The Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion Disorder

Background: Conversion disorder is a challenge for clinicians due to the conceptual gaps as regards its pathogenesis, the way in which it converges with other psychiatric disorders, and the lack of approaches to the experiences of both patients and family members with the disease. Objective: To desc...

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Autores:
Tipo de recurso:
Fecha de publicación:
2018
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/23058
Acceso en línea:
https://doi.org/10.1016/j.rcp.2017.02.003
https://repository.urosario.edu.co/handle/10336/23058
Palabra clave:
Alternative medicine
Article
Caregiver
Childhood disease
Clinical article
Colombia
Consultation
Conversion disorder
Correlation analysis
Explanatory model
Help seeking behavior
Human
Interview
Magic
Medical care
Mental health care
Parent
Patient care
Qualitative research
Religion
Social psychology
Symptom
Adolescent
Caregiver
Child
Conversion disorder
Female
Help seeking behavior
Male
Psychology
Theoretical model
Adolescent
Caregivers
Child
Conversion disorder
Female
Help-seeking behavior
Humans
Interviews as topic
Male
Child psychiatry
Conversion disorder
Patient-centred care
Qualitative research
theoretical
Models
Rights
License
Abierto (Texto Completo)
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network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
spelling 818d2f09-45ea-4f71-a1d0-43e70bfdae5d-1a3708dc1-d71d-44de-8b19-53899ceec983-12020-05-25T23:59:31Z2020-05-25T23:59:31Z2018Background: Conversion disorder is a challenge for clinicians due to the conceptual gaps as regards its pathogenesis, the way in which it converges with other psychiatric disorders, and the lack of approaches to the experiences of both patients and family members with the disease. Objective: To describe Explanatory Models (EM) offered to caregivers of paediatric patients with conversion disorder who attended the Hospital de la Misericordia. Methods: A qualitative study was conducted with a convenience sample of 10 patients who attended the Hospital de La Misericordia, ¿Bogota? between May 2014 and April 2015. The tool used was an in-depth interview applied to parents and/or caregivers. Results: Caregivers have different beliefs about the origin of the symptoms, especially considering sickness, magical-mystical factors, and psychosocial factors. The symptoms are explained in each case in various ways and there is no direct relationship between these beliefs, the pattern of symptoms, and help-seeking behaviours. Symptomatic presentation is polymorphous and mainly interferes in the patient's school activities. The medical care is perceived as relevant, and psychiatric care as insufficient. Among the therapeutic routes, consultations with various agents are described, including medical care, alternative medicine, and magical-religious approaches. Conclusions: EMs in conversion disorder are varied, but often include magical-religious elements and psychosocial factors. The underlying beliefs are not directly related to help-seeking behaviours or other variables. © 2017 Asociación Colombiana de Psiquiatríaapplication/pdfhttps://doi.org/10.1016/j.rcp.2017.02.003347450https://repository.urosario.edu.co/handle/10336/23058engElsevier Doyma164No. 3155Revista Colombiana de PsiquiatriaVol. 47Revista Colombiana de Psiquiatria, ISSN:347450, Vol.47, No.3 (2018); pp. 155-164https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016495730&doi=10.1016%2fj.rcp.2017.02.003&partnerID=40&md5=30089492dc2cb4aee260ebd0c4021d93Abierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURAlternative medicineArticleCaregiverChildhood diseaseClinical articleColombiaConsultationConversion disorderCorrelation analysisExplanatory modelHelp seeking behaviorHumanInterviewMagicMedical careMental health careParentPatient careQualitative researchReligionSocial psychologySymptomAdolescentCaregiverChildConversion disorderFemaleHelp seeking behaviorMalePsychologyTheoretical modelAdolescentCaregiversChildConversion disorderFemaleHelp-seeking behaviorHumansInterviews as topicMaleChild psychiatryConversion disorderPatient-centred careQualitative researchtheoreticalModelsThe Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion DisorderLo visible y lo menos visible en el padecimiento de un trastorno conversivo en niños y adolescentes. Un estudio cualitativo sobre los modelos explicativos de la enfermedad que ofrecen los cuidadores de niños y adolescentes con trastorno conversivoarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Garcia Mantilla J.S.Vasquez Rojas R.A.10336/23058oai:repository.urosario.edu.co:10336/230582022-05-02 07:37:20.874702https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co
dc.title.spa.fl_str_mv The Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion Disorder
dc.title.TranslatedTitle.spa.fl_str_mv Lo visible y lo menos visible en el padecimiento de un trastorno conversivo en niños y adolescentes. Un estudio cualitativo sobre los modelos explicativos de la enfermedad que ofrecen los cuidadores de niños y adolescentes con trastorno conversivo
title The Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion Disorder
spellingShingle The Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion Disorder
Alternative medicine
Article
Caregiver
Childhood disease
Clinical article
Colombia
Consultation
Conversion disorder
Correlation analysis
Explanatory model
Help seeking behavior
Human
Interview
Magic
Medical care
Mental health care
Parent
Patient care
