Psychiatric comorbidity in epilepsy

Swinkels, W. A. M.; Kuyk, Jarl; Dyck, Richard van; Spinhoven, Ph.

doi:10.1016/j.yebeh.2005.04.012

Cited by 241 publications

(169 citation statements)

References 74 publications

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“…After these traits have been identified, it would be pertinent to examine the extent of other reported BFI traits in each condition. In addition, the BFI has yielded mixed results so it can only be concluded that some traits are found more in people with epilepsy than in the general population (Swinkels et al, 2005). However, the researchers highlight the overlap with obsessive-compulsive disorder which appears to be consistent with previous studies, and state that well-controlled studies with valid and standardised diagnostic instruments are needed (ibid.).…”

Section: Traitmentioning

confidence: 64%

“…They point out that the existence and specificity of behavioural characteristics are incongruous, as there are too many factors which interact, and that behaviours are poorly defined. Swinkels, Kuyk, van Dyck and Spinhoven (2005) state that while many epilepsy patients do not meet criteria for a specific personality disorder, they show some typical personality oddities that are not necessarily maladaptive. An earlier study by Bear and Fedio (1977) aimed to develop a personality trait inventory consisting of 18 traits for TLE: the Bear-Fedio Inventory (BFI).…”

Section: Other Cognitive and Behavioural Similaritiesmentioning

confidence: 99%

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Autistic characteristics in adults with epilepsy

Wakeford

Hinvest

Ring

et al. 2014

Epilepsy & Behavior

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Section: Traitmentioning

confidence: 64%

Section: Other Cognitive and Behavioural Similaritiesmentioning

confidence: 99%

Autistic characteristics in adults with epilepsy

Wakeford

Hinvest

Ring

et al. 2014

Epilepsy & Behavior

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“…In addition, it has been reported that PNES patients have antecedents of psychological disturbance, often linked to child abuse, sexual assaults or overwhelming stress [7][8][9]. Mounting evidence support the notion that PNES is a psychiatric disorder requiring mental health professionals to deliver a proper management [4].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Therapy Psychodynamic and Cognitive Behavioral Therapy on Quality of Life in Patients with PNES

Ni¹,

Arana-Lechuga²,

Esqueda-León³

et al. 2017

J Psychol Psychother

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Objective: In the search for effective therapeutically tools for Psychogenic Non-epileptic Seizures (PNES), in the present study we analyzed the effect of two different psychotherapeutic approaches, Brief Psychodynamic Therapy (BPT) and Cognitive Behavioral Therapy (CBT) on the frequency of PNES as well as on quality of life in these patients.Methods: 23 patients displaying PNES were randomly assigned to a group receiving BPT for 6 months, a group receiving CBT for 6 months and a control group no receiving psychotherapy. Presence of PNES was confirmed by electroencephalography (EEG). To assess self-perception quality of life, the QOLIE-31 questionnaire was applied before and every three months including a six months' follow-up after treatment ended.Results: PNES frequency decreased significantly after the first three months of both therapies compared to control group. No differences were observed when the two therapies were compared. The significant decrease of PNES frequency remains until six months after the end of psychotherapy. Concerning self-perceived quality of life, QOLIE-31 results indicate a significant improvement since the first three months. At the beginning all the patients report a poor quality of life. After three months of psychotherapy most of them improve to a normal quality of life. After 6 months of therapy patients showed values reflecting an excellent quality of life, remaining at these levels six months after therapies ended. Conclusion:The present results support the notion that both psychotherapeutic approaches are reliably procedures for decrease PNES frequency and improve quality of life in these patients.

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“…

The performance of epileptic individuals is inferior in QoL evaluations and diverges in various aspects from that of individuals with other chronic diseases 5,11 or from that of the general population 6,7,12 .

Among specific instruments for epilepsy, the Quality of Life in Epilepsy Inventory (QOLIE-31) 13 is one of the most used instruments, and was validated in 2007 for use in the Brazilian population 14 .

