Health Condition 1: F44- Dissociative and conversion disorders Health Condition 2: F44- Dissociative and conversion disorders
Conditions
Interventions
Intervention1: Nil: Nil
Sponsors
Institutional Ethical Commitee, Maulana Azad Medical College and Associated Hospital
Eligibility
Inclusion criteria
Inclusion criteria: INCLUSION CRITERIA FOR INTERVENTION GROUP 1. Age should be between 18-60years at the time of first contact. 2. Consecutive OPD and admitted patients meeting the criteria from International Classification of Disease 10 (ICD-10) for the diagnosis of conversion disorder with seizures or convulsions (F44.5, dissociative seizure) with or without co morbid diagnosis of depression (F32), adjustment disorder (F43.2) and mixed anxiety and depressive disorder (F41.2). 3. Patients developed symptoms of dissociative seizure (F44.5) in past six months and are treatment naive since then. 4. Patients should be cooperative for the assessment, intervention and formally educated up to minimum Vth grade. 5. Patents should have psychological mindedness and willing to visit hospital weekly. 6. Patient should consent for study as well as adjuvant psychological intervention in addition to conventional pharmacological management. . INCLUSION CRITERIA FOR CONTROL GROUP 1. OPD and admitted patients meeting the criteria from International Classification of Disease 10 (ICD-10) for the diagnosis of conversion disorder with seizures or convulsions (F44.5, dissociative seizure) with or without co morbid diagnosis of depression (F32), adjustment disorder (F43.2) and mixed anxiety and depressive disorder (F41.2). 2. Patients have developed symptoms of dissociative seizure (F44.5) in past six months and are treatment naive since then. 3. Age should be between 18-60years at the time of first contact and matched with intervention group. 4. Age, gender and education (years) should be matched with intervention group. 5. Patients should be cooperative for the assessment, intervention and formally educated up to minimum Vth grade. 6. Those who are not adequately psychological minded or it is not possible to visit hospital weekly (e.g. stays far off place). 7. Patient should consent for study as well as only conventional pharmacological management.
Exclusion criteria
Exclusion criteria: EXCLUSION CRITERIA FOR BOTH INTERVENTION AND CONTROL GROUP 1) Past history of any type of dissociative or other psychiatric disorder. 2) Patients having any hearing or vision problems. 3) Head injury, epilepsy or any structural brain lesion or organic brain syndrome (based on clinical examination and investigation reports), dementia any endocrinological illness or taking the treatment for the same. 4) Those patients failed to attend three consecutive sessions of psychological intervention or not following instructions (e.g. medication compliance can’t be assured either verbally or conformed by checking empty foils, or not doing homework for psychological intervention etc)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Parameters of dissociative seizure like seizure frequency, seizure duration, awareness of event and semiology of seizure before treatment, during treatment sessions and one month after last session.Timepoint: therapeutic sessions (10 weekly sessions ± booster 2 session) and one month (± one week) after intervention is completed. | — |
Secondary
| Measure | Time frame |
|---|---|
| Severity of co morbid diagnosis if any [depression (F 32) to be assessed clinically as well as by Hamilton Depression Rating Scale 17, Hamilton M 1960)], adjustment disorder (43.2) [to be assessed clinically as well as by the adjustment disorder-new model 20 (ADNM-20), by Einsle et, 2010], and anxiety [to be assessed clinically as well as by Hamilton Anxiety Rating Scale (HAM-A), Hamilton M, 1959] before treatment, during treatment sessions and one month after last session. 2) Level of recent stressor in their life at those treatment points (to be assessed by The adjustment disorder-new model 20) (Einsle et, 2010). 2) Level of functioning (as assessed by Global Assessment of Functioning Scale, American Psychiatric Association 2013) at those treatment points.Timepoint: 10 weeks | — |
Countries
India
Contacts
Public ContactPartha Sarathi Biswa
GB Pant Institute of PG medical education and research
Outcome results
None listed