Hyperemesis Gravidarum as Conversion Disorder

El‐Mallakh, Rif S.; Liebowitz, Neil R.; Hale, Mahlon S.

doi:10.1097/00005053-199010000-00007

Cited by 32 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…19 Eating disorders 20 and social factors 21 have also been reported to be associated with HG, and have often been considered as causal. These incorrect and skeptical views of caregivers and family members of affected women can result in a lack of sympathy and suboptimal management of HG patients.…”

Section: Discussionmentioning

confidence: 99%

The psychosocial burden of hyperemesis gravidarum

et al. 2007

View full text Add to dashboard Cite

Objective: To describe the psychosocial burden of hyperemesis gravidarum (HG) in a large cohort of affected women, focusing on previously unreported problems. Result: Of the 808 participants, 626 (77.5%) were American. A large majority (82.8%) reported that HG caused negative psychosocial changes, consisting of (1) socioeconomic changes, for example, job loss or difficulties, (2) attitude changes including fear regarding future pregnancies and (3) psychiatric sequelae, for example, feelings of depression and anxiety, which for some continued postpartum. Women who reported that their health-care provider was uncaring or unaware of the severity of their symptoms were nearly twice as likely to report these psychiatric sequelae (odds ratio 1.86, 95% confidence interval 1.06 to 3.29, P ¼ 0.032).Conclusion: Over 80% of a large cohort of women with HG reported that HG caused a negative psychosocial impact.

show abstract

Section: Discussionmentioning

confidence: 99%

The psychosocial burden of hyperemesis gravidarum

et al. 2007

View full text Add to dashboard Cite

show abstract

“…One former commonly used explication for development of HG was a psychiatric explanation of vomiting as a subconscious wish for an abortion or - in a different approach - a conversion disorder underlying the condition [43]. …”

Section: Aetiologymentioning

confidence: 99%

Managing hyperemesis gravidarum: a multimodal challenge

Jueckstock

Kaestner

Mylonas

2010

BMC Med

View full text Add to dashboard Cite

Up to 90% of pregnant women experience nausea and vomiting. When prolonged or severe, this is known as hyperemesis gravidarum (HG), which can, in individual cases, be life threatening. In this article the aetiology, diagnosis and treatment strategies will be presented based on a selective literature review. Treatment strategies range from outpatient dietary advice and antiemetic drugs to hospitalization and intravenous (IV) fluid replacement in persistent or severe cases. Alternative methods, such as acupuncture, are not yet evidence based but sometimes have a therapeutic effect.In most cases, the condition is self limiting and subsides by around 20 weeks gestation. More severe forms require medical intervention once other organic causes of nausea and vomiting have been excluded. In addition, a psychosomatic approach is often helpful.In view of its potential complexity, general practitioners and obstetricians should be well informed about HG and therapy should be multimodal.

show abstract

“…We suggest that imma ture and dependent women (possibly hypnotizable) may use maladaptive coping mecha nisms during pregnancy, especially if they lack social support. Vomiting is a learned behavior which enables the patient to avoid or escape from an intolerable and stressful situa tion, as in conversion in which the conflict is transformed into a physical symptom [28].…”

Section: Behavior Therapymentioning

confidence: 99%

“…A tentative conclusion is that psychotherapy may be efficient in mod erate cases of HG, while in severe cases of HG the use of behavior therapy or hypnosis may be required. Social help is also needed in order to decrease stress due to lack of financial and social support or inadequate housing [28].…”

Section: Behavior Therapymentioning

confidence: 99%

Psychiatric Aspects of Hyperemesis gravidarum

Iancu

Kotler

Spivak

et al. 1994

Psychother Psychosom

View full text Add to dashboard Cite

Hyperemesis gravidarum is a potentially dangerous disorder of pregnancy characterized by severe and protracted vomiting. It is suggested that psychosocial factors may have a role in determining whether the pregnant woman experiences a transient spell of mild vomiting or progresses towards the much rarer but more significant pernicious vomiting. Psychotherapy, hypnotherapy and behavior therapy have been reported to contribute to the treatment of patients with hyperemesis gravidarum. A review of the etiological factors as well as of the therapeutic approaches is presented.

show abstract

Hyperemesis Gravidarum as Conversion Disorder

Cited by 32 publications

References 0 publications

The psychosocial burden of hyperemesis gravidarum

The psychosocial burden of hyperemesis gravidarum

Managing hyperemesis gravidarum: a multimodal challenge

Psychiatric Aspects of Hyperemesis gravidarum

Contact Info

Product

Resources

About