Psychogenic nonepileptic seizures: characterization of two distinct patient profiles on the basis of trauma history.
Epilepsy Behav
; 22(3): 532-6, 2011 Nov.
Article
em En
| MEDLINE
| ID: mdl-21962755
ABSTRACT
This prospective study investigated and compared psychiatric features of 25 consecutive patients with psychogenic nonepileptic seizures (PNES) on the basis of presence of reported trauma. The "trauma" group comprised 19 patients (76%) and the "no-trauma" group comprised 6 patients (34%). We compared history of PNES, psychiatric comorbidity, alexithymia, and symptoms of dissociation. The study clearly characterized two distinct profiles of patients with PNES on the basis of trauma history. Patients with trauma had at least one psychiatric comorbidity or antecedent (vs 0% in the no-trauma group NT, P<0.001) and a higher median score of dissociation (P<0.001). Patients without trauma had more frequent "frustration situations" as a factor triggering PNES and subsequent sick leaves as perpetuating factors (P=0.001). Trauma antecedents correlated with a high rate of psychiatric comorbidity and a strong dissociative mechanism. Patients without trauma had no psychiatric comorbidity and a weaker dissociative mechanism.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtornos Psicofisiológicos
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Ferimentos e Lesões
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Transtorno Conversivo
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Epilepsia
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article