Summary
The incidence, age and sex distribution, symptomatology, psychosocial stress factors and course of conversion symptoms in a child and adolescent psychiatric patient sample were studied. Under the age of 10 conversion symptoms are comparatively rare and consequently require careful diagnosis, particularly regarding visual and hearing defects. Predominant conversion symptoms are seizures, gait problems and paralysis.
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References
Adler R (1986) Konversion. In: Uexküll Th (ed) Psychosomatische Medizin. Urban und Schwarzenberg, Munich, pp 481–488
American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders — DSM III, 3rd edn. American Psychiatric Association, Washington, DC
Anthony J (1982) Hysteria in childhood. In: Roy A (ed) Hysteria. Wiley, Chichester
Barnert C (1971) Conversion reactions and psychophysiologic disorders. A comparative study. Psychiatry Med 2:205–220
Caplan HL (1985) Hysterical “conversion” symptoms in childhood. M Phil Dissertation, University of London 1970
Coppolillo HP (1971) The hysterical child. In: Anthony EJ, Gilpin DC (eds) Three further clinical faces of childhood. Spectrum, New York, pp 11–25
Dauner I (1977) Klinik und Therapie psychogener Gangstörungen bei Kindern und Jugendlichen. Prax Kinderpsychol Kinderpsychiatr 26:203–208
Eggers C (1985) Hysterie im Kindesalter. MMW 127:422–427
Friedman SB (1973) Conversion symptoms in adolescents. Pediatr Clin North Am 20:873–882
Forbis O, Jones R (1965) Hysteria in childhood. Southern Med J:1221–1225
Goodyer J (1981) Hysterical conversion reactions in childhood. J Child Psychol Psychiatr 22:179–188
Guze SB, Woodruff RA, Clayton PJ (1973) Sex, age and the diagnosis of hysteria (Briquet's syndrom). Am J Psychiatr 129:745–748
Herman R, Simonds J (1975) Incidence of conversion symptoms in children evaluated psychiatrically. MO Med 72:597–603
Kruse R (1979) Die Kombination hysterischer und epileptischer Anfälle im Kindes- und Jugendalter. In: Doose H, Groß-Selbeck G (eds) Epilepsie 1978. Thieme, Stuttgart
Maloney MJ (1980) Diagnosing hysterical conversion reactions in children. J Pediatr 97:1016–1020
Perley MJ, Guze SB (1962) Hysteria — the stability and usefulness of clinical criteria. A quantitative study based on a follow-up period of 6–8 years in 39 patients. N Engl J Med 266:421–426
Proctor TH, Schneer HJ (1958) Hysteria in childhood. Am J Orthopsychiatry 28:394–406
Rae W (1977) Childhood conversion reactions: a review of incidence in pediatric settings. J Clin Psychol 69–72
Rangell L (1959) The nature of conversion. Am J Psychoanal Ass VII:632–662
Remschmidt H, Schmidt M (1986) Multiaxiales Klassifikationsschema für psychiatrische Erkrankungen im Kindesund Jugendalter nach Rutter, Shaffer und Sturge. Huber, Bern
Regan J, LaBarbera JD (1984) Lateralization of conversion symptoms in children and adolescents. Am J Psychiatry 141:1279–1280
Rivinus TM, Jamison DL, Graham PJ (1975) Childhood organic neurological disease presenting as psychiatric disorder. Arch Dis Child 50:115–119
Robins L (1966) Childhood behavior predicting later diagnosis. In: Robins L (ed) Deviant children grown up. Williams and Wilkins, Baltimore, pp 135:158
Robins E, O'Neal P (1953) Clinical features of hysteria in children with a note on prognosis, a two to seventeen year follow-up study of 41 patients. Nerv Child 10:246–271
Rock NL (1971) Conversion reactions in childhood: a clinical study on childhood neuroses. J Am Acad Child Psychiatry 10:65–93
Rutter M, Tizard J, Whitmore K (eds 1970) Education, health and behavior. Longman, London
Rutter M, Cox A, Tupling M, Berger M, Yule W (1975) Attainment and adjustment in two geographical areas. Br J Psychiatry 126:493–509
Rutter M, Graham P, Chadwick O, Yule W (1976) Adolescent turmoil: fact or fiction? J Child Psychol Psychiatry 17:35–56
Shepherd M, Oppenheim B, Mitchell SH (1971) Childhood behaviour and mental health. University of London Press, London
Stefansson JG, Messina JA, Meyerowitz S (1976) Hysterical neurosis conversion type: clinical and epidemiological considerations. Acta Psychiatr Scand 53:119–138
Steinhausen H-CH, Aster M v, Pfeiffer E, Göbel D (1989) Comparative studies of conversion disorders in childhood and adolescence. J Child Psychology Psychiatry (in press)
Stephens JH, Kamp M (1962) On some aspects of hysteria: a clinical study. J Nerv Ment Dis 134:305–315
Stevens H (1969) Conversion hysteria revisited by the pediatric neurologist. Clin Proc Child Hosp 25:27–32
Strunk P (1985) Konversionssyndrome. In: Remschmidt H, Schmidt MH (eds) Kinder- und Jugendpsychiatrie in Klinik und Praxis, vol III. Thieme, Stuttgart, pp 147–156
Volkmar FR, Poll J, Lewis M (1984) Conversion reactions in childhood and adolescence. J Am Acad Child Psychiatry 23:424–430
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Lehmkuhl, G., Blanz, B., Lehmkuhl, U. et al. Conversion disorder (DSM-III 300.11): Symptomatology and course in childhood and adolescence. Eur Arch Psychiatr Neurol Sci 238, 155–160 (1989). https://doi.org/10.1007/BF00451004
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DOI: https://doi.org/10.1007/BF00451004