China ; epidemiology ; Humans ; Hysteria ; epidemiology ; Schools

Acupuncture Therapy ; Adult ; Hoarseness ; therapy ; Humans ; Hysteria ; therapy ; Male

OBJECTIVES: The author tried to find out reasons why and how hysteria(and conversion disorder) patient numbers, which were so prevalent even a few decades ago, have decreased and the phenotype of symptoms have changed. METHODS: The number of visiting patients diagnosed with conversion disorder and their phenotype of symptoms were investigated through chart reviews in a psychiatric department of a University hospital for the last 12 years. Additionally, the characteristics of conversion disorder patients visiting the emergency room for last 2 years were also reviewed. Those results were compared with previous research results even if it seemed to be an indirect comparisons. The research relied on Briquet P. and Charcot JM's established factors of the vicissitudes of hysteria(and conversion disorder) which has been the framework for more than one hundred and fifty years since hysteria has been investigated. RESULTS: The author found decreased numbers and changes of the phenotype of the hysteria patients(and conversion disorder) over the last several decades. The decreased numbers and changes of the symptoms of those seemed to be partly due to several issues. These issues include the development of the diagnostic techniques to identify organic causes of hysteria, repeated changes to the symptom descriptions and diagnostic classification, changes of the brain nervous functions in response to negative emotions, and the influence of human evolution. CONCLUSIONS: The author proposed that the evolutionary brain discord reaction theory explains the causes of disappearance of and changes to symptoms of hysteria(conversion disorder). Most patients with hysteria(conversion disorder) have been diagnosed in the neurological department. For providing more appropriate treatment and minimizing physical disabilities to those patients, psychiatrists should have a major role in cooperating not only with primary care physicians but with neurologists. The term 'hysteria' which had been used long ago should be revived and used as a term to describe diseases such as somatic symptom disorder, functional neurological symptoms, somatization, and somatoform disorders, all of which represent almost the same vague concept as hysteria.
Brain* ; Classification ; Conversion Disorder ; Emergency Service, Hospital ; Humans ; Hysteria ; Phenotype ; Physicians, Primary Care ; Psychiatry ; Somatoform Disorders

OBJECTIVE: The aim of this study was to see an incidence of depression, and to see the characteristics of demographic variables, maternal psychologic state and family environments in adolescent children with type I DM who was in depressive mood. METHODS: Among children with type I DM who participated in a diabetes summer camp which was held in Daegu between August 6th and 10th, 2004, authors sent questainnaires which included CDI/ BDI for children, MMPI and SCL-90 for patients' mothers, and FES which mothers were asked to respond to the 40 patients' house after gaining parents and patients' permission by telephoning. Twenty-three out of 40 patients completed these questainnaires. Study patients consisted of 10 boys and 13 girls. Their mean age was 13.3 years. RESULTS: There were significant differences in maternal MMPI and SCL-90 between depressive and non-depressive group. Among the maternal MMPI, the t-scores of hypochondriasis and hysteria in depressive group were higher than those of non- depressive group. And among the dimension of SCL-90, t-score of depression, anxiety, phobic anxiety and psychoticism in depressive group were higher than those of non-depressive group (P<0.05). These findings were concordant with prior findings that the mothers of diabeteic childen were more depressed and anxious than the mothers of control children. CONCLUSION: Though there are several limitation to this study, this study found high incidence rate in children with type I diabetes, and replicate prior findings supporting the effect of type I diabetes on the maternal psychologic state and family functioning. Larger size group is necessary to confirm our findings.
Adolescent ; Anxiety ; Child* ; Daegu ; Depression ; Diabetes Mellitus* ; Female ; Humans ; Hypochondriasis ; Hysteria ; Incidence ; MMPI ; Mothers ; Parents

To investigate the relationship between psychological behavior and the development of central serous chorioretinopathy, we performed a study on stress and personality characteristics on 39 central serous chorioretinopathy patients and 38 healthy subjects as a control group. We used Life Change Inventory(MMPI) for personality characteristics. As a result, the mean stress scale in the patients group was significantly higher than in the normal control group(p<0.05) and the mean T-xcore of three neurotic scales such as hypochondriasis, depression and hysteria in the patients group were significantly higher than in the normal control group(p=0.029, 0.004, 0.012).
Central Serous Chorioretinopathy* ; Climacteric ; Depression ; Humans ; Hypochondriasis ; Hysteria ; MMPI ; Weights and Measures

OBJECTIVE: This study aims to examine the personality characteristics in parricide offenders, by using the Minnesota Multiphasic Personality Inventory (MMPI) test, which is commonly used in clinical medicine. METHODS: A total of 73 parricide offenders with schizophrenia who were admitted to National Forensic Hospital in Gongju city between September 2014 and February 2015, and 104 comparison schizophrenia patients who had been admitted to Dankook University Hospital in Cheonan city the same hospital, completed the Korean version of the MMPI. RESULTS: The parricide offender group showed significantly higher on L, F, Hs, Hy and Pd than the comparison group. The result of the regression analysis indicated that Pd and Si significantly increased the odd ratio of the sexual offender group by 2.77 times and 0.32 times, respectively (p=0.029 and p=0.023). The offenders of parricide may have developed the following characteristics: hypochondriasis, hysteria and psychopathic deviate. CONCLUSION: These results suggested that the psychopatholgy in the offenders of parricide might be different, compared to the control group.
Chungcheongnam-do ; Clinical Medicine ; Criminals* ; Humans ; Hypochondriasis ; Hysteria ; Korea* ; Minnesota* ; MMPI* ; Psychopathology ; Schizophrenia*

