Early intervention for conversion disorder: neurologists and psychiatrists working together.

Détails

Ressource 1Télécharger: BIB_F9F988B8766B.P001.pdf (238.78 [Ko])
Etat: Serval
Version: Final published version
ID Serval
serval:BIB_F9F988B8766B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Early intervention for conversion disorder: neurologists and psychiatrists working together.
Périodique
Acta neuropsychiatrica
Auteur(s)
Aybek S., Hubschmid M., Mossinger C., Berney A., Vingerhoets F.
ISSN
0924-2708 (Print)
ISSN-L
0924-2708
Statut éditorial
Publié
Date de publication
02/2013
Peer-reviewed
Oui
Volume
25
Numéro
1
Pages
52-56
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To evaluate the efficacy of an early multidisciplinary (neurology and psychiatry) intervention for conversion disorder (CD).
Consecutive patients newly diagnosed with CD from 2005 to 2007 were compared to a control group of newly diagnosed CD patients receiving usual care. At 3 years, a questionnaire evaluated self-rated subjective outcome, symptom severity, SF-36 scores, employment status and medical care use.
Data from 12 cases (mean age 25.5 ± 8.2; 9 females) and 11 controls (mean age 34.7 ± 13.5; 10 females) showed that 83% of cases had a good subjective outcome (symptom improved or cured) when only 36% of controls had a good outcome (p < 0.05). Cases significantly improved their SF-36 scores on subscales involving physical complaints compared to controls. A minority (20%) of cases reduced or ceased professional activity when 70% of controls did (p < 0.001). Only 16% of cases sought further medical advice for the initial symptom when 73% of controls did. Both groups accepted psychiatric referrals (83% of cases and 73% of controls) and found it beneficial.
Early intervention involving both neurologists and psychiatrists is effective for CD in alleviating physical complaints, reducing sick leave and health care use.

Mots-clé
Animals, Chromatography, Thin Layer, Digitoxigenin/metabolism, Digitoxin/metabolism, Hydroxylation, Male, Microsomes, Liver/metabolism, NADP/metabolism, Rats, Time Factors
Pubmed
Web of science
Création de la notice
15/01/2014 15:52
Dernière modification de la notice
03/03/2018 22:55
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