International Journal of Clinical Research

Objective To investigate the pathogenesis, characteristics of clinical manifestations, therapeutic measures and their efficacy of grass-roots officers and soldiers with dissociative (conversion) disorder in Northwest China. Methods A retrospective analysis of 102 officers and soldiers with dissociative (conversion) disorder diagnosed in a military hospital in Northwest China from January 2005 to January 2020. Results The average age and military service of the 102 patients younger. The onset of dissociative (conversion) disorder is preceded by negative psychosocial stimuli or negative self-references. With reference to the CCMD-3 standard, the clinical typology of the patients was hysterical psychosis (including emotional outbursts and emotional instability) in 5 cases (4.90% of the total), hysterical amnesia in 2 cases, hysterical convulsive seizures (epileptiform seizures) in 60 cases (58.82%); hysterical sensory disturbances in 6 cases (5.88%); hysterical biparalysis of both limbs in 8 cases (7.84%), hysterical hyperventilation in 14 cases (13.74%), and hysterical unilateral limb paralysis in 7 cases (6.86%). Symptomatic treatment, psychological suggestion therapy, and physical therapy and acupuncture were used in the treatment method, and the treatment was effective in 96 patients (94.11%). Conclusion The onset of dissociative (conversion) disorder among grass-roots officers and soldiers in northwestern China is characterized by certain features, and there should be targeted prevention and treatment of dissociative (conversion) disorder and psychological education for priority groups with specific personalities.

Dissociative (conversion) disorder; Grass-roots officers and soldiers; Retrospective analysis