Table : TABLE 8.11 • Conversion Disorder Facts at a Glance
Prevalence
  • Persistent conversion disorder is very rare, with prevalence estimates from 0.001% to 0.005% in the general population and up to 5% of those who are referred to neurologists.
  • Comorbidity
  • Studies have found that up to 85% of people with conversion disorder also have major depressive disorder (Roy, 1980; Ziegler et al., 1960); comorbid anxiety disorders are also common.
  • Patients with conversion disorder may also have a neurological disorder, such as multiple sclerosis or a condition that produces seizures (Maldonado & Spiegel, 2001).
  • A history of sexual or physical abuse is common among patients with conversion disorder (Bowman, 1993).
  • Onset
  • This disorder can arise throughout life.
  • Symptoms typically emerge suddenly after a significant stressor, such as the loss of a loved one, or a physical injury (Stone et al., 2009).
  • For men, the disorder is most likely to develop in the context of the military or industrial accidents (American Psychiatric Association, 2000; Maldonado & Spiegel, 2001).
  • Course
  • Symptoms typically last only a brief period of time.
  • Between 25% and 67% of those with the disorder have a recurrence up to 4 years later (Maldonado & Spiegel, 2001).
  • Gender Differences
  • Conversion disorder is two to three times more common among women than men.
  • Cultural Differences
  • Conversion disorder is more common in rural populations, among those from lower SES backgrounds, and among those less knowledgeable about psychological and medical concepts.
  • It is also more common in developing countries than in industrialized countries, and as a country becomes industrialized, the prevalence of conversion disorder decreases.
  • Small “epidemics” of conversion disorder have been reported in countries undergoing cultural change or significant stress (Piñeros et al., 1998; Cassady et al., 2005).
  • Source: Unless otherwise noted, the source is American Psychiatric Association, 2000, 2013.