Occurrence and intervention of hysteria in left-behind children in Chongqing rural area

Abstract

Objective To analyze the clinical characteristics and the interventional effects of hysteria in left-behind children in Chongqing rural area for early detection, early treatment and prevention of the disease. Methods One hundred and three left-behind children aged from 7 to 17 years were diagnosed as hysteria from Jun.2008 to Jun.2011.Their general information, clinical presentations were analyzed retrospectively.After comprehensive intervention, they were assessed the clinical efficacy in accordance with Brief Psychiatric Rating Scale, and some of them were tested by Eysenck Personality Questionnaire(EPQ) and Symptom Checklist(SCL-90). Results There were many clinical forms of hysteria in 103 left-behind children.Physical dysfunction accounted for 72 cases(69.90%), whose symptoms were mainly paralysis and convulsive seizure, which was significantly higher than mental disorder(5 cases, 4.9%). The mixed episode of physical dysfunction and mental disorder accounted for 26 cases(25.40%). Seventy-eight cases(75.73%) were cured, 19 cases(18.45%) improved significantly, and 6 cases(5.83%) improved respectively after intervention of 3 to 12 days.Emotional instability accounted for 12 cases(63.16%) in personality factors with EPQ test in 19 cases.Their factors of somatization, interpersonal relationship, depression, anxiety, and hostility with SCL-90 significantly decreased(all P<0.05) after intervention of 7 to 12 days. Conclusions The main forms of hysteria in left-behind children in Chongqing rural area are physical dysfunction and mixed episode, which are paralysis and convulsive seizure.Emotional instability is common in personality factors for them.It can be achieved good results of hysteria in left-behind children to pay attention to the emotional exchange between the children and their parents, early detect, early treat and active prevent the disease. Key words: Hysteria; Clinical character; Intervention; Left-behind child