Motor conversion disorder. A prospective 2- to 5-year follow-up study.
In this prospective study, 30 patients with motor conversion disorder were assessed for key psychiatric and demographic variables. At reassessment 2 to 5 years later, 19 patients had completely recovered and 8 patients had improved, whereas only 3 were unchanged or worse. Contrary to other follow-up studies, none of the patients received a rediagnosis of neurological disease. The presence of a personality disorder and overall personality pathology, particularly within cluster C, the presence of a concomitant somatic disease, low DSM-IV Axis V score, and high score on the Becks Hopelessness Scale proved to be associated with poor outcome.
Binzer
M
M
Department of Neurology, Umeå University, Sweden. michael.binzer@adr.dk
Kullgren
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D016009:Chi-Square Distribution; D003291:Conversion Disorder / Q000145:classification / Q000175:diagnosis*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000175:diagnosis / Q000523:psychology; D011379:Prognosis; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D009626:Terminology as Topic; D016896:Treatment Outcome