In this prospective study, 30 patients with motor conversion disorder
were assessed for key psychiatric and demographic variables. At reasse
ssment 2 to 5 years later, 19 patients had completely recovered and 8
patients had improved, whereas only 3 were unchanged or worse. Contrar
y to other follow-up studies, none of the patients received a rediagno
sis of neurological disease. The presence of a personality disorder an
d overall personality pathology, particularly within cluster C, the pr
esence of a concomitant somatic disease, low DSM-IV Axis V score, and
high score on the Becks Hopelessness Scale proved to be associated wit
h poor outcome.