Psychogenic non-epileptic seizures in Iran

Asadi‐Pooya, Ali A.; Emami, Yasaman; Emami, Mehrdad

doi:10.1016/j.seizure.2013.11.005

Cited by 54 publications

(36 citation statements)

References 18 publications

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“…In a previous study [6], we observed that different religion and culture in Iran do not affect the manifestations and most associated factors of PNES significantly (compared with those from the Western studies). This observation implies cross-cultural similarities in the clinical expression of PNES [6]. To the best of our knowledge, no study has ever investigated the association of education and PNES.…”

Section: Introductionmentioning

confidence: 64%

“…With respect to the higher reported rate of sexual abuse in those with a higher education, we can contemplate two possible explanations. Extramarital sex is forbidden by law and religion in Iran and people, especially those who are not aware of their rights (such as illiterate people), might deny being sexually abused due to family considerations and fear of the consequences [6]. On the other hand, people with higher education may more openly talk about their conflicts and problems.…”

Section: Discussionmentioning

confidence: 99%

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Education in patients with psychogenic nonepileptic seizures

Asadi‐Pooya

Bahrami

2019

Seizure

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A B S T R A C TPurpose: The aim of this study was to investigate any possible association between education and psychogenic nonepileptic seizures (PNES) and any potential effects education might have on clinical characteristics of patients with PNES. Methods: In this retrospective study, all patients with PNES, who were studied at Shiraz Comprehensive Epilepsy Center at Shiraz University of Medical Sciences, from 2008 until 2018, were recruited. We categorized the patients as 1. Less than 6 years of education; 2. With some college education. Results: Sixty-two patients (19%) had some college education and 38 patients (12%) had less than 6 years of education [22 patients (6.8%) were illiterate]. Age at onset of PNES was earlier in those with some college education (p = 0.0001) and they more often reported a history of sexual abuse (p = 0.02). Other demographic variables, seizure-related variables, PNES associated factors, and use of antiepileptic drugs were not significantly associated with education in the patients (all p values were > 0.05). Conclusions: It seems that the level of education has no significant effects on the clinical picture of PNES (other than its association with age at onset and history of sex abuse). While the above observations are important, they should be investigated in cross-cultural comparisons in future studies to depict a full picture of PNES related factors across borders and cultures.

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Section: Introductionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Education in patients with psychogenic nonepileptic seizures

Asadi‐Pooya

Bahrami

2019

Seizure

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“…Psychogenic non-epileptic seizures (PNES) are relatively common occurrences in epilepsy centers 1 . However, PNES is a unique condition in that it is largely defined in terms of what it is not rather than what it is.…”

Section: Introductionmentioning

confidence: 99%

Semiological classification of psychogenic nonepileptic seizures

Asadi‐Pooya

Tinker

Fletman

2016

Epilepsy & Behavior

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“…Psychogenic nonepileptic seizures (PNES) are relatively common occurrences in epilepsy centers [1,2]. These seizures consist of paroxysmal changes in responsiveness, movements, or behavior that resemble epileptic seizures, but lack a neurobiological origin similar to epileptic seizures and are not associated with electrophysiological epileptic changes [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…These seizures consist of paroxysmal changes in responsiveness, movements, or behavior that resemble epileptic seizures, but lack a neurobiological origin similar to epileptic seizures and are not associated with electrophysiological epileptic changes [1][2][3][4][5]. The incidence of PNES was estimated to be 1.4-4.9/100,000/year and the prevalence is calculated to be between 2 and 33 per 100,000, making it a significant psycho-neurological condition [2].…”

Section: Introductionmentioning

confidence: 99%

Biological underpinnings of psychogenic nonepileptic seizures: directions for future research

Asadi‐Pooya

2016

Neurol Sci

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Psychogenic nonepileptic seizures (PNES) are relatively common occurrences in epilepsy centers, but their pathophysiology is still poorly understood. Research that elucidates the pathophysiology of PNES, including their neurobiological basis and biomarkers, may have important clinical implications. The literature provides some evidence that genetic factors, intrinsic factors, and environmental factors probably play a significant role as the biological underpinnings of PNES. Researchers may be able to learn more about the pathophysiology of PNES by investigating the effects of each of these factors on functional and structural brain connectivity.

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Psychogenic non-epileptic seizures in Iran

Abstract: Psychogenic non-epileptic seizures are relatively common at epilepsy clinics. It appears that an Islamic lifestyle (in Iran) has little influence on the clinical characteristics and manifestations of PNES, as we observed similar results as in most previous studies from other cultures.

Cited by 54 publications

References 18 publications

Education in patients with psychogenic nonepileptic seizures

Education in patients with psychogenic nonepileptic seizures

Semiological classification of psychogenic nonepileptic seizures

Biological underpinnings of psychogenic nonepileptic seizures: directions for future research

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