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The prevalence of conversion symptoms in women from a general Turkish population.

Psychosomatics 2009 January
BACKGROUND: Conversion symptoms have historically be seen to be related to dissociative disorders and early trauma.

OBJECTIVE: This study sought to determine the prevalence of conversion symptoms among women in the general Turkish population.

METHOD: Participants (N=628) were administered The Dissociative Disorders Interview Schedule, the Borderline Personality Disorder section of the Structured Clinical Interview for DSM-III-R Personality Disorders, and the PTSD Module of the Structured Clinical Interview for DSM-III-R; 48.7% of participants had a lifetime history of a conversion symptom. They reported various types of childhood abuse and neglect more frequently than nonconversion subjects.

RESULTS: Lifetime diagnosis of major depression, dissociative disorder, and childhood physical abuse predicted a conversion symptom. Effects of childhood neglect and emotional and sexual abuse among subjects with conversion symptoms were mediated by comorbid lifetime diagnosis of major depression and dissociative disorders.

CONCLUSION: The authors suggest revisions to the DSM-V regarding conversion and somatization disorders.

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