Psychogenic nonepileptic seizures in adults with epilepsy and intellectual disability: A neglected area

Seizure : the Journal of the British Epilepsy Association
J S van OolN M G Bodde

Abstract

To describe the main characteristics of psychogenic nonepileptic seizures (PNES) in adults with epilepsy and intellectual disability (ID), and to analyse the differences regarding psychosocial functioning, epilepsy severity and ID between patients with PNES and a control group without PNES. Medical records of adults with ID and epilepsy living at an epilepsy care facility (N = 240) were screened for PNES and evaluated by a neurologist. A control group consisting of patients with epilepsy and ID, without PNES, was matched according to age, sex and level of ID. Characteristics of PNES and epilepsy were provided by the subject's nursing staff or retrieved from patient charts, psychosocial data were collected by standardised questionnaires and level of ID was individually assessed using psychometric instruments. The point prevalence of PNES was 7.1%. The patients with PNES (n = 15) were most often female and had a mild or moderate level of ID. Compared to controls, they showed more depressive symptoms, experienced more negative life events and had more often an ID discrepancy (ID profile with one domain particularly more impaired than another). Stress-related triggers were recognised in a large majority by the nursing staff. PNES a...Continue Reading

Citations

Jul 6, 2020·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·M A KutlubaevE D Belousova
Aug 1, 2021·Seizure : the Journal of the British Epilepsy Association·Gregg H RawlingsMarkus Reuber

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