A postal request to general practitioners in a catchment area (population 37,000) identified 18 patients fulfilling criteria for conversion disorder (age range 26-74 years ; mean age of onset of first episode 38 years).
There was a female preponderance, with two patients from ethnic minority groups.
There was a temporal correlation with stress in 13 cases (72%) and a history of sexual abuse in 5 cases (28%). Three clinical groups were identified :
acute onset with good premorbid functioning and full recovery ;
conversion symptoms as part of polysymptomatic presentation, with fluctuating course ;
and chronic, severely disturbed individuals with a past history of sexual abuse.
One third of cases were referred to psychiatrists.
There was no case of a missed organic disorder.
The details of one case are discussed.
Mots-clés Pascal : Conversion somatique, Prévalence, Royaume Uni, Europe, Epidémiologie, Homme, Trouble somatoforme
Mots-clés Pascal anglais : Somatic conversion, Prevalence, United Kingdom, Europe, Epidemiology, Human, Somatoform disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0014112
Code Inist : 002B18C10. Création : 17/04/1998.