Motor conversion symptoms and pseudoseizures: A comparison of clinical characteristics

Psychosomatics

Volumn 45, Issue 6, 2004, Pages 492-499

  Stone, Jon ^a   Sharpe, Michael ^b   Binzer, Michael ^b  

^a WESTERN GENERAL HOSPITAL   (United Kingdom)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BORDERLINE STATE; CONVERSION DISORDER; HUMAN; INCEST; LIFE EVENT; MAJOR CLINICAL STUDY; MOTOR DYSFUNCTION; NEUROLOGIC DISEASE; PARALYSIS; PARENTAL BEHAVIOR; PARESIS; PSEUDOSEIZURE; PSYCHIATRIC DIAGNOSIS; SEIZURE; ADOLESCENT; AGED; COMPARATIVE STUDY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DIFFERENTIAL DIAGNOSIS; FEMALE; HOSPITALIZATION; MALE; MIDDLE AGED; PSYCHOLOGIC TEST;

ADOLESCENT; ADULT; AGED; CONVERSION DISORDER; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FEMALE; HUMANS; INTERVIEW, PSYCHOLOGICAL; MALE; MIDDLE AGED; MOVEMENT DISORDERS; SEIZURES; SEVERITY OF ILLNESS INDEX;

EID: 16544373929     PISSN: 00333182     EISSN: None     Source Type: Journal    
DOI: 10.1176/appi.psy.45.6.492     Document Type: Article

References (57)

