Culture and conversion disorder: Implications for DSM-5

Psychiatry

Volumn 74, Issue 3, 2011, Pages 187-206

  Brown, Richard J ^a   Lewis Fernández, Roberto ^b  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

^b Och Spine at New York Presbyterian Hospitals   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMNESIA; ANESTHESIA (SENSORY DYSFUNCTION); ARTICLE; BLINDNESS; BLURRED VISION; BORDERLINE STATE; COLLAPSE; COMORBIDITY; CONVERSION DISORDER; CONVULSION; COORDINATION DISORDER; CULTURAL FACTOR; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DISEASE ASSOCIATION; DISSOCIATIVE AMNESIA; DYSPHAGIA; DYSPHONIA; FAMILY HISTORY; HISTRIONIC PERSONALITY DISORDER; HUMAN; HYPNOTIC SUSCEPTIBILITY; LIFE EVENT; MENTAL STRESS; ONSET AGE; PARALYSIS; PREVALENCE; PSYCHIATRIC DIAGNOSIS; PSYCHOGENIC NONEPILEPTIC SEIZURE; PSYCHOTHERAPY; SEIZURE; SENSORY DYSFUNCTION; SEX DIFFERENCE; SOCIAL CLASS; SOMATIZATION; SYNCOPE; THROAT DISEASE; WEAKNESS;

COMORBIDITY; CONVERSION DISORDER; CULTURE; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; HUMANS; PREVALENCE;

EID: 80052947784     PISSN: 00332747     EISSN: 1943281X     Source Type: Journal    
DOI: 10.1521/psyc.2011.74.3.187     Document Type: Article

References (84)

1. Alexander, P. J., Joseph, S., & Das, A. (1997). Limited utility of ICD-10 and DSM-IV classification of dissociative and conversion disorders in India. Acta Psychiatrica Scandinavica, 95, 177-182.
2. Alper, K., Devinsky, O., Perrine, K., Vazquez, B., & Luciano, D. (1995). Psychiatric classification of nonconversion nonepileptic seizures. Archives of Neurology, 52, 199-201.
3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th edition (DSM-IV-TR).Washington, DC, American Psychiatric Press.
4. Bautista, R. E. D., Gonzales-Salazar, W., & Ochoa, J. G. (2008). Expanding the theory of symptom modeling in patents with psychogenic nonepileptic seizures. Epilepsy & Behavior, 13, 407-409.
5. Bernstein, E., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174, 727-735.
6. Binzer, M., Andersen, P. M., & Kullgren, G. (1997). Clinical characteristics of patients with motor disability due to conversion disorder: A prospective control group study. Journal of Neurology, Neurosurgery and Psychiatry, 63, 83-88.
7. Binzer, M., Stone, J., & Sharpe, M. (2004) Recent onset pseudoseizures-clues to aetiology. Seizure, 13, 146-155.
8. Bowman, E. S., & Markand, O. N. (1996). Psychodynamics and psychiatric diagnoses of pseudoseizure subjects. American Journal of Psychiatry, 153, 57-63.
9. Breuer, J., & Freud, S. (1893-1895/1955). Studies on hysteria. In J. Strachey & A. Strachey (Eds.), The standard edition of the complete psychological works of Sigmund Freud, Vol II (pp. 21-305). London: Hogarth Press and the Institute of Psycho-Analysis.
10. Briquet, P. (1859). Traite de l'hysterie. Paris: Bailliere.
11. Brooks, J. L., Baker, G. A., Goodfellow, L., Bodde, N., & Aldenkamp, A. (2007). Behavioural treatments for non-epileptic attack disorder. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD006370. DOI: 10.1002/14651858.CD006370.
12. Brown, R. J. (2005). Dissociation and conversion in psychogenic illness. In M. Hallett, S. Fahn, J. Jankovic, A. E. Lang, C. R. Cloninger, & S. C. Yudofsky (Eds.), Psychogenic movement disorders: Psychobiology and treatment of a functional disorder (pp.131-143). Lippincott, Williams & Wilkins, Philadelphia.
13. Brown, R. J., Cardeña, E., Nijenhuis, E., Sar, V., & van der Hart, O. (2007). Should conversion disorder be re-classified as a dissociative disorder in DSM-V? Psychosomatics, 48, 369-378.
