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Motor Conversion Disorder

A Prospective 2- to 5-Year Follow-Up Study

Received March 31, 1998; revised June 15, 1998; accepted June 25, 1998. From the Departments of Neurology and Psychiatry, Umeå University, Sweden. Address reprint requests Dr. Binzer, Department of Neurology, Esbjerg County Hospital, Østergade 80, DK–6700, Esbjerg, Denmark. e-mail: michael.binzer{at}adr.dk

In this prospective study, 30 patients with motor conversion disorder were assessed for key psychiatric and demographic variables. At reassessment 2 to 5 years later, 19 patients had completely recovered and 8 patients had improved, whereas only 3 were unchanged or worse. Contrary to other follow-up studies, none of the patients received a rediagnosis of neurological disease. The presence of a personality disorder and overall personality pathology, particularly within cluster C, the presence of a concomitant somatic disease, low DSM-IV Axis V score, and high score on the Becks Hopelessness Scale proved to be associated with poor outcome.

Key Words: Motor Conversion Disorder • Conversion Disorder • Outcome

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