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Prognostic factors in functional neurological symptom disorder (conversion disorder)

Prognostic factors in functional neurological symptom disorder (conversion disorder)
Positive prognostic factors Negative prognostic factors
  • Onset in childhood or adolescence
  • Multiple physical symptoms
  • Early diagnosis
  • Longer duration of symptoms
  • Good response to initial treatment
  • Poor physical functioning
  • Comorbid anxiety or depression
  • Comorbid personality disorder
  • Subsequent change in marital status
  • Beliefs that symptoms are irreversible and caused by a disease with a known pathologic basis
  • Good therapeutic alliance with the clinician
  • Illness-related financial benefits
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