转换性障碍:关注青少年转换性症状

Conversion Disorder:Focus on the Conversional Symptoms Among Adolescents

青少年的转换性障碍(conversion disorder)多表现为运动功能障碍与感觉功能障碍,心理因素在其发病中起主导作用。转换性障碍的诊断名称使用较为混乱,且在临床中常因其有别于成人的症状特点及青少年阶段的心理特质被忽略或误诊,其结果可能对青少年的心理健康产生长期的影响。作者以转换性障碍的定义及临床问题为切入点,从转换性障碍的理论模型及其演变、影响青少年转换性障碍的发病因素、以及青少年转换性障碍的治疗方法等角度,对近年国内外文献进行复习和总结,以期加深对青少年转换性障碍的理解,为进一步研究提供参考依据。

Conversion disorder in adolescents is mostly manifested as motor dysfunction and sensory dysfunction,and the psychological factors play a leading role in it.The usage of the diagnosis name of conversion disorder is relatively confusing.Conversion disorder is often neglected or misdiagnosed in clinical practice because of its distinction from the adult symptoms characteristics and the psychological characteristics in adolescence,resulting in a long-term impact on the mental health of adolescents.Taking the definition and clinical problems of conversion disorder as the cut-in point,the author reviews and summarizes the literature at home and abroad in recent years in hopes of deepening the understanding of adolescent conversion disorder and providing references for further research from the perspectives of the theoretical model of conversion disorder and its evolution,the etiological factors affecting the conversion disorder in adolescents,and the treatment methods of adolescent conversion disorder.