14. Brown, R. J., Schrag, A., Krishnamoorthy, E. S., & Trimble, M. R. (2008). Are patients with somatization disorder highly suggestible? Acta Psychiatrica Scandinavica, 117, 232-235.
15. Chand, S. P., Al-Hussaini, A. A., Martin, R., Mustapha, S., Zaidan, Z., Viernes, N., & Al-Adawi, S. (2000). Dissociative disorders in the Sultanate of Oman. Acta Psychiatrica Scandinavica, 102, 185-187.
16. Couprie, W., Wijdicks, E. F. M., Roojimans, H. G. M., & van Gijn, J. (1995). Outcome in conversion disorder: A follow-up study. Journal of Neurology, Neurosurgery and Psychiatry, 58, 750-752.
17. Cragar, D. E., Berry, D. T. R., Schmitt, F. A., & Fakhoury, T. A. (2005). Cluster analysis of normal personality traits in patients with psychogenic nonepileptic seizures. Epilepsy & Behavior, 6, 593-600.
18. Deka, K., Chaudhury, P. K., Bora, K., & Kalita, P. (2007). A study of clinical correlates and socio- demographic profile in conversion disorder. Indian Journal of Psychiatry, 49, 205-207.
19. Deveci, A., Taskin, O., Dinc, G., Yilmaz, H., Demet, M. M., Erbay-Dundar, P., Kaya, E., & Ozmen, E. (2007). Prevalence of pseudoneuro logic conversion disorder in an urban community in Manisa, Turkey. Social Psychiatry and Psychiatric Epidemiology, 42, 857-864.
20. Ebigbo, P. O. (1986). A cross-sectional study of somatic complaints of Nigerian females using the Enigu somatization scale. Culture, Medicine and Psychiatry, 10, 167-186.
21. Ercan, E. S., Varan, A., & Veznedaroǧlu, B. (2003). Associated features of conversion disorder in Turkish adolescents. Pediatrics International, 45, 150-155.
22. Essau, C. A., Conradt, J., & Petermann, F. (1999). Prevalence, comorbidity and psychosocial impairment of somatoform disorders in adolescents. Psychology, Health and Medicine, 4, 169-180.
23. Evren, C., & Can, S. (2007). Clinical correlates of dissociative tendencies in male soldiers with conversion disorder. Israeli Journal of Psychiatry and Related Sciences, 44, 33-39.
24. Faravelli, C., Salvatori, S., Galassi, F., Aiazzi, L., Drei, C., & Cabras, P. (1997). Epidemiology of somatoform disorders: A community survey in Florence. Social Psychiatry and Psychiatric Epidemiology, 32, 24-29.
25. Farley, J., Woodruff, R. A., & Guze, S. B. (1968). The prevalence of hysteria and conversion symptoms. British Journal of Psychiatry, 114, 1121-1125.
26. Fink, P., Sørensen, L., Engberg, M., Holm, M., & Munk-Jørgensen, P. (1999). Somatization in primary care. Prevalence, health care utilization, and general practitioner recognition. Psychosomatics, 40, 330-338.
27. Fiszman, A., Alves-Leon, S. V, Nunes, R. G., D'Andrea, I., & Figuera, I. (2004). Traumatic events and posttraumatic stress disorder in patients with psychogenic nonepileptic seizures: A critical review. Epilepsy & Behavior, 5, 818-825.
28. Galimberti, C. A., Ratti, M. T., Murelli, R., Marchioni, E., Manni, R., & Tartara, A. (2003). Patients with psychogenic nonepileptic seizures, alone or epilepsy associated, share a psychological profile distinct of epilepsy patients. Journal of Neurology, 250, 338-346.
29. Gara, M. A., Cohen Silver, R., Escobar, J. I., Holman, A., & Waitzkin, H. (1998). A hierarchical classes analysis (HICLAS) of primary care patients with medically unexplained somatic symptoms. Psychiatry Research, 81, 77-86.
30. Ghosh, J. K., Majumder, P., Pant, P., Dutta, R., & Bhatia, B. D. (2007). Clinical profile and outcome of conversion disorder in children in a tertiary hospital in North India. Journal of Tropical Pediatrics, 53, 213-214.