The QoL scales possess a subjective construct and, if evaluated judiciously, can provide contributions for medical orientation and can influence health practices and policies.

Study carried out at Faculdade de Medicina, Pontifícia Universidade Católica de Campinas (PUC-Campinas), Campinas SP, Brazil.

…”

mentioning

confidence: 99%

“…Epileptic patients suffer from prejudice and limitations that can compromise their social integration, and hence present a greater incidence of psychiatric co-morbidities when compared to the general population and to individuals with other chronic diseases [1][2][3] .…”

mentioning

confidence: 99%

Epilepsy and quality of life: socio-demographic and clinical aspects, and psychiatric co-morbidity

Fonseca

Carvalho

2013

Arq. Neuro-Psiquiatr.

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Epileptic patients suffer from prejudice and limitations that can compromise their social integration, and hence present a greater incidence of psychiatric co-morbidities when compared to the general population and to individuals with other chronic diseases [1][2][3] .It is known that epilepsy has a great impact on the quality of life (QoL) [4][5][6] . However, how the socio-demographic variables, clinical aspects of epilepsy and the psychiatric co-morbidities act on the QoL has still not been completely elucidated, nor which specific domains would be more involved 5,7-10 .The performance of epileptic individuals is inferior in QoL evaluations and diverges in various aspects from that of individuals with other chronic diseases 5,11 or from that of the general population 6,7,12 .Among specific instruments for epilepsy, the Quality of Life in Epilepsy Inventory (QOLIE-31) 13 is one of the most used instruments, and was validated in 2007 for use in the Brazilian population 14 .The QoL scales possess a subjective construct and, if evaluated judiciously, can provide contributions for medical orientation and can influence health practices and policies.Study carried out at Faculdade de Medicina, Pontifícia Universidade Católica de Campinas (PUC-Campinas), Campinas SP, Brazil. ABSTRACTObjective: To study socio-demographic and clinical aspects, as well as psychiatric co-morbidity that influence the quality of life of adult epileptic patients. Methods: One hundred and thirty-two individuals diagnosed with epilepsy were evaluated from neurological/clinical and psychiatric points of view and by the Quality of Life in Epilepsy Inventory (QOLIE-31). Predictive factors for the QOLIE-31 scores were studied. Results: The regression analyses indicated the existence of psychiatric co-morbidity (total score, seizure worry, emotional well-being, energy/fatigue, social function and cognitive function) and a greater seizure frequency (total score, cognitive function and energy/fatigue) as predictive factors for lower scores in the total QOLIE-31 score and in various dimensions. Abnormalities in the neurological exam and polytherapy with anti-epileptic drugs were negative factors limited to one of the dimensions cognitive function and social function, respectively. Conclusion: The presence of psychiatric co-morbidity and a greater seizure frequency were the main factors influencing the quality of life in epileptic patients as evaluated by QOLIE-31.Key words: epilepsy, epileptic syndrome, quality of life. RESUMOObjetivo: Estudar os aspectos sociodemográficos, clínicos e comorbidades psiquiátricas que influenciam a qualidade de vida de pacientes adultos com epilepsia. Métodos: Cento e trinta e dois indivíduos com diagnóstico de epilepsia foram avaliados do ponto de vista clínico-neurológico e psiquiátrico e pelo Quality of Life in Epilepsy Inventory (QOLIE-31). Foram estudados os fatores preditores dos escores do QOLIE-31. Resultados: As análises de regressão indicaram a existência de comorbidade psiquiátrica (escore total, crises epilé...

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Psychiatric comorbidity in epilepsy

Cited by 241 publications

References 74 publications

Autistic characteristics in adults with epilepsy

Autistic characteristics in adults with epilepsy

The Effect of Therapy Psychodynamic and Cognitive Behavioral Therapy on Quality of Life in Patients with PNES

Epilepsy and quality of life: socio-demographic and clinical aspects, and psychiatric co-morbidity

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