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The conversion group had a higher degree of psychopathology with 33%of the patients fulfilling the criteria for psychiatric syndromes according to DSM-III-R axis I,whereas 50%had axis II personality disorders compared with 10%and 17%respectively in the control group.Conversion patients also had significantly higher scores according to the Hamilton rating depression scale.Although patients with known neurological disease were not included in the conversion group,a concomitant somatic disorder was found in 33%of the patients and 50%complained of benign pain.The educational background in conversion patients was poor with only 13%having dropped out of high school compared with 67%in the control group.Self reported global assessment of functioning according to the axis V on DSM IV was significantly lower in conversion patients,who also registered significantly more negative life events before the onset or symptoms than controls.Logistic regression analysis showed that low education,presence of a personality disorder,and high Hamilton depression score were significantly associated with conversion disorder. |
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