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Journal of Tropical Pediatrics Advance Access originally published online on April 24, 2007
Journal of Tropical Pediatrics 2007 53(3):213-214; doi:10.1093/tropej/fml088
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Clinical Profile and Outcome of Conversion Disorder in Children in a Tertiary Hospital of North India

Jayant K. Ghosha, Pallab Majumderb, Pragya Panta, Ranju Duttab and Bal Dev Bhatiaa

a Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi – 221 005, India, and b Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University, Varanasi – 221 005, India

Correspondence: Dr Jayant Kumar Ghosh, Senior Resident, Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi – 221 005 India. E-mail < drjayantkg{at}yahoo.co.uk> and < drjayant.ghosh{at}rediffmail.com>


  Abstract

The clinical profile, commonly involved precipitating factors, comorbid conditions, treatment options and outcome of conversion disorder in 40 children in a tertiary level hospital in North India were studied, retrospectively. Majority of the patients were from rural India. Most common presenting symptom was psychogenic non-epileptic seizures; depression and anxiety were among the commonest comorbid conditions. Precipitating factors were predominantly scholastic problems. Treatment option included either psychotherapy only or combination of psychotherapy and pharmacotherapy. No significant difference was found in terms of outcome between the in-patient and out-patient treatment groups. This observation could be cost effective for developing countries like India, where the resources are very limited.

Key Words: childhood • conversion disorder


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