Psychiatric Symptoms and Dissociation in Conversion, Somatization and Dissociative Disorders
Australian and New Zealand Journal of Psychiatry, 43(3), 270-276. DOI: 10.1080/00048670802653307
Posted: 15 Jul 2017
Date Written: July 8, 2017
Conversion, dissociation and somatization are historically related in the long established concept of hysteria. Somewhere along the way they were separated due to the Cartesian dualistic view. The aim of the present study was to compare these pathologies and investigate whether symptoms of these pathologies overlap in their clinical appearance in a Portuguese sample. Twenty-six patients with conversion disorder, 38 with dissociative disorders, 40 with somatization disorder, and a comparison group of 46 patients having other psychiatric disorders answered questions about dissociation (Dissociative Experiences Scale), somatoform dissociation (Somatoform Dissociation Questionnaire), and psychopathological symptoms (Brief Symptom Inventory). Dissociative and somatoform symptoms were significantly more frequent in dissociative and conversion disorder than in somatization disorder and controls. There were no significant differences between dissociative and conversion patients. Conversion disorder is closely related to dissociative disorders. These results support the ICD-10 categorization of conversion disorder among dissociative disorders and the hypothesis of analogous psychopathological processes in conversion and dissociative disorders versus somatization disorder.
Keywords: Psychiatric Symptoms, Dissociation, Conversion, Somatization, Dissociative Disorders
Suggested Citation: Suggested Citation