Friday, October 28, 2005

Misdiagnosing "hysteria" has remained steady since the 1970s -- 331 (7523): 0 -- BMJ

Misdiagnosing "hysteria" has remained steady since the 1970s -- 331 (7523): 0 -- BMJ: "Misdiagnosing 'hysteria' has remained steady since the 1970s
Misdiagnosing symptoms of non-psychiatric diseases such as stroke as psychiatric illness ('hysteria') happened in about a third of patients diagnosed with 'conversion symptoms' in the 1950s but had fallen to 4% by the 1970s and has remained steady since then. In a systematic review Stone and colleagues (p 989) included almost 1500 adults with motor and sensory symptoms unexplained by disease from 27 studies on diagnostic outcomes with a median follow-up time of five years. Misdiagnosis was most common in patients with gait or movement disorders and a psychiatric history, and the advent of computed tomography did not further improve diagnostic accuracy. "

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