31. Goldstein, L. H., Drew, C., Mellers, J., Mitchell- O'Malley, S., & Oakley, D. A. (2000). Dissociation, hypnotizability, coping styles, and health locus of control: Characteristics of pseudoseizure patients. Seizure, 9, 314-322.
32. Guarnaccia, P. J., Canino, G., Rubio-Stipec, M., & Bravo, M. (1993). The prevalence of ataques de nervios in the Puerto Rico disaster study: The role of culture in psychiatric epidemiology. Journal of Nervous and Mental Disease, 181, 157-165.
33. Guarnaccia, P. J., Lewis-Fernández, R., & Marano, M. R. (2003). Toward a Puerto Rican popular nosology: Nervios and ataque de nervios. Culture, Medicine and Psychiatry, 27, 339-366.
34. Guarnaccia, P. J., Rubio-Stipec, M., & Canino, G. (1989). Ataque de nervios in the Puerto Rican Diagnostic Interview Schedule: The impact of cultural categories on psychiatric epidemiology. Culture, Medicine and Psychiatry, 13, 275-295.
35. Guz, H., Doganay, Z., Ozkan, A., Colak, E., Tomac, A., & Sarisoy, G. (2003). Conversion disorder and its subtypes: A need for a reclassification. Nordic Journal of Psychiatry, 57, 377-381.
36. Hiller, W., Rief, W., & Brähler, E. (2006). Somatization in the population: From mild bodily misperceptions to disabling symptoms. Social Psychiatry and Psychiatric Epidemiology, 41, 704-712.
37. Hinton, D., Um, K., & Ba, P. (2001a). Kyol goeu [wind overload] Part I: A cultural syn drome of orthostatic panic among Khmer refugees. Transcultural Psychiatry, 38, 403-432.
38. Hinton, D., Um, K., & Ba, P. (2001b). Kyol goeu [wind overload] Part II: Prevalence, characteristics, and mechanisms of kyol goeu and near kyol goeu episodes of Khmer patients attending a psychiatric clinic. Transcultural Psychiatry, 38, 433-460.
39. Hinton, D.E., Chong, R., Pollack, M.H., Barlow, D.H., & McNally, R.J. (2008). Ataque de nervios: Relationship to anxiety sensitivity and dissociation predisposition. Depression and Anxiety, 25, 489-495.
40. Interian, A., Gara, M. A., Díaz-Martínez, A. M., Warman, M. J., Escobar, J. I., Allen, L. A., & Manetti-Cusa, J. (2004). The value of pseudoneurological symptoms for assessing psychopathology in primary care. Psychosomatic Medicine, 66, 141-146.
41. Interian, A., Guarnaccia, P. J., Vega, W. A., Gara, M. A., Like, R. C., Escobar, J. I., & Díaz- Martínez, A. M. (2005). The relationship between ataque de nervios and unexplained neurological symptoms. Journal of Nervous and Mental Disease, 193, 32-39.
42. Jawad, S. S. M., Jamil, H., Clarke, E. J., Whitecross, S., & Richens, A. (1995). Psychiatric morbidity and psychodynamics of patients with convulsive seizures. Seizure, 4, 201-206.
43. Krishnakumar, P., Sumesh, P., & Mathews, L. (2006). Temperamental traits associated with conversion disorder. Indian Pediatrics, 43, 895-899.
44. Kuloglu, M., Atmaca, M., Tezcan, E., Gecici, O., & Bulut, S. (2003). Sociodemographic and clinical characteristics of patients with conversion disorder in Eastern Turkey. Social Psychiatry and Psychiatric Epidemiology, 38, 88-93.
45. Kuyk, J., Spinhoven, P., & Van Dyck, R. (1999). Hypnotic recall: A positive criterion in the differential diagnosis between epileptic and pseudoepileptic seizures. Epilepsia, 40, 485-491.
46. Lacey, C., Cook, M., & Salzberg, M. (2007). The neurologist, psychogenic nonepileptic seizures, and borderline personality disorder. Epilepsy & Behavior, 11, 492-498.
47. Laria, A. J., & Lewis-Fernández, R. (2001). The professional fragmentation of experience in the study of dissociation, somatization and culture. Journal of Trauma and Dissociation, 2, 17-47.
