Psychiatric morbidity and psychodynamics of patients with convulsive pseudoseizures

Jawad, Sudad; Jamil, Nurul; Clarke, Emma; Lewis, Ann; Whitecross, Sharon; Richens, A.

doi:10.1016/s1059-1311(05)80061-5

Cited by 46 publications

(33 citation statements)

References 7 publications

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“…A high incidence of psychiatric comorbidity in PS patients has been reported in the literature (12,13,(25)(26)(27)(28)(29). The pattern of comorbid psychiatric disorders of our PS patients corresponded with that described in the literature (30)(31)(32).…”

Section: Discussionsupporting

confidence: 86%

Dissociative and Associated Psychopathological Symptoms in Patients with Epilepsy, Pseudoseizures, and Both Seizure Forms

Prueter

Schultz-Venrath²,

Rimpau

2002

Epilepsia

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Summary:Purpose: A controversy currently exists regarding the significance of dissociation and conversion in the pathogenesis of pseudoepileptic seizures. After the abolition of the term "hysterical neurosis" from the current diagnostic systems, these seizures were diagnosed as either Dissociative Disorders (ICD-10) or in the DSM IV as Somatoform disorder, most often of conversion type. Recent studies of patients with Dissociative Disorders found that most patients also had conversion symptoms.Methods: In the present study, 60 patients of an outpatient clinic for epilepsy were assessed for the presence of dissociative symptoms and general psychopathologic symptoms by using the German version of the Dissociative Experience Scale (DES) and the Symptom Check List (SCL-90-R).Results: The patients with pseudoepileptic seizures showed a significantly higher incidence of dissociation (p < 0.0098) and general psychopathologic symptoms (p < 0.0083). Depression, anxiety, and obsession were dominating psychopathologic symptoms in all patients.Conclusions: The significantly higher incidence of dissociation in the patients with pseudoepileptic seizures suggests dissociation in the pathogenesis of these seizures.

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Section: Discussionsupporting

confidence: 86%

Dissociative and Associated Psychopathological Symptoms in Patients with Epilepsy, Pseudoseizures, and Both Seizure Forms

Prueter

Schultz-Venrath²,

Rimpau

2002

Epilepsia

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“…Indeed, while psychodynamic, cognitive, behavioral, and systemic psychological theories offer dif-ferent accounts of PNESs [3], all recognize the patient's response to anxiety as a significant contributing factor and suggest that PNESs may reflect an inability, failure, or unwillingness to actively engage with anxiety. This recognition is supported by evidence that patients with PNESs generally report a greater preference for avoidant coping strategies and are more likely to somaticize their distress compared with those with epilepsy [4][5][6][7][8][9][10]. Nevertheless, relatively little research has specifically addressed avoidance in PNESs despite its key role in many psychological theories about the etiology of PNESs.…”

Section: Anxiety and Avoidance In Psychogenic Nonepileptic Seizuresmentioning

confidence: 99%

Anxiety and avoidance in psychogenic nonepileptic seizures: The role of implicit and explicit anxiety

Dimaro

Dawson

Roberts

et al. 2014

Epilepsy & Behavior

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This study examined implicit and explicit anxiety in individuals with epilepsy and psychogenic nonepileptic seizures (PNESs) and explored whether these constructs were related to experiential avoidance and seizure frequency. Based on recent psychological models of PNESs, it was hypothesized that nonepileptic seizures would be associated with implicit and explicit anxiety and experiential avoidance. Explicit anxiety was measured by the State-Trait Anxiety Inventory; implicit anxiety was measured by an Implicit Relational Assessment Procedure; and experiential avoidance was measured with the Multidimensional Experiential Avoidance Questionnaire. Although both groups with epilepsy and PNESs scored similarly on implicit measures of anxiety, significant implicit-explicit anxiety discrepancies were only identified in patients with PNESs (p b .001). In the group with PNESs (but not in the group with epilepsy), explicit anxiety correlated with experiential avoidance (r = .63, p b .01) and frequency of seizures (r = .67, p b .01); implicit anxiety correlated with frequency of seizures only (r =.56,p b .01). Our findings demonstrate the role of implicit anxiety in PNESs and provide addi-tional support for the contribution of explicit anxiety and experiential avoidance to this disorder.

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“…For example, physical trauma, other than HI, and organic brain disease are also recognized as potential factors in the genesis of conversion reactions such as NES (29)(30)(31)(32)(33)(34)(35)(36)(37)(38). In addition, a traumatic experience such as childhood sexual or physical abuse has been recognized in >30% of patients with NES, and this also has implications for both diagnosis and treatment (39)(40)(41). Nonepileptic seizure-like phenomena have been described after mild HI (42), and some of these postconcussive symptoms have similarities to the symptoms experienced by our patients with nonconvulsive nonepileptic PTS.…”

Section: Head Injury Is a Well-established Cause Of Epilepsymentioning

confidence: 99%

Nonepileptic Posttraumatic Seizures

et al. 1998

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Psychiatric morbidity and psychodynamics of patients with convulsive pseudoseizures

Cited by 46 publications

References 7 publications

Dissociative and Associated Psychopathological Symptoms in Patients with Epilepsy, Pseudoseizures, and Both Seizure Forms

Dissociative and Associated Psychopathological Symptoms in Patients with Epilepsy, Pseudoseizures, and Both Seizure Forms

Anxiety and avoidance in psychogenic nonepileptic seizures: The role of implicit and explicit anxiety

Nonepileptic Posttraumatic Seizures

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