European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society · 2017
Dissociative sensibility disorders - A retrospective case series and systematic literature review.
СтатьяСистематический обзорНазвание и аннотация: Перевод пока не подготовлен
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Weber Peter, Erlacher Rahel
Аннотация
CONTEXT: Dissociative disorders present a huge challenge in clinical settings. In contrast to other dissociative symptoms, dissociative sensibility disorders are rarely focused on.
OBJECTIVE: To identify the clinical characteristics and outcomes of dissociative sensibility disorders in children and adolescents, and to review the use of diagnostic procedures.
DATA SOURCES: For the review, a literature search used Pubmed, Embase, Web of Science, and PubPsych (to 02/2015) and the reference lists of the studies identified.
STUDY SELECTION: Screening of titles and abstracts; full-text assessment by two reviewers.
DATA SELECTION: The original case series was identified by using the local data register.
DATA EXTRACTION: Two reviewers independently reviewed the data and, if they agreed on the relevance, extracted the data. In the original case series, data were extracted retrospectively from the records.
RESULTS: Sixteen studies and seven case reports were identified, including 931 cases with dissociative disorders. In 210 cases the patient suffered either from a single sensibility disorder or predominantly from sensibility disorders. We identified thirteen further cases in our cohort. In both groups there was female predominance; the mean age of manifestation was early adolescence. The timing of admissions was variable. In approximately 50% of cases a premorbid stressful life event could be identified. Over 75% of cases had a good prognosis with complete resolution.
LIMITATIONS: Retrospective character of our own data collection, partially missing differentiation between the subgroups of dissociative disorders in the reviewed studies.
CONCLUSIONS: There is no uniform procedure for diagnostic work-up. The overall short-term prognosis is good.
OBJECTIVE: To identify the clinical characteristics and outcomes of dissociative sensibility disorders in children and adolescents, and to review the use of diagnostic procedures.
DATA SOURCES: For the review, a literature search used Pubmed, Embase, Web of Science, and PubPsych (to 02/2015) and the reference lists of the studies identified.
STUDY SELECTION: Screening of titles and abstracts; full-text assessment by two reviewers.
DATA SELECTION: The original case series was identified by using the local data register.
DATA EXTRACTION: Two reviewers independently reviewed the data and, if they agreed on the relevance, extracted the data. In the original case series, data were extracted retrospectively from the records.
RESULTS: Sixteen studies and seven case reports were identified, including 931 cases with dissociative disorders. In 210 cases the patient suffered either from a single sensibility disorder or predominantly from sensibility disorders. We identified thirteen further cases in our cohort. In both groups there was female predominance; the mean age of manifestation was early adolescence. The timing of admissions was variable. In approximately 50% of cases a premorbid stressful life event could be identified. Over 75% of cases had a good prognosis with complete resolution.
LIMITATIONS: Retrospective character of our own data collection, partially missing differentiation between the subgroups of dissociative disorders in the reviewed studies.
CONCLUSIONS: There is no uniform procedure for diagnostic work-up. The overall short-term prognosis is good.