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      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      A Case Series from Rantauprapat, La Belle Indifference: A Coping Mechanism or Is There Something Organic Behind?

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          Abstract

          BACKGROUND:

          La belle indifference, a term that is inexhaustible to discuss, albeit there is no single definition that best describes the condition. To date, la belle indifference has gotten no place in the DSM-5 criteria for being a distinct entity of mental health issue.

          CASE REPORTS:

          We reported 3 cases with la belle indifference. These patients include a stroke patient with right-sided hemiparesis, a patient suffering from neuropathic pain because of diabetic neuropathy, and a patient with cardiac dyspnea due to chronic heart failure — these three cases presented with a similar clinical profile that is the trigger for developing la belle indifference.

          CONCLUSIONS:

          La belle indifference has varying symptom spectrum, and there is always something called “trigger” to induce it.

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          Most cited references7

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          La belle indifférence in conversion symptoms and hysteria: systematic review.

          Roger Smyth, Jon Stone, Michael Sharpe … (2006)
          La belle indifférence refers to an apparent lack of concern shown by some patients towards their symptoms. It is often regarded as typical of conversion symptoms/hysteria. To determine the frequency of la belle indifférence in studies of patients with conversion symptoms/hysteria and to determine whether it discriminates between conversion symptoms and symptoms attributable to organic disease. A systematic review of all studies published since 1965 that have reported rates of la belle indifférence in patients with conversion symptoms and/or patients with organic disease. A total of 11 studies were eligible for inclusion. The median frequency of la belle indifférence was 21% (range 0-54%) in 356 patients with conversion symptoms, and 29% (range 0-60%) in 157 patients with organic disease. The available evidence does not support the use of la belle indifférence to discriminate between conversion symptoms and symptoms of organic disease. The quality of the published studies is poor, with a lack off operational definitions and masked ratings. La belle indifférence should be abandoned as a clinical sign until both its definition and its utility have been clarified.
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            Uncovering the etiology of conversion disorder: insights from functional neuroimaging

            Maryam Ejareh Dar, Richard Aa Kanaan (2016)
            Conversion disorder (CD) is a syndrome of neurological symptoms arising without organic cause, arguably in response to emotional stress, but the exact neural substrates of these symptoms and the underlying mechanisms remain poorly understood with the hunt for a biological basis afoot for centuries. In the past 15 years, novel insights have been gained with the advent of functional neuroimaging studies in patients suffering from CDs in both motor and nonmotor domains. This review summarizes recent functional neuroimaging studies including functional magnetic resonance imaging (fMRI), single photon emission computerized tomography (SPECT), and positron emission tomography (PET) to see whether they bring us closer to understanding the etiology of CD. Convergent functional neuroimaging findings suggest alterations in brain circuits that could point to different mechanisms for manifesting functional neurological symptoms, in contrast with feigning or healthy controls. Abnormalities in emotion processing and in emotion-motor processing suggest a diathesis, while differential reactions to certain stressors implicate a specific response to trauma. No comprehensive theory emerges from these clues, and all results remain preliminary, but functional neuroimaging has at least given grounds for hope that a model for CD may soon be found.
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              Conversion Disoder:a Problematic Diagnosis

              TRJ Nicholson, J. STONE, RAA Kanaan … (2011)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Open Access Maced J Med Sci
                Journal ID (iso-abbrev): Open Access Maced J Med Sci
                Title: Open Access Macedonian Journal of Medical Sciences
                Publisher: Republic of Macedonia (ID Design 2012/DOOEL Skopje )
                ISSN (Electronic): 1857-9655
                Publication date Collection: 30 August 2019
                Publication date (Electronic): 28 August 2019
                Volume: 7
                Issue: 16
                Pages: 2675-2678
                Affiliations
                [1]Department of Psychiatry, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
                Author notes
                [* ] Correspondence: Muhammad R. Khaddafi. Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia. E-mail: wardahsminyak5589@ 123456gmail.com
                Article
                Publisher ID: OAMJMS-7-2675
                DOI: 10.3889/oamjms.2019.405
                PMC ID: 6876810
                SO-VID: d59cfb4f-65a3-4db0-ad34-e74234a8d80b
                Copyright © Copyright: © 2019 Muhammad R. Khaddafi, Mustafa M. Amin.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).

                History
                Date received : 11 June 2019
                Date revision received : 13 July 2019
                Date accepted : 14 July 2019
                Categories
                Subject: Neuroscience, Neurology and Psychiatry

                Keywords: la belle indifference,dsm-5,rantauprapat,gaf scale,trigger
                Data availability:
                Keywords: la belle indifference, dsm-5, rantauprapat, gaf scale, trigger

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