Qualitative research
Religion
Social psychology
Symptom
Adolescent
Caregiver
Child
Conversion disorder
Female
Help seeking behavior
Male
Psychology
Theoretical model
Adolescent
Caregivers
Child
Conversion disorder
Female
Help-seeking behavior
Humans
Interviews as topic
Male
Child psychiatry
Conversion disorder
Patient-centred care
Qualitative research
theoretical
Models
title_short The Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion Disorder
title_full The Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion Disorder
title_fullStr The Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion Disorder
title_full_unstemmed The Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion Disorder
title_sort The Visible and Less Visible in the Suffering of a Conversion Disorder in Children and Adolescents. A Qualitative Study of Illness Explanatory Models Presented to Caregivers of Children and Adolescents with Conversion Disorder
dc.subject.keyword.spa.fl_str_mv Alternative medicine
Article
Caregiver
Childhood disease
Clinical article
Colombia
Consultation
Conversion disorder
Correlation analysis
Explanatory model
Help seeking behavior
Human
Interview
Magic
Medical care
Mental health care
Parent
Patient care
Qualitative research
Religion
Social psychology
Symptom
Adolescent
Caregiver
Child
Conversion disorder
Female
Help seeking behavior
Male
Psychology
Theoretical model
Adolescent
Caregivers
Child
Conversion disorder
Female
Help-seeking behavior
Humans
Interviews as topic
Male
Child psychiatry
Conversion disorder
Patient-centred care
Qualitative research
topic Alternative medicine
Article
Caregiver
Childhood disease
Clinical article
Colombia
Consultation
Conversion disorder
Correlation analysis
Explanatory model
Help seeking behavior
Human
Interview
Magic
Medical care
Mental health care
Parent
Patient care
Qualitative research
Religion
Social psychology
Symptom
Adolescent
Caregiver
Child
Conversion disorder
Female
Help seeking behavior
Male
Psychology
Theoretical model
Adolescent
Caregivers
Child
Conversion disorder
Female
Help-seeking behavior
Humans
Interviews as topic
Male
Child psychiatry
Conversion disorder
Patient-centred care
Qualitative research
theoretical
Models
dc.subject.keyword.eng.fl_str_mv theoretical
Models
description Background: Conversion disorder is a challenge for clinicians due to the conceptual gaps as regards its pathogenesis, the way in which it converges with other psychiatric disorders, and the lack of approaches to the experiences of both patients and family members with the disease. Objective: To describe Explanatory Models (EM) offered to caregivers of paediatric patients with conversion disorder who attended the Hospital de la Misericordia. Methods: A qualitative study was conducted with a convenience sample of 10 patients who attended the Hospital de La Misericordia, ¿Bogota? between May 2014 and April 2015. The tool used was an in-depth interview applied to parents and/or caregivers. Results: Caregivers have different beliefs about the origin of the symptoms, especially considering sickness, magical-mystical factors, and psychosocial factors. The symptoms are explained in each case in various ways and there is no direct relationship between these beliefs, the pattern of symptoms, and help-seeking behaviours. Symptomatic presentation is polymorphous and mainly interferes in the patient's school activities. The medical care is perceived as relevant, and psychiatric care as insufficient. Among the therapeutic routes, consultations with various agents are described, including medical care, alternative medicine, and magical-religious approaches. Conclusions: EMs in conversion disorder are varied, but often include magical-religious elements and psychosocial factors. The underlying beliefs are not directly related to help-seeking behaviours or other variables. © 2017 Asociación Colombiana de Psiquiatría
publishDate 2018
dc.date.created.spa.fl_str_mv 2018
dc.date.accessioned.none.fl_str_mv 2020-05-25T23:59:31Z
dc.date.available.none.fl_str_mv 2020-05-25T23:59:31Z
dc.type.eng.fl_str_mv article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.spa.spa.fl_str_mv Artículo
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1016/j.rcp.2017.02.003
dc.identifier.issn.none.fl_str_mv 347450
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/23058
url https://doi.org/10.1016/j.rcp.2017.02.003
https://repository.urosario.edu.co/handle/10336/23058
identifier_str_mv 347450
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationEndPage.none.fl_str_mv 164
dc.relation.citationIssue.none.fl_str_mv No. 3
dc.relation.citationStartPage.none.fl_str_mv 155
dc.relation.citationTitle.none.fl_str_mv Revista Colombiana de Psiquiatria
dc.relation.citationVolume.none.fl_str_mv Vol. 47
dc.relation.ispartof.spa.fl_str_mv Revista Colombiana de Psiquiatria, ISSN:347450, Vol.47, No.3 (2018); pp. 155-164
dc.relation.uri.spa.fl_str_mv https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016495730&doi=10.1016%2fj.rcp.2017.02.003&partnerID=40&md5=30089492dc2cb4aee260ebd0c4021d93
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.spa.fl_str_mv Abierto (Texto Completo)
rights_invalid_str_mv Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Elsevier Doyma
institution Universidad del Rosario
dc.source.instname.spa.fl_str_mv instname:Universidad del Rosario
dc.source.reponame.spa.fl_str_mv reponame:Repositorio Institucional EdocUR
repository.name.fl_str_mv Repositorio institucional EdocUR
repository.mail.fl_str_mv edocur@urosario.edu.co
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