological problems in studies of conversion disorder patients from Turkey (76.9% of 52 adolescent patients studied by Ercan, Varan & Veznedaroğlu, 2003; 41.4% of 198 adult patients studied by Kuloglu, Atmaca, Tezcan, Gecici, & Bulut, 2003; 89.5% of 38 patients studied by Sar, Akyüz, Kundakçi, Kiziltan & Doğan, 2004;Deveci et al, 2007), India (50% of 30 child CD patients studied by Krishnakumar, Sumesh, & Mathews, 2006;Deka, Chaudhury, Bora, & Kalita, 2007) and the Sultanate of Oman (43.2% of 111 adult dissociative [conversion] disorder patients studied by Chand et al, 2000). In contrast, PNES were relatively rare in a small retrospective study of childhood conversion disorder from Japan (Murase et al, 2000), although a specific prevalence rate is not provided; in this study, visual disturbance was the most frequent symptom (38.6% of 44 cases), followed by motor paralysis (22.7%).…”

Section: What Is the Cross-cultural Validity Of Existing Conversion Dmentioning

confidence: 99%

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Culture and Conversion Disorder: Implications for DSM-5

Brown¹,

Lewis‐Fernández²

2011

Psychiatry: Interpersonal and Biological Processes

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The diagnostic criteria and related features of conversion disorder are under revision for DSM-5, including the requirement that psychological factors accompany the symptoms or deficits in question (Criterion B) and whether conversion disorder should be re-labeled as a dissociative, rather than a somatoform, condition. We examined the cross-cultural evidence on the prevalence, characteristics, and associated features of pseudoneurological symptoms more generally, and conversion disorder in particular, in order to inform the ongoing re-evaluation of the conversion disorder category. We also examined the relationship between these constructs and dissociative symptoms and disorders across cultural groups. Searches were conducted of the mental health literature, particularly since 1994, regarding culture, race, or ethnicity factors related to conversion disorder. Many proposed DSM-5 revisions were supported, such as the elimination of Criterion B. We also found cross-cultural variability in predominant symptoms, disorder prevalence, and relationship with cultural syndromes. Additional information that may contribute to DSM-5 includes the elevated rates across cultures of traumatic exposure and psychiatric comorbidity in conversion disorder. Cross-culturally, conversion disorder is associated strongly with both dissociative and somatoform presentations, revealing no clear basis on which to locate the disorder in DSM-5. Careful consideration should be given to the possible alternatives.

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Section: What Is the Evidence For Variation In Prevalence Rates Of Comentioning

confidence: 99%

Section: What Is the Cross-cultural Validity Of Existing Conversion Dmentioning

confidence: 99%

Culture and Conversion Disorder: Implications for DSM-5

Brown¹,

Lewis‐Fernández²

2011

Psychiatry: Interpersonal and Biological Processes

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“…In recent researches, it is claimed that people with psychiatric disorders in rural areas refrain to admit psychiatric clinics because of stigmatization and also patients self-medicate with alcohol and/or substance, so that alcohol/subtance use disorders are seen more in rural areas (15)(16)(17). National studies were mostly done in the urban centers so that we have limited information about mental illness in rural areas (18)(19)(20). Difficulties encountered in carrying psychiatric services to rural areas are also issues which need to be considered in our country.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric diagnosis and sociodemographic characteristics of patients admitted to psychiatry clinic in a rural area