48. Lewis-Fernández, R., Garrido-Castillo, P., Bennasar, M.C., Parrilla, E. M., Laria, A. J., Ma, G., & Petkova, E. (2002). Dissociation, childhood trauma, and ataque de nervios among Puerto Rican psychiatric outpatients. American Journal of Psychiatry, 159, 1603-1605.
49. Lewis-Fernández, R., Guarnaccia, P. J., Martinez, I., Salmán, E., Schmidt, A., & Liebowitz, M. (2002). Comparative phenomenology of ataque de nervios, panic attacks and panic disorder. Culture, Medicine and Psychiatry, 26, 199-223.
50. Lewis-Fernández, R., Gorritz, M., Raggio, G.A., Peláez, C., Chen, H., & Guarnaccia, P.J. (2010). Association of trauma-related disorders and dissociation with four idioms of distress among Latino psychiatric outpatients. Culture, Medicine and Psychiatry, 3, 219-243.
51. Lewis-Fernández, R., Martínez-Taboas, A., Sar, V., Patel, S., & Boatin, A. (2007). The cross-cultural assessment of dissociation. In J. P. Wilson & C. Tang (Eds.), The cross-cultural assessment of psychological trauma and PTSD (pp. 279-317). New York: Springer.
52. Litwin, R., & Cardeña E. (2000). Demographic and seizure variables, but not hypnotizability or dissociation, differentiated psychogenic from organic seizures. Journal of Trauma and Dissociation, 1, 99-122.
53. Liu, G., Clark, M. R., & Eaton, W. W. (1997). Structural factor analysis for medically unexplained somatic symptoms of somatization disorder in the Epidemiologic Catchment Area Study. Psychological Medicine, 27, 617-626.
54. Mace, C. J., & Trimble, M. R. (1996). Ten-year prognosis of conversion disorder. British Journal of Psychiatry, 169, 282-288.
55. Martínez-Taboas, A., Lewis-Fernández, R., Sar, V., & Agarwal, A.L. (2010). Cultural aspects of psychogenic nonepileptic seizures. In S. C. Schachter & W. C. LaFrance (Eds.), Gates and Rowan's nonepileptic seizures, 3rd edition (pp. 121-130). Cambridge: Cambridge University Press.
56. Mumford, D. B. (1989). Somatic sensations and psychological distress among students in Britain and Pakistan. Social Psychiatry and Psychiatric Epidemiology, 24, 321-326.
57. Mumford, D. B., Bavington, J. T., Bhatnagar, K.S., Hussain, Y., Mirza, S., & Naraghi, M. M. (1991). The Bradford somatic inventory. A multi-ethnic inventory of somatic symptoms reported by anxious and depressed patients in Britain and the Indo-Pakistan sub-continent. British Journal of Psychiatry, 158, 379-386.
58. Murase, S., Sugiyama, T., Ishii, T., Wakako, R., & Ohta, T. (2000). Polysymptomatic conversion disorder in childhood and adolescence. Psychotherapy and Psychosomatics, 69, 132-136.
59. Nijenhuis, E. R. S. (2004). Somatoform disso- Philippe, J., & Romain, J. B. (1979). Indisposition in Haiti. Social Science and Medicine, 13B, 129-133.
60. Prueter, C., Schultz-Venrath, U., & Rimpau, W. (2002). Dissociative and associated psychopathological symptoms in patients with epilepsy, pseudoseizures, and both seizure forms. Epilepsia, 43, 188-192.
61. Reuber, M. (2008). Psychogenic non-epileptic seizures: Answers and questions. Epilepsy & Behavior, 12, 622-635.
62. Reuber, M., Pukrop, R., Bauer, J., Helmstaedter, C., Tessendorf, N., & Elger, C. E. (2003). Outcome in psychogenic nonepileptic seizures: 1 to 10 year follow-up in 164 patients. Annals of Neurology, 53, 305-311.
63. Reuber, M., Pukrop, R., Derfuss, R., Bauer, J., & Elger, C. E. (2003). Multidimensional assessment of personality in patients with psychogenic non-epileptic seizures. Journal of Neurology, Neurosurgery and Psychiatry, 75, 743-748.
64. Robins, L. N., Helzer, J. E., Croughan, J., & Ratcliff, K. S. (1981). National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics and validity. Archives of General Psychiatry, 38, 381-389.
