Using personality disorders to distinguish between patients with psychogenic nonepileptic seizures and those with epileptic seizures

Abstract Identifying psychiatric disorders rather than psychiatric symptoms might help to distinguish patients with psychogenic nonepileptic seizures (PNES) from those with epileptic seizures (ES). Patients with PNES ( n = 35), patients with ES ( n = 35), and healthy controls ( n = 37) were compared...

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Bibliographic Details
Published in:Epilepsy & behavior 2012-02, Vol.23 (2), p.138-141
Main Authors: Direk, Nese, Kulaksizoglu, Isin Baral, Alpay, Kadriye, Gurses, Candan
Format: Article
Language:English
Subjects:
Adult
Case-Control Studies
Diagnosis, Differential
Epilepsy - complications
Epilepsy - diagnosis
Epilepsy - psychology
Epileptic seizures
Female
Humans
Male
Neurology
Personality disorders
Personality Disorders - complications
Personality Disorders - diagnosis
Psychiatric disorders
Psychogenic nonepileptic seizures
Psychophysiologic Disorders - complications
Psychophysiologic Disorders - diagnosis
Psychophysiologic Disorders - psychology
Reference Values
Seizures - diagnosis
Seizures - etiology
Seizures - psychology
Somatoform Disorders - complications
Somatoform Disorders - diagnosis
Somatoform Disorders - psychology
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Summary:Abstract Identifying psychiatric disorders rather than psychiatric symptoms might help to distinguish patients with psychogenic nonepileptic seizures (PNES) from those with epileptic seizures (ES). Patients with PNES ( n = 35), patients with ES ( n = 35), and healthy controls ( n = 37) were compared with respect to the prevalence of psychiatric disorders in this study. We tested the predictive power of having axis I psychiatric disorders, as well as personality disorders, in distinguishing ES from PNES. There was no significant difference between the patient groups in the prevalence of axis I psychiatric disorders. Personality disorders were more prevalent in the PNES group than in the ES group ( P < 0.05). Having a personality disorder was the only predictor for the PNES group. Having a personality disorder seems to be a more significant predictor for PNES than having an axis I psychiatric disorder. Greater attention should be paid to personality disorders in the differentiation of PNES and ES and the provision of effective treatment.
ISSN:1525-5050
1525-5069
DOI:10.1016/j.yebeh.2011.11.013