Cognitive deficits and emotion regulation strategies in patients with psychogenic nonepileptic seizures: A task-switching study

Gul, Amara; Ahmad, Hira

doi:10.1016/j.yebeh.2014.01.015

Cited by 41 publications

(48 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, Jawad et al (1995) found evidence of defensive denial in patients with PNES, as did Stone, Binzer and Sharpe (2004) who also identified a tendency to emphasize somatic rather than emotional causes for their difficulties. A tendency to suppress affect was identified by Novakova et al (2015) and Gul and Ahmad (2014), whereas problems with emotional regulation were found by Roberts et al (2012). In contrast, other studies have found no evidence for disproportionate denial (Kaplan et al, 2013;Testa & Brandt, 2010;Testa, Krauss, Lesser, & Brandt, 2012) or emotional suppression (Testa et al, 2012) in this group.…”

Section: Somatization and Emotional Processingcontrasting

confidence: 55%

Towards an integrative theory of psychogenic non-epileptic seizures (PNES)

Brown

Reuber

2016

Clinical Psychology Review

217

208

View full text Add to dashboard Cite

Current models of PNES can account for some but not all of the available data.• Automatic activation of seizure representations in memory may be a unifying process.• Suppression of arousal and distress are typical maintaining factors for PNES.• Inhibitory dysfunction, often arising from chronic stress, is a key vulnerability. • Trauma exposure is common but neither necessary nor sufficient for PNES to occur. a b s t r a c tPsychogenic Nonepileptic Seizures (PNES) superficially resemble epileptic seizures but are thought to have a psychological rather than epileptic basis. Patients with PNES vary widely in terms of background, personality profiles, comorbidities, response to treatment and outcomes. Previous accounts interpreting these seizures as the activation of dissociated material, a physical manifestation of emotional distress, hard-wired reflex responses, or learned behaviours cannot explain key features of the phenomenon. Drawing on a brief review of the literature on etiology, correlates and phenomenology of PNES, this paper integrates existing approaches and data within a novel explanatory framework that applies to all PNES patients with subjectively involuntary seizures. Following the Integrative Cognitive Model of medically unexplained symptoms, we suggest that the central feature of all PNES is the automatic activation of a mental representation of seizures (the "seizure scaffold") in the context of a high level inhibitory processing dysfunction. This often arises in response to elevated autonomic arousal, and may disrupt the individual's awareness of distressing material, but can become divorced from abnormal autonomic and emotional activity. This model accounts both for existing findings and the heterogeneity of patients with PNES, whilst leading to a number of novel hypotheses against which it can be evaluated.

show abstract

Section: Somatization and Emotional Processingcontrasting

confidence: 55%

Towards an integrative theory of psychogenic non-epileptic seizures (PNES)

Brown

Reuber

2016

Clinical Psychology Review

217

208

View full text Add to dashboard Cite

show abstract

“…Another study testing affect perception and theory of mind demonstrated that, compared to healthy controls, patients with PNES were characterised by increased alexithymic traits and, impaired mentalizing skills while basal facial expression recognition were found to be normal [65]. Finally, in an experimental study focussing on attention to emotion, patients with PNES reappraised their cognitions less frequently and showed impairment in their ability to switch attention between emotion and non-emotion face categorisations [66].…”

Section: Testing the Icmmentioning

confidence: 99%

Understanding psychogenic nonepileptic seizures—Phenomenology, semiology and the Integrative Cognitive Model

Reuber

Brown

2017

Seizure

View full text Add to dashboard Cite

“…Experimental investigation comparing the suppression between those having psychological disorders and healthy controls, the tendency to use suppression was higher in bipolar patients 42 Social phobic patients 43 and in patients of psychogenic nonepileptic seizure who used expressive suppression more frequently to regulate their emotion and reappraise their cognitions less frequently than healthy individuals. 44 …”

Section: Psychological Consequences Of Suppressionmentioning

confidence: 99%

Cross Cultural Variation in Emotion Regulation: A Systematic Review

Ramzan

Amjad²

2017

Annals KEMU

View full text Add to dashboard Cite

A systematic review of literature on emotion regulation is carried out with the aim to identify, analyze and compare the commonly used emotion regulatory strategies (cognitive reappraisal and expressive suppression) in individualistic and collectivistic cultures including Pakistan and to study outcomes of different emotion regulation strategies in culture specific context. A systematic search has been conducted for required articles which have been published between 1990 and 2015. Only those studies have been included in the review which reported either cognitive reappraisal or expressive suppression in their findings. Review indicates that individualistic cultures prefer emotional expression to regulate emotions while collectivistic cultures, such as in Pakistan, focus more on expressive suppression. Emotional suppression can cause mental disease, physiological illness, and poor social and psychological adjustment. To sum up, culture predicts whether individuals are motivated to express or suppress their emotions. Collectivist culture encourages greatest control on emotion expression

show abstract

Cognitive deficits and emotion regulation strategies in patients with psychogenic nonepileptic seizures: A task-switching study

Cited by 41 publications

References 38 publications

Towards an integrative theory of psychogenic non-epileptic seizures (PNES)

Towards an integrative theory of psychogenic non-epileptic seizures (PNES)

Understanding psychogenic nonepileptic seizures—Phenomenology, semiology and the Integrative Cognitive Model

Cross Cultural Variation in Emotion Regulation: A Systematic Review

Contact Info

Product

Resources

About