Effects of Psychiatric Interview upon Paroxysmal Cerebral Activity and Autonomic Measures in a Disturbed Child with Petit Mal Epilepsy

Ls, Zegans; Ka, Kool; Rw, Waggoner; Jp, Kemph

doi:10.1097/00006842-196403000-00006

Cited by 12 publications

(6 citation statements)

References 5 publications

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“…Our findings regarding the protective effects of unpleasant events in 2 subjects, although not hypothesized a priori, concur with results of some previous work. In experimental studies in humans, emotional stimulation (Zegans, et al, 1964, Kemph andFeldman, 1968) as well as moderately challenging cognitive tasks (Guey et al, 1969) caused reductions in epileptiform abnormalities. In several patients, Webster and Mawer (1989) reported reductions in seizure frequency in the months after major events.…”

Section: Discussionmentioning

confidence: 99%

Stressful Life Events and with Seizure Frequency in Patients Epilepsy

Neugebauer¹,

Paik

Hauser

et al. 1994

Epilepsia

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We tested whether unpleasant life events increased seizure occurrence in persons with epilepsy. Forty-six subjects maintained daily diaries for 10-36 weeks in which they recorded seizures and life events. Mean age of subjects was 39 years; 78% were female; 83% had complex partial seizures (CPS). On the average, subjects reported 3.3 seizures a week. Analyses first were conducted within each subject and then in the sample overall. For each person, we tested whether seizure frequency increased within 24 h of the occurrence of unpleasant events, using Poisson regression analyses that adjusted for daily antiepileptic medication, sleep duration and quality, alcohol intake, menstrual status, and pleasant events. Rarity of events precluded analyses in 9 subjects. Events increased seizure frequency in 5 subjects (14%) (p < 0.05). Events decreased seizure frequency in 2 subjects (p < 0.05). When individual risk ratios were aggregated across subjects, unpleasant events were significantly associated with seizure increase only in men (RR = 1.67, 95% Confidence interval 1.09, 2.54). However, this finding must be interpreted with caution because of the limited number of men in the sample. In other aggregate analyses, events and seizures were not associated in subjects grouped by seizure type, age of seizure onset, current age, ethnicity, educational level, or marital status. Identification of factors that distinguish patients with and without event-triggered seizures requires further study.

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Section: Discussionmentioning

confidence: 99%

Stressful Life Events and with Seizure Frequency in Patients Epilepsy

Neugebauer¹,

Paik

Hauser

et al. 1994

Epilepsia

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“…Wish for love, with fear of repudiation, increased EEG symptoms [frustration). Zegans et al (32) Seizures increased when passive, withdrawn, and being read to. Yeager and Gianascol (33) Disappointment over lack of modeling clay (frustration).…”

Section: Appendix: Summary Of Research Literature On Symptom Onset Comentioning

confidence: 98%

“…) B. Method: Observation of the Background; i.e., Distal, Onset conditions Petit-Mai Epilepsy Zegans et al (32) Fewer symptoms during the interview imply that higher activity and alertness impede attacks. Browne (54) More attacks associated with meals-before, during, or after; also associated with separations.…”

Section: Depression-withdrawal Reactionmentioning

confidence: 99%

Onset Conditions for Psychosomatic Symptoms: A Comparative Review of Immediate Observation with Retrospective Research

Luborsky

Docherty

Penick

1973

Psychosomatic Medicine

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A systematic review of 53 studies of the onset conditions revealed: (1) No symptoms were reported which were without psychological antecedents, although the level of the relationship between psychological antecedent and symptom was usually only moderate or weak; (2) the psychological antecedents, in order of rank with highest first, were resentment, frustration, depression, anxiety, and helplessness; (3) the special uniqueness of the review is in its systematic coverage of the "immediate-context" research (23 studies) and the comparison of those with a sample of "broad-context," mainly retrospective, research studies (30 studies). The same main types of psychological antecedents were reported by both types of studies with frequencies which were not significantly different except for frustration and separation. Frustration was more often reported in the immediate observation studies, separation more often in the broad-context studies. The review ends with suggestions of methods for understanding the mediation of psychological antecedents and symptoms. in a formal way, most family physicians and most patients could see at times a relationship between stressful experiences and the onset of certain somatic conditions. Much of the awareness of the relationship was lost to the medical profession around the turn of the century, when it became "scientific," but the topic was pursued in the research on psychosomatic medicine. The psychosomatic studies we have reviewed begin about 35 years ago in an era of uncontrolled observational methods. Studies of this kind have become increasingly sophisticated in research design. As we suggest later, not only were the early scientifically unsophisticated observations in accord with folk-belief, but also the more sophisticated research tended to confirm those earlier studies.Formal research on the onset of psy-

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“…In the EEG paroxysms during speech versus during silence, at least two sets of investigators have shown that bursts of spike and wave activity are more likely to occur in silence than during speaking (Gottschalk, 1955;Zegans, Kooi, Waggoner, & Kemph, 1964). In both studies, the findings were based on a comparison of EEG paroxysmal activity frequency during a 30-min or longer period of silence with that during a comparable period of an interview.…”

Section: Comparisons Of the 3 Patientsmentioning

confidence: 99%

The context for absence epilepsy episodes (Petit Mal).

Luborsky¹,

Docherty²,

Gottschalk³

et al. 1996

The Symptom-Context Method: Symptoms as Opportunities in Psychotherapy.

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After a series of symptom-context studies of self-reported symptoms, I realized that I also had to re-search in a new direction: to find recurrent physical symptoms that could be measured without requiring the patient's self-reports. It could be that the usual psychological antecedents of symptoms may appear only before those that are self-reported; those that I have studied so far by the symptom-context method relied on the patient's reports to identify the symptom. Thus, the possibility existed that the patients sometimes chose not to report a symptom, that they did not faithfully report it at the moment it occurred, or even that the appearance of the antecedent qualities is somehow linked to self-reports.Fortunately, we found 3 patients with absence epilepsy (Commission on Classification, 1981 ) who could be monitored by an electroencephalograph (EEG) while they were being interviewed. The well-known marker for an "absence" episode (formerly called petit mal) was used in all three patients: symmetrical and synchronous 3-cycle per second (cps) spike and wave activity in the EEG.

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Effects of Psychiatric Interview upon Paroxysmal Cerebral Activity and Autonomic Measures in a Disturbed Child with Petit Mal Epilepsy

Cited by 12 publications

References 5 publications

Stressful Life Events and with Seizure Frequency in Patients Epilepsy

Stressful Life Events and with Seizure Frequency in Patients Epilepsy

Onset Conditions for Psychosomatic Symptoms: A Comparative Review of Immediate Observation with Retrospective Research

The context for absence epilepsy episodes (Petit Mal).

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