BACKGROUND: Trigeminal neuralgia and atypical facial pain are representative disease entities of chronic facial pain. Most patients of these disaeses could be accompanied with psychological, emotional problems as their pain become chronic. The purpose of this study is to investigate whether different types of chronic facial pain lead to alteration in personality disorder or they are associated with particular characteristics of personality disorders using Minnesota multiphasic personality inventory (MMPI). METHODS: 40 patients of trigeminal neuralgia and 21 patients of atypical facial pain who had responded MMPI were enrolled in this study. Two groups were compared for age, sex, pain intensity (Visual analogue scale, VAS), duration of pain, MMPI scores and psychological impression from MMPI results. RESULTS: Pain intensity and chronicity were more severe and longer in trigeminal neuralgia group than atypical facial pain. However, some MMPI profiles such as hypochondriasis and hysteria were significantly elevated in atypical facial pain. Pain intensity and duration did not correlate with MMPI profiles in each group. Meaningful psychological impression from MMPI results which were interpreted by one psychologist were shown in 13 patients of trigeminal neuralgia (32.5%) and 14 patients of atypical facial pain (66.7%). Especially, psychosomatic disorder was most frequently found in atypical facial pain patients (47.6%). CONCLUSIONS: Atypical facial pain have more psychologic and emotional problems than trigeminal neuralgia, regardless of pain intensity and chronicity. Therefore, psychologic evaluation and treatment should be considered in atypical facial pain.
Chronic Pain ; Facial Pain* ; Humans ; Hypochondriasis ; Hysteria ; Minnesota* ; MMPI* ; Personality Disorders ; Psychology ; Psychophysiologic Disorders ; Trigeminal Neuralgia*

OBJECTIVES: This subjects investigated the psychological characteristics of patients with functional dyspepsia. METHODS: The subjects included ninety patients with functional dyspepsia and sixty four psychiatric out-patients. We administered Minnesota Multiphasic Personality Inventory (MMPI) and Illness Behavior Questionnaire(IBQ). RESULTS: There were no significant differences between the patients with functional dyspepsia and the psychiatric out-patients by MMPI. Two groups both showed a higher distribution in hypochondriasis, depression, hysteria subscales than in any other subscales. The patients with functional dyspepsia showed lower scores in disease conviction and affective disturbance subscales in IBQ subscales were similar between the patients with functional dyspepsia and the psychiatric out-patients. The patients with functional dyspepsia were divided into three groups for the Multivariate cluster analysis: normal(group 1), similar to psychiatric out-patient(group 2), and severe neurotic(group 3). The severe neurotic group showed higher scores in hypochondriasis, depression, hysteria, psychathenia, and schizophrenia subscales in MMPI and showed significant different scores in affective disturbance, disease conviction, psychological and somatic concerns, affective disturbance, denial, and irritability subscales in IBQ. CONCLUSION: If patients with functional dyspepsia show severe neurotic behavior, such as those in(group 3), they would need appropriate psychiatric intervention.
Denial (Psychology) ; Depression ; Dyspepsia* ; Humans ; Hypochondriasis ; Hysteria ; Illness Behavior ; MMPI ; Outpatients ; Psychology* ; Schizophrenia

BACKGROUND: Psychogenic non epileptic seizures (PNES) are characterized by repeated seizures that are typically caused by stress and psychologic problems such as anxiety and depression. This contrasts with epileptic seizures (ES), which are transient and caused by irregular excitement of nerve cells. PNES can be found in patients with ES, but due to their differing etiologies, it is important to determine the psychologic characteristics that differentiate PNES from ES. METHODS: This study identified psychopathologic and personality traits in 137 patients with PNES (n=7, 49.3% female) or ES (n=0, 35.7% female) using MMPI. The diagnosis was based on a medical history of seizures and the clinical examination in patients who visited the epilepsy clinic. Statistical analyses for comparing MMPI differences between the two groups were conducted using the t-test, chi-square test, and analysis of covariance. RESULTS: We analyzed the frequency of individuals who exhibited a T score of ≥5 on the MMPI, and the results indicated that there were significantly more patients in the PNES group than in the ES group who had elevated scores on the hypochondriasis (Hs) scale and hysteria (Hy) scale. The mean scores of Hs, Hy, paranoia scale and schizophrenia scale were significantly higher in the PNES group than in the ES group. CONCLUSIONS: These results suggest that patients with PNES have greater psychologic problems than ES patients. Differences in MMPI profile patterns between patients with PNES and ES may be helpful in tailoring appropriate therapeutic interventions for the two groups.
Anxiety ; Depression ; Diagnosis ; Epilepsy* ; Humans ; Hypochondriasis ; Hysteria ; MMPI* ; Neurons ; Paranoid Disorders ; Schizophrenia ; Seizures*

It is reported the fact that there is high incidence of conversion hysteria in Korea compared with other country. Many authors has stressed the importence of the possibity of hysteria when the patient complained of visual disturbance, visual field change and ocular discomfortness without any organic change of the eye. Author presented a case of conversion hysteria, 13years old male with chief complain of sudden severe visual disturbance, concentric constriction of the periperal visual field change and pseudomyopIa. He had treated at other eye clinics with the diagnosis of pseudomyopia or optic neuritis without improvement of ocular abnormalities over a year. Every efforts such as corrective glasses, systemic administration of steroids were failed. Finally author consulted this patient with the impression of conversion hysteria to the psychiatry department. All of ocular abnormalities were completly recorvered after treatment at the psychiatry department.
Constriction ; Conversion Disorder ; Diagnosis ; Eyeglasses ; Glass ; Humans ; Hysteria ; Incidence ; Korea ; Male ; Optic Neuritis ; Steroids ; Visual Fields