1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Text Revision. Washington, DC, American Psychiatric Association, 2000
2. Alper K, Devinsky O, Perrine K, Luciano D, Vazquez B, Pacia S, Rhee E: Dissociation in epilepsy and conversion nonepileptic seizures. Epilepsia 1997; 38:991-997
3. Moore PM, Baker GA: Non-epileptic attack disorder: a psychological perspective. Seizure 1997; 6:429-434
4. Meierkord H, Will B, Fish D, Shorvon S: The clinical features and prognosis of pseudoseizures diagnosed using video-EEG telemetry. Neurology 1991; 41:1643-1646
5. Cantello R, Boccagni C, Comi C, Civardi C, Monaco F: Diagnosis of psychogenic paralysis: the role of motor evoked potentials. J Neurol 2001; 248:889-897
6. Baker JH, Silver JR: Hysterical paraplegia. J Neurol Neurosurg Psychiatry 1987; 50:375-382
7. Apple DF Jr: Hysterical spinal paralysis. Paraplegia 1989; 27:428-431
8. Heruti RJ, Reznik J, Adunski A, Levy A, Weingarden H, Ohry A: Conversion motor paralysis disorder: analysis of 34 consecutive referrals. Spinal Cord 2002; 40:335-340
9. Ljungberg L: Hysteria: a clinical, prognostic and genetic study. Acta Psychiatr Neurol Scand 1957; Suppl 112:1-162
10. Ziv I, Djaldetti R, Zoldan Y, Avraham M, Melamed E: Diagnosis of "non-organic" limb paresis by a novel objective motor assessment: the quantitative Hoover's test. J Neurol 1998; 245:797-802
11. Storzbach D, Binder LM, Salinsky MC, Campbell BR, Mueller RM: Improved prediction of nonepileptic seizures with combined MMPI and EEG measures. Epilepsia 2000: 41:332-337
12. Jedrzejczak J, Owczarek K, Majkowski J: Psychogenic pseudoepileptic seizures: clinical and electroencephalogram (EEG) videotape recordings. Eur J Neurol 1999; 6:473-479
13. Ehrbar R, Waespe W: Funktionelle Gangstörungen. Schweiz Med Wochenschr 1992; 122:833-841
14. Crimlisk HL, Bhatia K, Cope H, David A, Marsden CD, Ron MA: Slater revisited: 6-year follow-up study of patients with medically unexplained motor symptoms. BMJ 1998; 316:582-586
15. Moene FC, Landberg EH, Hoogduin KA, Spinhoven P, Hertzberger LI, Kleyweg RP, Weeda J: Organic syndromes diagnosed as conversion disorder: identification and frequency in a study of 85 patients. J Psychosom Res 2000; 49:7-12
16. Teasell RW, Shapiro AP: Diagnosis of conversion disorders in a rehabilitation setting. Neurorehabilitation 1997; 8:163-174
17. Stewart RS, Lovitt R, Stewart RM: Are hysterical seizures more than hysteria? a research diagnostic criteria, DMS-III, and psychometric analysis. Am J Psychiatry 1982; 139:926-929
18. Drake ME Jr, Pakalnis A, Phillips BB: Neuropsychological and psychiatric correlates of intractable pseudoseizures. Seizure 1992; 1:11-13
19. Bowman ES, Markand ON: Psychodynamics and psychiatric diagnoses of pseudoseizure subjects. Am J Psychiatry 1996; 153:57-63
20. Alper K, Devinsky O, Perrine K, Vazquez B, Luciano D: Nonepileptic seizures and childhood sexual and physical abuse. Neurology 1993; 43:1950-1953
21. Betts T, Boden S: Diagnosis, management and prognosis of a group of 128 patients with non-epileptic attack disorder. II: previous childhood sexual abuse in the aetiology of these disorders. Seizure 1992; 1:27-32
22. Bowman ES, Markand ON: The contribution of life events to pseudoseizure occurrence in adults. Bull Menninger Clin. 1999: 63:70-88
23. Tojek TM, Lumley M, Barkley G, Mahr G, Thomas A: Stress and other psychosocial characteristics of patients with psychogenic nonepileptic seizures. Psychosomatics 2000; 41:221-226
24. Kanner AM, Parra J, Frey M, Stebbins G, Pierre-Louis S, Iriarte J: Psychiatric and neurologic predictors of psychogenic pseudoseizure outcome. Neurology 1999; 53:933-938
25. Binzer M, Andersen PM, Kullgren G: Clinical characteristics of patients with motor disability due to conversion disorder: a prospective control group study. J Neurol Neurosurg Psychiatry 1997; 63:83-88
26. Binzer M, Stone J, Sharpe M: Recent onset pseudoseizures: clues to aetiology. Seizure 2004; 13:146-155
27. Spitzer RL, Williams JB, Gibbon M, First MB: The Structured Clinical Interview for DSM-III-R (SCID), I: history, rationale, and description. Arch Gen Psychiatry 1992; 49:624-629
28. Williams JB, Gibbon M, First MB, Spitzer RL, Davies M, Borus J, Howes MJ, Kane J, Pope HG Jr, Rounsaville B: The Structured Clinical Interview for DSM-III-R (SCID), II: multisite test-retest reliability. Arch Gen Psychiatry 1992; 49:630-636
29. Skodol AE, Rosnick L, Kellman D, Oldham JM, Hyler SE: Validating structured DSM-III-R personality disorder assessments with longitudinal data. Am J Psychiatry 1988; 145:1297-1299
