Abstract:
BACKGROUND:It has been theorized that conversion disorder is the result of emotion that cannot be experienced consciously as feeling states or put into words (i.e., alexithymia), but there is little confirming empirical evidence. We sought to characterize subjects with conversion disorder compared to subjects with a distinct medical illness, using the model of psychogenic non-epileptic seizures (PNES) vs. epilepsy (ES), on measures of childhood traumatic experience, alexithymia and maturity of psychological defensive strategies. METHODS:All subjects admitted to the Epilepsy Monitoring Unit of the University of Cincinnati Medical Center were offered self-report questionnaires (Childhood Trauma Questionnaire, Toronto Alexithymia Scale-20 and Response Evaluation Measure-71) at the outset of evaluation. Diagnosis of each subject was confirmed by video-EEG and we compared subjects with PNES to those with ES on these measures. RESULTS:82 subjects had ES AND 96 had PNES. Those with PNES were significantly more likely to have experienced childhood trauma in all domains (p=.005 to p=.05), and were significantly more likely to have alexithymia (p=.0267). There was a significant difference in the capacity to identify feelings, and a trend towards significance in capacity to describe feelings. There were no differences in defensive styles between the two groups. CONCLUSIONS:PNES diagnosis was associated with female sex, higher alexithymia scores and higher rates of childhood trauma, but not with differences in defensive styles compared to ES. These findings add empirical evidence for theories regarding the cause of conversion disorder and may aid in the design of prospective treatment trials in patients with conversion disorder.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Kaplan MJ,Dwivedi AK,Privitera MD,Isaacs K,Hughes C,Bowman Mdoi
10.1016/j.jpsychores.2013.06.005subject
Has Abstractpub_date
2013-08-01 00:00:00pages
142-6issue
2eissn
0022-3999issn
1879-1360pii
S0022-3999(13)00237-7journal_volume
75pub_type
杂志文章abstract:OBJECTIVE:In order to identify publishing patterns in chronic fatigue syndrome (CFS), we compared the annual number of peer review articles for CFS, fibromyalgia (FM), and non-CFS fatigue over a recent decade (1995-2004). METHOD:Citations were drawn from Ovid/Medline, PsychInfo, and the Journal of Chronic Fatigue Synd...
journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2007.03.003
更新日期:2007-08-01 00:00:00
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journal_title:Journal of psychosomatic research
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更新日期:2021-01-02 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/j.jpsychores.2009.10.011
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:Adults with cystic fibrosis (CF) face unique challenges with regard to the attainment and maintenance of social support. Although social support has been shown to improve treatment outcomes in other patient-populations, research on social support in adults with CF is limited. In fact, no studies have examined...
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更新日期:2019-12-01 00:00:00
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doi:10.1016/j.jpsychores.2006.10.018
更新日期:2007-03-01 00:00:00
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journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2020.110267
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(83)90065-x
更新日期:1983-01-01 00:00:00
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journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2019.01.002
更新日期:2019-03-01 00:00:00
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journal_title:Journal of psychosomatic research
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doi:10.1016/0022-3999(95)00638-9
更新日期:1996-05-01 00:00:00
abstract::Observation of overt pain behaviours was carried out by physicians during routine clinical examination of 120 patients with chronic low back pain. Reliable ratings were achieved but only after very careful standardization in an additional 60 pilot patients. Overt pain behaviour was found to be related to other clinica...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(92)90116-j
更新日期:1992-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2019.05.002
更新日期:2019-07-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2009.04.005
更新日期:2009-09-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:1998-07-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,随机对照试验
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更新日期:2009-08-01 00:00:00
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journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2005.09.010
更新日期:2006-03-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2012.01.013
更新日期:2012-04-01 00:00:00
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journal_title:Journal of psychosomatic research
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更新日期:2006-07-01 00:00:00
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journal_title:Journal of psychosomatic research
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更新日期:2004-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2012.12.012
更新日期:2013-07-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(02)00575-5
更新日期:2003-09-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2015.10.008
更新日期:2015-12-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(84)90066-7
更新日期:1984-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2008.04.001
更新日期:2008-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:1987-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(89)90106-2
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:Current models assume somatoform pain disorder (SPD) to be the result of a complex interaction between bio- and psychosocial factors, but the etiology is still not well understood. This study aimed to investigate the distribution of attachment style and the frequency of traumatic life events, especially child...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2017.10.003
更新日期:2017-12-01 00:00:00