Reflex sympathetic dystrophy in a 12‐year‐old twin with comorbid conversion disorder in both twins

Jaworowski, Sol; Rc, Allen; Finkelstein, Elaine R.

doi:10.1046/j.1440-1754.1998.00287.x

Cited by 12 publications

(6 citation statements)

References 8 publications

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“…38,39 In isolated cases, psychological factors may indeed have a predominant role in the etiology of CRPS. Jaworowski et al 40 reported CRPS in a 12-year-old who developed simultaneously a conversion disorder; her identical twin also developed an identical conversion disorder.…”

Section: Biobehavioral and Psychological Treatmentsmentioning

confidence: 99%

Management of Pediatric Patients With Complex Regional Pain Syndrome

Wilder

2006

The Clinical Journal of Pain

115

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This review summarizes current information about diagnosis and treatment of complex regional pain syndrome (CRPS) in children. Although it has been widely held that CRPS in children is intrinsically different from adults, there appear to be relatively few differences. However, there is a marked preponderance of lower extremity cases in children. Historically, psychological factors have been invoked to explain the genesis and persistence of CRPS in children, but the evidence is not compelling. Treatment outcome studies are limited but indicate that children generally respond to a primary focus on physical therapy. Multidisciplinary treatment reports are particularly encouraging. The general perception that children have a milder course may relate to the potentially greater willingness of children to actively participate in appropriately targeted treatment rather than to innate differences in the disease process itself. Recurrence rates appear higher than in adults, but response to reinitiation of treatment seems to proceed efficiently. Clinical judgment dictates the extent of medication or interventional therapy added to the treatment to facilitate rehabilitation. In many ways, the approach to the treatment of children mirrors that of adults, with perhaps greater restraint in the use of medications and invasive procedures. The rehabilitation of children with CRPS, like that of adults with CRPS, needs further rigorous investigation.

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Section: Biobehavioral and Psychological Treatmentsmentioning

confidence: 99%

Management of Pediatric Patients With Complex Regional Pain Syndrome

Wilder

2006

The Clinical Journal of Pain

115

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“…This dichotomized view of CRPS as either a biological or nonbiological (ie, psychological) entity is at odds with current, more nuanced conceptualizations of chronic pain as a biopsychosocial phenomenon, ie, an experience that is shaped by a confluence of integrated factors in biological, psychological and social realms (23,24). Multiple case reports have focused on children with features of CRPS with comorbid psychiatric illness, including conversion disorder, post-traumatic stress disorder, somatization disorder and anorexia (8,(25)(26)(27)(28)(29)(30). A majority of these case reports implicate a psychiatric disorder as primary to the development of CRPS symptoms; however, these reports lack prospective data to support this claim, use single-subject designs, rely solely on clinical interviews and fail to apply specific diagnostic criteria when labelling patients as having CRPS.…”

mentioning

confidence: 99%

Children and Adolescents with Complex Regional Pain Syndrome: More Psychologically Distressed than Other Children in Pain?

Logan

Williams

Carullo

et al. 2013

Pain Research and Management

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As a group, clinic-referred children with CRPS may be more functionally impaired and experience more somatic symptoms compared with children with other pain conditions. However, overall psychological functioning as assessed by self-report appears to be similar to that of children with other chronic pain diagnoses. Comprehensive assessment using a biopsychosocial framework is essential to understanding and appropriately treating children with symptoms of CRPS.

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“…Videotapes or photographs of patients mobilizing the limbs under general anesthesia or sedative hypnosis can also be motivating and convincing for the patient [19,20,32]. Intensive cognitive behavioral pain management, psychological strategy education, stress education, and the development of an activity-based program may be beneficial in patients with authentic CRPS-I to prevent or treat conversion disorders or other psychological manifestations of unexpressed emotion [38,63].…”

Section: Category Four: Psychopathological Sensory Abnormalities and mentioning

confidence: 99%

Streamlined Classification of Psychopathological Hand Disorders: A Literature Review

Eldridge

Grunert

Matloub

2007

Hand (New York, N,Y.)

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In the surgical hand clinic, psychopathological hand disorders can be sorted into one of the following four categories: (1) factitious wound creation and manipulation; (2) factitious edema; (3) psychopathological dystonias, and (4) psychopathological sensory abnormalities and psychopathological Complex Regional Pain Syndrome. This article introduces these four categories. Pertinent literature that includes descriptions of each category's syndromes and diseases, demographic and psychological profiles, differential diagnoses, and appropriate treatment recommendations is reviewed.

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Reflex sympathetic dystrophy in a 12‐year‐old twin with comorbid conversion disorder in both twins

Cited by 12 publications

References 8 publications

Management of Pediatric Patients With Complex Regional Pain Syndrome

Management of Pediatric Patients With Complex Regional Pain Syndrome

Children and Adolescents with Complex Regional Pain Syndrome: More Psychologically Distressed than Other Children in Pain?

Streamlined Classification of Psychopathological Hand Disorders: A Literature Review

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