30. Dreessen L, Arntz A: Short-interval test-retest interrater reliability of the Structured Clinical Interview for DSM-III-R Personality Disorders (SCID II) in outpatients. J Personal Disord 1998; 12:138-148
31. Bodlund O, Kullgren G, Ekselius L, Lindstrom E, von Knorring L: Axis V-Global Assessment of Functioning Scale, evaluation of a self-report version, Acta Psychiatr Scand 1994; 90:342-347
32. Perris C, Jacobsson L, Lindstrom H, von Knorring L, Perris H: Development of a new inventory assessing memories of parental rearing behaviour. Acta Psychiatr Scand 1980; 61:265-274
33. Arrindell WA, Gerlsma C, Vandereycken W, Hageman WJ, Daeseleire T: Convergent validity of dimensions underlying the parental bonding instrument (PBI) and the EMBU. Pers Individ Diff 1998; 24:341-350
34. Parker G, Tupling H, Brown LB: A parental bonding instrument. Br J Med Psychol 1979; 52:1-10
35. Perris H: Life events and depression, I: effect of sex, age and civil status. J Affect Disord 1984; 7:11-24
36. Maxion H, Fegers S, Pfluger R, Wiegand J: [Risk factors of classical conversion syndrome-psychogenic seizures and paralyses-observations at a neurologic clinic with 172 patients]. Psychother Psychosom Med Psychol 1989; 39:121-126 (German)
37. Mace CJ, Trimble MR: Ten-year prognosis of conversion disorder. Br J Psychiatry 1996; 169:282-288
38. Carter AB: The prognosis of certain hysterical symptoms. BMJ 1949; i:1076-1079
39. Binzer M, Kullgren G: Conversion symptoms: what can we learn from previous studies? Nordic J Psychiatry 1996; 50:143-152
40. Lempert T, Brandt T, Dieterich M, Huppert D: How to identify psychogenic disorders of stance and gait, a video study in 37 pa-tients. J Neurol 1991; 238:140-146
41. Keane JR: Hysterical gait disorders: 60 cases. Neurology 1989; 39:586-589
42. Moene FC, Spinhoven P, Hoogduin KA, Van Dyck R: A randomised controlled clinical trial on the additional effect of hypnosis in a comprehensive treatment programme for in-patients with conversion disorder of the motor type. Psychother Psychosom 2002; 71:66-76
43. Zhang ZY, Yuan YM, Yan BW, Tian YQ, Wang W, Fan LM: An observation of 1316 cases of hysterical paralysis treated by acupuncture. J Tradit Chin Med 1987; 7:113-115
44. Knutsson E, Martensson A: Isokinetic measurements of muscle strength in hysterical paresis. Electroencephalogr Clin Neurophysiol 1985; 61:370-374
45. Lempert T, Dieterich M, Huppert D, Brandt T: Psychogenic disorders in neurology: frequency and clinical spectrum. Acta Neurol Scand 1990; 82:335-340
46. Watson CG, Tilleskjor C: Interrelationships of conversion, psychogenic pain, and dissociative disorder symptoms. J Consult Clin Psychol 1983; 51:788-789
47. Deary IJ: A taxonomy of medically unexplained symptoms. J Psychosom Res 1999; 47:51-59
48. Birket-Smith M, Mortensen EL: Pain in somatoform disorders: is somatoform pain disorder a valid diagnosis? Acta Psychiatr Scand 2002; 106:103-108
49. Fishbain DA, Goldberg M, Meagher BR, Steele R, Rosomoff H: Male and female chronic pain patients categorized by DSM-III psychiatric diagnostic criteria. Pain 1986; 26:181-197
50. Roelofs K, Hoogduin KA, Keijsers GP, Naring GW, Moene FC, Sandijck P: Hypnotic susceptibility in patients with conversion disorder. J Abnorm Psychol 2002; 111:390-395
51. Fleisher W, Staley D, Krawetz P, Pillay N, Arnett JL, Maher J: Comparative study of trauma-related phenomena in subjects with pseudoseizures and subjects with epilepsy. Am J Psychiatry 2002; 159:660-663
52. Bishop ER Jr, Torch EM: Dividing "hysteria": a preliminary investigation of conversion disorder and psychalgia. J Nerv Ment Dis 1979; 167:348-356
53. Kent DA, Tomasson K, Coryell W: Course and outcome of conversion and somatization disorders, a four-year follow-up. Psychosomatics 1995; 36:138-144
54. Stone J, Sharpe M, Rothwell PM, Warlow CP: The 12-year prognosis of unilateral functional weakness and sensory disturbance. J Neurol Neurosurg Psychiatry 2003; 74:591-596
55. Wessely S: Discrepancies between diagnostic criteria and clinical practice, in Contemporary Approaches to the Science of Hysteria. Edited by Halligan P, Bass C, Marshall JC. Oxford, UK, Oxford University Press, 2001, pp 63-72
56. Ebel H, Lohmann T: Clinical criteria for diagnosing conversion disorders. Neurology Psychiatry and Brain Research 1995; 3:193-200
57. Lazare A: Current concepts in psychiatry: conversion symptoms. N Engl J Med 1981; 305:745-748