Background: Conversion disorder has always represented a diagnostic and therapeutic challenge, is frequently underdiagnosed in childhood and is associated with the presence of various markers of psychosocial adversity and comorbidity with mental illness. The majority of patients have a late diagnostics with the negative consequences that this brings. Objective: Describe the clinical profile of children and adolescents with conversion disorder consulting at Misericordia Hospital in the period between April 2011 and April 2014. Methods: It was retrospectively evaluated the charts of all patients who met criteria for conversion disorder, which have been studied by neurology to rule out organic disease and that they consult to the Misericordia Hospital during the period described. Results: 80% Of the patients were female, average age 13 years, the main reason for the consultation were disorders of gait and loss of strength. Before diagnosis, the symptoms lasted on average 133 days after the diagnosis lasted 14 days on average, although 22% of the sample at the end of the study was still highly compromised by the disease. The clinic was polysymptomatic, with an associated pain and there was a predominance of the mixed conversion disorder, it was found a 62% of association with a stressful event and the patients had an average of two psychiatric comorbidities, mainly obsessive-compulsive disorder (OCD), social phobia, other anxiety and double depression. By measuring the change in functionality, it was found a greater alteration in the social and school area and alteration in global functioning measured with the GAF (Global Assessment of Functioning). Conclusions: Conversion disorder is a complex entity commonly diagnosed in the hospital pediatric services, but despite this is underdiagnosed in other environments because it is a diagnosis of exclusion. When this diagnosis is made, the main objective is to understand the complex psychiatric pathology that is associated with it, which is the cause of conversive disorder, as this occurs as a complication of the psychopathology not treated nor identified by family members, to plan the treatment is also necessary to identify the interference associated with illness and discuss the misconceptions that parents and patients have about their condition.
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Psychological Treatments and Disorders
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Fuentereponame: Repositorio Institucional Universidad El Bosque