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BMC Psychiatry
Published in: BMC Psychiatry 1/2021

01-12-2021 | Dissociative Disorder | Research article

Characteristics and outcomes of children with dissociative (conversion) disorders in western China: a retrospective study

Authors: Zhixu Fang, Yuhang Li, Lingling Xie, Min Cheng, Jiannan Ma, Tingsong Li, Xiujuan Li, Li Jiang

Published in: BMC Psychiatry | Issue 1/2021

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Abstract

Background

Dissociative (conversion) disorder in children is a complex biopsychosocial disorder with high rates of medical and psychiatric comorbidities. We sought to identify the characteristics and outcomes of children with dissociative (conversion) disorders in western China.

Methods

We conducted a retrospective cohort study of 66 children admitted with dissociative (conversion) disorders from January 2017 to July 2019, and analyzed their clinical characteristics, socio-cultural environmental variables, and personality and psychiatric/psychological characteristics. Binary logistic regression was used to analyze the variables associated with clinical efficacy.

Results

Of these 66 patients, 38 (57.6%) were male and 28 (42.4%) were female, 46 (69.7%) had an antecedent stressor, 30 (45.5%) were left-behind adolescents, and 16 (24.2%) were from single-parent families. In addition, 30 patients (45.5%) were not close to their parents, 38 patients (59.4%) had an introverted personality, and 34 (53.1%) had unstable emotions. Thirteen families (19.7%) were uncooperative with the treatment. Patients who had cormorbid anxiety or depression exhibited significantly lower cognitive ability (P < 0.01). Logistic regression found that better treatment outcomes were positively associated with having a close relationship with parents, parental cooperation with treatment, and having a father with a lower level of education (i.e., less than junior college or higher).

Conclusions

The characteristics and outcomes of children with dissociative (conversion) disorders are related to socio-cultural environmental variables and psychiatric/psychological factors. Timely recognition and effective treatment of dissociative (conversion) disorders are important.
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Metadata
Title
Characteristics and outcomes of children with dissociative (conversion) disorders in western China: a retrospective study
Authors
Zhixu Fang
Yuhang Li
Lingling Xie
Min Cheng
Jiannan Ma
Tingsong Li
Xiujuan Li
Li Jiang
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-021-03045-0

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