CONVERSION REACTIONS IN PEDIATRIC ATHLETES

被引：16

作者：

DVONCH, VM

BUNCH, WH

SIEGLER, AH

机构：

[1] University of South Florida, Tampa, FL

[2] University of Chicago, Chicago, IL

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1991年 / 11卷 / 06期

关键词：

COMPETITION; CONFLICT; CONVERSION REACTION; DIAGNOSIS; PEDIATRIC ATHLETES; STRESS;

D O I：

10.1097/01241398-199111000-00013

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We report five children and adolescents who displayed a conversion reaction in response to stresses induced by athletic competition. Failure to make proper diagnosis led to additional physician referral, needless testing, rehabilitation, or orthotic management. Patients are characterized as high achievers who are frequently younger than peers in the sport. Conversation between child and physician identified the source of conflict in four patients. Physical therapy helps resolve symptoms associated with an acute episode and facilitates transition into psychotherapy. Psychotherapy is recommended only for patients with persistent maladaptive behavior.

引用

页码：770 / 772

页数：3

共 13 条

[1]

Bangash I.H., Worley G., Kandt R.S., Hysterical conversion reactions mimicking neurological disease, Am J Dis Child, 142, pp. 1203-1206, (1988)

[2]

Ehrlich E.L., Risher R.L., Orthopaedic conversion reactions in children and adolescents, Conn Med, 41, pp. 681-683, (1977)

[3]

Garralda M.D., Bailey D., Psychological deviance in children attending general practice, Psychol Med, 16, pp. 423-429, (1986)

[4]

Grattan-Smith P., Fairley M., Procopsis P., Clinical features of conversion disorder, Arch Dis Child, 63, pp. 408-414, (1988)

[5]

Leslie S.A., Diagnosis and treatment of hysterical conversion reactions, Arch Dis Child, 63, pp. 506-511, (1988)

[6]

Maisami I., Freeman J.M., Conversion reactions in children as body language: A combined child psychiatry/neurology team approach to the management of functional neurologic disorders in children, Pediatrics, 80, pp. 46-52, (1987)

[7]

Maloney M.J., Diagnosing hysterical conversion reactions in children, J Pediatr, 97, pp. 1016-1020, (1980)

[8]

Maue F.R., Functional somatic disorders. Key diagnostic features, J Postgrad Med, 79, pp. 201-210, (1986)

[9]

Richtsmeier A.J., Individual interviews of children with unexplained symptoms, Am J Dis Child, 139, pp. 506-508, (1985)

[10]

Splaingard M., Conversion reaction mimicking quadriparesis in children, South Med J, 80, pp. 794-795, (1987)

← 1 2 →