Bashir Ahmad, Aziz Mohammad

Department of Psychiatry, Khyber Teaching Hospital, Peshawar - Pakistan


Objective: To develop understanding, which have implications for effective management of dissociative disorders.
Material and Methods: We analyzed the related data extracted from database collected from 12,092 patients in our
outdoor psychiatric clinic of Khyber Teaching Hospital, Peshawar during June 2013 to June 2016. We used excel
spreadsheet to filter and prepare our data to be analyzed with SPSS Windows version 20.
Results: A total of 721 (6%) patients were identified to have dissociative [conversion] symptoms and/or diagnosis.
Four hundred and twenty one patients were included in the analysis. 85.7% of the patients were females while 14.3%
were males. Three hundred and forty-six (83%) of patient had dissociative convulsion disorder. 50.5%, 27.2% and 25%
of the patients reported depressive symptoms, Migrainous headache and anxiety symptoms respectively. The odd of
females to report depressive symptoms was greater than males. Females were also found to present more with Trance
and possession syndrome, as well as with more Migrainous headache symptoms compared to males.
Conclusion: There is a high frequency of depressive symptoms, Migrainous headache and anxiety symptoms in patient
with conversion disorder.

Keywords: Dissociative disorders, Psychiatric comorbidities, conversion disorders, Non epileptic fits, pseudofits, functional symptoms, vascular headache.

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