Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/26615
Title: How Positive Are Conversion Disorder Diagnoses?: Patterns of Referral to a Functional Neurology Clinic.
Austin Authors: Nikrad, Ehsan;Kanaan, Richard A A 
Affiliation: Psychiatry (University of Melbourne)
Issue Date: 1-Oct-2021
Date: 2021-05-27
Publication information: The Journal of nervous and mental disease 2021-10-01; 209(10): 743-746
Abstract: The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) diagnostic criteria for conversion disorder have replaced the criterion of evidence of a "psychogenic" etiology with a criterion that patients must be "positively" diagnosed on the basis of their neurological assessment. We retrospectively studied referrals to a specialist functional neurology clinic to see how commonly the new criteria were met since DSM-5's introduction. Positive signs were reported in a quarter of referrals (26.5%), which was associated with diagnosticians' confidence (p = 0.001) and with the clinic confirming the diagnosis (p = 0.01). Our clinic found positive signs in 28.6% of the referrals. In 13 (13.3%) patients, the new criterion was not met. In conclusion, positive signs are diagnostically helpful but are only reported in a minority of assessments. A significant group of those currently believed to have conversion disorder would not meet the revised diagnostic criteria based on this.
URI: https://ahro.austin.org.au/austinjspui/handle/1/26615
DOI: 10.1097/NMD.0000000000001372
Journal: The Journal of Nervous and Mental Disease
PubMed URL: 34048413
Type: Journal Article
Appears in Collections:Journal articles

Show full item record

Page view(s)

24
checked on Apr 17, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.