Comparison of Four Different Treatment Options in the Management of Acute Conversion Disorder

authors:

avatar Seyed Ghafur Mousavi 1 , avatar Jamshid Rahimi 2 , * , avatar Hamid Afshar 3

Associate professor of psychiatry, Medical sciences(IUMS) & Behavioral Sciences Research Center(BSRC), Isfahan, Iran
Behavioral Sciences Research Center(BSRC) of Isfahan University of Medical sciences(IUMS), Iran
Assistant professor of psychiatry, IUMS, Isfahan, Iran
Iranian Journal of Psychiatry and Behavioral Sciences: Vol.2, issue 1; 21-5
published online: January 01, 2008
article type: Original Article
received: November 14, 2007
accepted: December 05, 2007

how to cite: Mousavi S G, Rahimi J, Afshar H. Comparison of Four Different Treatment Options in the Management of Acute Conversion Disorder. Iran J Psychiatry Behav Sci. 2008;2(1): 21-5. 

Abstract

Objective: Patients with conversion disorder may be seen by different specialists in various clinics and emergency situations. However, there are not sufficient studies on the most effective treatment for this disabling illness.
Methods: In a clinical trial, we compared four treatment strategies; muscle relaxation, suggestion, hypnosis and intravenous diazepam infusion, in 80 patients with acute conversion disorder. Speed of recovery and number of the recurrences in a month following different treatment options were compared among groups
Results: Recovery was significantly quicker with muscle relaxation compared to hypnosis and diazepam infusion. In patients with comorbidity of major depressive disorder, recovery was even faster. There was no statistically significant differences in the number of remissions or relapses among the four groups.
Conclusion: All the four different treatment strategies brought about significant recovery. However, after treating patients with muscle relaxation, recovery was faster compared to other treatment methods

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