Psychogenic non-epileptic seizures: Predisposing factors to diminished quality of life

被引：32

作者：

Myers, Lorna ^{[1
]}

Lancman, Martin ^{[1
]}

Laban-Grant, Olgica ^{[1
]}

Matzner, Barbara ^{[1
]}

Lancman, Marcelo ^{[1
]}

机构：

[1] NE Reg Epilepsy Grp, New York, NY 10017 USA

来源：

EPILEPSY & BEHAVIOR | 2012年 / 25卷 / 03期

关键词：

Non-epileptic; Psychogenic seizures; Quality of life; Anger; Depression; Psychological trauma; Treatment; Pain; CHRONIC PAIN; ANGER; DISORDERS; DIAGNOSIS; SYMPTOMS; EPILEPSY; IMPACT; MOOD;

D O I：

10.1016/j.yebeh.2012.08.024

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Objective: The objective of this study was to examine the factors that contribute to the reports of diminished quality of life (QOL) in patients with psychogenic non-epileptic seizures (PNES). Methods: We assessed 62 patients with PNES for quality of life, anger expression and personality, and psychiatric, social and medical histories. Results: Diagnosis of depression, pain syndromes, older age of onset and shorter duration of PNES correlated with poorer quality of life. Elevated anger state, trait and total anger scores correlated with worse quality of life and with Quality of Life in Epilepsy 31 subscales of emotional well-being, medication, cognitive and social effects, seizure worry, and fatigue. Conclusion: Our study verifies reported correlations between depression and somatic symptoms and quality of life. A novel finding is that of a relationship between quality of life in PNES and anger expression. This result has important implications for psychotherapeutic treatment of PNES in that it provides a potentially modifiable target. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：358 / 362

页数：5

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