Self-protective organization in children with conversion and somatoform disorders

Familial Risk Factors for the Development of Somatoform Symptoms and Disorders in Children and Adolescents: A Systematic Review

“…This was confirmed by different studies [29][30][31][32]. Ciechanowski et al [29] found a significant relationship between insecure attachment and the number of reported somatic symptoms among adult women (N = 701).…”

“…-Insecure attachment: Different studies [29][30][31] have confirmed the hypothesis of Stuart and Noyes [28] that somatizing patients show an insecure attachment style. The only study identified which examined the attachment style of children with somatoform disorders revealed that most of the children either exhibited an avoidant or ambivalent attachment style [32].…”

“…Only one study was identified which examined the relationship of attachment and somatoform disorders in children/adolescents [32]. The attachment behavior of 24 children/adolescents with a conversion disorder and four children/adolescents with a somatoform pain disorder (DSM-IV-criteria; 4-18 years old) were examined.…”

Specific Biases for Identifying Facial Expression of Emotion in Children and Adolescents With Conversion Disorders

“…Adult patients commonly report high rates of childhood maltreatment (6,7,24,25), whereas cumulative commonplace stressors more commonly characterize child and adolescent patients in our clinical cohorts (26,27). An earlier study of 76 children and adolescents with conversion disorders and age-and sex-matched controls used self-report and dynamic-maturational model assessments of attachment to assess the quality of the participants' relational environments and the specific types of relational threats experienced by them (8) (see Figure 1).…”

Mentaliseren bij ernstige onverklaarde lichamelijke klachten

“…Onderzoek bij patiënten met somatoforme stoornissen laat zien dat velen van hen onveilig gehecht zijn (75-100%) (Waller, Scheidt & Hartmann, 2004;Pedrosa, Scheidt, Hoeger & Nickel, 2008;Kozlowska & Williams, 2009;Neumann, Nowacki & Kruse, 2009 Taylor, Mann, White & Goldberg, 2000). Ook vonden Ciechanowski, Walker, Katon & Russo (2002) verbanden tussen OLK en zowel de angstig-vermijdende als de angstig-ambivalente stijlen, maar niet tussen OLK en de afwijzende stijl.…”