65. Roelofs, K., Keijsers, G. P. J., Hoogduin, C. A. L., Näring, G. W. B., & Moene, F. C. (2002a). Childhood abuse in patients with conversion disorder. American Journal of Psychiatry, 159, 1908-1913.
66. Roelofs, K., Hoogduin, C.A.L., Keijsers, G.P.J., Näring, G.W.B., Moene, F.C., & Sandijck, P. (2002b). Hypnotic susceptibility in patients with conversion disorder. Journal of Abnormal Psychology, 111, 390-395.
67. Roelofs, K., & Spinhoven, P. (2007). Trauma and medically unexplained symptoms. Towards an integration of cognitive and neuro-biological accounts. Clinical Psychology Review, 27, 798-820.
68. Roelofs, K., Spinhoven, P., Sandijck, P., Moene, F., & Hoogduin, C. (2005). The impact of early trauma and later life-events on symptom severity in conversion disorder. Journal of Nervous and mental Disease, 193, 508-514.
69. Ross, C. A., Heber, S., Norton, G. R. et al. (1989). The Dissociative Disorders Interview Schedule: A structured interview. Dissociation, 2, 169-172.
70. Ruddy, R., & House, A. (2005). Psychosocial interventions for conversion disorder. Cochrane Database of Systematic Reviews, Issue 4. Art. No.: CD005331. DOI: 10.1002/14651858. CD005331.pub2.
71. Şar, V., Kundakçi{dotless}, T., Ki{dotless}zi{dotless}ltan, E., Baki{dotless}m, B., & Bozkurt, O. (2000). Differentiating dissociative disorders from other diagnostic groups through somatoform dissociation in Turkey. Journal of Trauma and Dissociation, 1, 67-80.
72. Şar, V., Akyüz, G., Kundakç i{dotless} T., Ki{dotless}zi{dotless}ltan, E. & Doǧan, O. (2004). Childhood trauma, dissociation and psychiatric co-morbidity in patients with conversion disorder. American Journal of Psychiatry, 161, 2271-2276.
73. Şar, V., Akyüz, G., Doǧan, O., & Öztü, E. (2009). The prevalence of conversion symptoms in women from a general Turkish population. Psychosomatics, 50, 50-58.
74. Sharpe, D., & Faye, C. (2006). Non-epileptic seizures and child sexual abuse: A critical re view of the literature. Clinical Psychology Review, 26, 1020-1040.
75. Spitzer, C., Spelsberg, B., Grabe, H. J., Mundt, B., & Freyberger, H.J. (1999). Dissociative experiences and psychopathology in conversion disorders. Journal of Psychosomatic Research, 46, 291-294.
76. Stone, J., LaFrance, W.C., Brown, R.J., Spiegel, D., Levenson, J., & Sharpe, M. (in press). Conversion disorder: Current problems and potential solutions for DSM-5. Journal of Psychosomatic Research.
77. Stone, J., Sharpe, M., Rothwell, P., & Warlow, C. (2003). The 12-year prognosis of functional weakness and sensory disturbance. Journal of Neurology, Neurosurgery and Psychiatry, 74, 591-596.
78. Swartz, M., Blazer, D., Woodbury, M., George, L., & Landerman, R. (1986). Somatization disorder in a US southern community: Use of a new procedure for analysis of medical classification. Psychological Medicine, 16, 595-609.
79. Tezcan, E., Atmaca, M., Kuloglu, M., Gecici, O., Buyukbayram, A., & Tutkun, H. (2003). Dissociative disorders in Turkish inpatients with conversion disorder. Comprehensive Psychiatry, 44, 324-330.
80. Vanderlinden, J., Dyck, R. V., Vandereyken, H., Vertommen, H., & Verkes, R.J. (1993). The Dissociation Questionnaire: Development and characteristics of a new self-reporting questionnaire. Clinical Psychology and Psychotherapy, 1, 21-27.
81. Weidman, H. H. (1979). Falling-out: A diagnostic and treatment problem viewed from a transcultural perspective. Social Science and Medicine, 13B, 95-112.
82. Wing, J., Babor, T., & Brugha, T. (1991). Schedules for Clinical Assessment in Neuropsychiatry. Geneva, Switzerland: World Health Organization, Division of Mental Health.
83. World Health Organization. (1991). Composite international diagnostic interview primary health care version. Geneva, Switzerland: World Health Organization.
84. World Health Organization (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: World Health Organization.