Conversion Reactions in Pediatric Athletes
We report five children and adolescents who displayed a conversion reaction in response to stresses induced by athletic competition. Failure to make proper diagnosis led to additional physician referral, needless testing, rehabilitation, or orthotic management. Patients are characterized as high ach...
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Veröffentlicht in: | Journal of pediatric orthopaedics 1991-11, Vol.11 (6), p.770-772 |
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creator | Dvonch, Victoria M Bunch, Wilton H Siegler, Anna H |
description | We report five children and adolescents who displayed a conversion reaction in response to stresses induced by athletic competition. Failure to make proper diagnosis led to additional physician referral, needless testing, rehabilitation, or orthotic management. Patients are characterized as high achievers who are frequently younger than peers in the sport. Conversation between child and physician identified the source of conflict in four patients. Physical therapy helps resolve symptoms associated with an acute episode and facilitates transition into psychotherapy. Psychotherapy is recommended only for patients with persistent maladaptive behavior. |
doi_str_mv | 10.1097/01241398-199111000-00013 |
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Failure to make proper diagnosis led to additional physician referral, needless testing, rehabilitation, or orthotic management. Patients are characterized as high achievers who are frequently younger than peers in the sport. Conversation between child and physician identified the source of conflict in four patients. Physical therapy helps resolve symptoms associated with an acute episode and facilitates transition into psychotherapy. Psychotherapy is recommended only for patients with persistent maladaptive behavior.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/01241398-199111000-00013</identifier><identifier>PMID: 1960203</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Adolescent ; Arm ; Biological and medical sciences ; Child ; Child clinical studies ; Competitive Behavior ; Conversion Disorder - diagnosis ; Conversion Disorder - psychology ; Female ; Foot Diseases - psychology ; Humans ; Male ; Medical sciences ; Miscellaneous ; Paralysis - psychology ; Paraplegia - psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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Failure to make proper diagnosis led to additional physician referral, needless testing, rehabilitation, or orthotic management. Patients are characterized as high achievers who are frequently younger than peers in the sport. Conversation between child and physician identified the source of conflict in four patients. Physical therapy helps resolve symptoms associated with an acute episode and facilitates transition into psychotherapy. Psychotherapy is recommended only for patients with persistent maladaptive behavior.</description><subject>Adolescent</subject><subject>Arm</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Competitive Behavior</subject><subject>Conversion Disorder - diagnosis</subject><subject>Conversion Disorder - psychology</subject><subject>Female</subject><subject>Foot Diseases - psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Paralysis - psychology</subject><subject>Paraplegia - psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychophysiologic Disorders - psychology</subject><subject>Sports - psychology</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtLxDAQgIMouq7-BKEH8SBUZ_JomuOy-IIFRfQcYjplq91Wk66L_97ornryMMzAfDMZvjCWIZwhGH0OyCUKU-ZoDCICQJ4CxRYboRIm50rDNhsB15gX2pR7bD_G50RoIcUu20VTAAcxYqfTvnunEJu-y-7J-SEVMWu67I6qxg2h8dlkmLc0UDxgO7VrIx1u8pg9Xl48TK_z2e3VzXQyy70opchrqcg7XxWq5sKXhSKtpU5HpZuQC1dDQYQgkUpV8epJaVUL8lAIWdXcFGLMTtZ7X0P_tqQ42EUTPbWt66hfRqu5AlSFTGC5Bn3oYwxU29fQLFz4sAj2S5P90WR_NdlvTWn0aPPG8mlB1d_g2kvqH2_6LnrX1sF1vom_mAJphICEyTW26tshWXxplysKdk6uHeb2v08Sn01DfMo</recordid><startdate>199111</startdate><enddate>199111</enddate><creator>Dvonch, Victoria M</creator><creator>Bunch, Wilton H</creator><creator>Siegler, Anna H</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199111</creationdate><title>Conversion Reactions in Pediatric Athletes</title><author>Dvonch, Victoria M ; Bunch, Wilton H ; Siegler, Anna H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3843-f45ecacd65f23c865e7747539257123af06ee1041e85d2db575f3ec0634df2963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adolescent</topic><topic>Arm</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>Competitive Behavior</topic><topic>Conversion Disorder - diagnosis</topic><topic>Conversion Disorder - psychology</topic><topic>Female</topic><topic>Foot Diseases - psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Paralysis - psychology</topic><topic>Paraplegia - psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychophysiologic Disorders - psychology</topic><topic>Sports - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dvonch, Victoria M</creatorcontrib><creatorcontrib>Bunch, Wilton H</creatorcontrib><creatorcontrib>Siegler, Anna H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dvonch, Victoria M</au><au>Bunch, Wilton H</au><au>Siegler, Anna H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Conversion Reactions in Pediatric Athletes</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1991-11</date><risdate>1991</risdate><volume>11</volume><issue>6</issue><spage>770</spage><epage>772</epage><pages>770-772</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>We report five children and adolescents who displayed a conversion reaction in response to stresses induced by athletic competition. Failure to make proper diagnosis led to additional physician referral, needless testing, rehabilitation, or orthotic management. Patients are characterized as high achievers who are frequently younger than peers in the sport. Conversation between child and physician identified the source of conflict in four patients. Physical therapy helps resolve symptoms associated with an acute episode and facilitates transition into psychotherapy. Psychotherapy is recommended only for patients with persistent maladaptive behavior.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>1960203</pmid><doi>10.1097/01241398-199111000-00013</doi><tpages>3</tpages></addata></record> |
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subjects | Adolescent Arm Biological and medical sciences Child Child clinical studies Competitive Behavior Conversion Disorder - diagnosis Conversion Disorder - psychology Female Foot Diseases - psychology Humans Male Medical sciences Miscellaneous Paralysis - psychology Paraplegia - psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychophysiologic Disorders - psychology Sports - psychology |
title | Conversion Reactions in Pediatric Athletes |
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