Üçkardeş¹

2015

Dusunen Adam

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Psychiatric diagnosis and sociodemographic characteristics of patients admitted to psychiatry clinic in a rural areaObjective: There is little published literature about the characteristics of patients with mental disorders in rural hospitals. The aim of this study is to determine the mental illness and the demographics of the patients who admit to the outpatient policlinic that offers psychiatric health service for the first time in a rural state hospital. Method:The semi-structured interview consisting DSM-IV diagnostic criterias were used for the patients who admitted to the psychiatry policlinic of Kutahya Gediz State Hospital in a 6-month-period.Sociodemographic data were collected from 555 people aged over 18.Results: Mean age of the patients was 44.7. The rate of women was 67.2% (n=373) and male was 32.8% (n=182). The most frequent DSM-IV diagnoses were mood disorders (n=249, 44%), anxiety disorders (n=179, 32.5%), psychotic disorders (n=52, 9.4%), adjustment disorders (n=26, 4.7%) and somatoform disorders (n=21, 3.8%). Twenty of people had subthreshold symptoms and could not be diagnosed.Comorbidities including diabetes mellitus, hypertension and hypothyroid were frequently observed in psychiatric patients (n=163, 29.4%). Adjustment disorders were mostly seen at younger ages. Psychiatric disorders were most common in married people. Conclusion:The mean age of the patients were found older than previous studies. Women were more commonly admitting to the outpatient psychiatric policlinic. It's remarkable that marriage and psychiatric disorders have a strong association in the rural setting. Clinicians also should consider about comorbid somatic diseases.Key words: Psychiatric disorders, rural area, sociodemographic features, somatic comorbidity ÖZET Kırsal bir bölgede psikiyatri polikliniğine başvuran olguların psikiyatrik tanı dağılımı ve sosyo-demografik özellikleri Amaç: Ülkemizde kırsal bölgelerde bulunan hastanelere başvuran psikiyatri hastalarının özellikleri hakkında yapılmış araştırma sayısı çok azdır. Çalışmamızda, ilk kez psikiyatri polikliniği hizmeti alan kırsal bir bölgede psikiyatrik bozuklukların tanı dağılımları ve tanıların sosyo-demografik özelliklerle ilişkisini saptamak amaçlanmıştır.Yöntem: 6 aylık bir süreçte Kütahya Gediz İlçe Devlet Hastanesi psikiyatri polikliniğine ilk başvurusu olan hastaların DSM-IV tanı ölçütlerini kapsayan yarı-yapılandırılmış görüşme ile muayeneleri yapılmış, hastaların sosyo-demografik verileri toplanmıştır. 18 yaş üstü 555 kişi değerlendirilmeye alınmıştır.Bulgular: Polikliniğe başvuranların yaş ortalaması 44.7 olarak bulunmuştur. Başvuranların %67.2'si (n=373) kadın, %32.8'i erkektir (n=182). Başvuran hastaların 20'sine ilk başvuruda tanı konulamamış olup belirtiler eşik altı olarak değerlendirilmiştir. Kalan 535 kişide ise en sık konulan tanı duygudurum bozukluklarıdır (n=249, %44).Bundan sonra en sık görülen psikiyatrik rahatsızlıklar sırasıyla anksiyete bozuklukları (n=179, %32.5), psikotik bozukluklar (n=52, %9.4), uyum bozuklukları (n=26, %4.7...

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“…The GIDI is a fully structured interview developed by the World Health Organization (Robins et al 1988) and has been used in various surveys around the world including Turkey (Deveci et al 2007;Aiptekin et al 2009). Primarily designed for use in epidemiological studies of mental disorders, the CIDI can be used by both clinicians and trained interviewers.…”

Section: Screening and Diagnostic Instrumentmentioning

confidence: 99%

Evidence that the wider social environment moderates the association between familial liability and psychosis spectrum outcome

et al. 2012

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Prevalence of pseudoneurologic conversion disorder in an urban community in Manisa, Turkey

Abstract: This study has shown the conversion disorder with pseudoneurological symptoms or deficits is inadequately frequent in the population.

Cited by 51 publications

References 38 publications

Culture and Conversion Disorder: Implications for DSM-5

Culture and Conversion Disorder: Implications for DSM-5

Psychiatric diagnosis and sociodemographic characteristics of patients admitted to psychiatry clinic in a rural area

Evidence that the wider social environment moderates the association between familial liability and psychosis spectrum outcome

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