• Je něco špatně v tomto záznamu ?

Maladaptive emotional regulation in patients diagnosed with psychogenic non-epileptic seizures (PNES) compared with healthy volunteers

L. Krámská, L. Hrešková, Z. Vojtěch, D. Krámský, L. Myers

. 2020 ; 78 (-) : 7-11. [pub] 20200213

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc21012669

PURPOSE: The term PNES refers to a conversion disorder that mimics epileptic seizures but has a psychological etiology. Recent studies report that in patients with PNES, there is reduced understanding of emotions, impulse control difficulties, and limited access to emotional regulation strategies. The aim of this study was to compare patients diagnosed with PNES with healthy volunteers on the presence of maladaptive emotional regulation. METHOD: Patients (N = 64 F:M 52:12; mean age 35.5 years; duration ≥ 2 years) were assessed while inpatients at the Epilepsy Center, Na Homolce Hospital, Prague. PNES diagnosis was based on normal EEG findings, habitual seizure capture, suggestive seizure provocation, neuropsychological assessment and patients´ history. The clinical sample was compared with healthy volunteers (N = 64 F:M 52:12; mean age 35.8 years). The presence of maladaptive emotional regulation was assessed through the Czech research version of the ASQ and DERS. RESULTS: Compared with a healthy sample, patients with PNES had greater emotion regulation impairments across nearly all dimensions of the DERS - Nonacceptance = 17.0 (M = 14.5), p = 0.006, Goals = 16.0 (M = 11.5), p < 0.001, Impulse control = 13.8 (M = 11.5), p = 0.005, Awareness = 16.4 (M = 15.3), p = 0.183, Strategies = 17.9 (M = 13.0), p < 0.001, Clarity = 11.8 (M = 9.5), p < 0.001 and the total score of the DERS = 92.9 (M = 75.3), p < 0.001. Similar results were found in ASQ questionnaire scales - Concealing = 24.5 (M = 21.0), p = 0.002, and Adjusting = 20.9 (M = 22.8), p = 0.076 but not on the Tolerating Scale = 14.5 (M = 14.7), p = 0.873. CONCLUSION: Our results highlight that maladaptive emotional regulation is a key psychological mechanism in PNES. Emotional dysregulation may represent an important target when designing psychoeducational and psychotherapeutic approaches for patients with PNES.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc21012669
003      
CZ-PrNML
005      
20210507104448.0
007      
ta
008      
210420s2020 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1016/j.seizure.2020.02.009 $2 doi
035    __
$a (PubMed)32135449
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Krámská, Lenka $u Department of Clinical Psychology, Na Homolce Hospital, Prague, Czech Republic; Epilepsy Center, Na Homolce Hospital, Prague, Czech Republic; Charles University in Prague, Czech Republic. Electronic address: lenka.kramska@homolka.cz
245    10
$a Maladaptive emotional regulation in patients diagnosed with psychogenic non-epileptic seizures (PNES) compared with healthy volunteers / $c L. Krámská, L. Hrešková, Z. Vojtěch, D. Krámský, L. Myers
520    9_
$a PURPOSE: The term PNES refers to a conversion disorder that mimics epileptic seizures but has a psychological etiology. Recent studies report that in patients with PNES, there is reduced understanding of emotions, impulse control difficulties, and limited access to emotional regulation strategies. The aim of this study was to compare patients diagnosed with PNES with healthy volunteers on the presence of maladaptive emotional regulation. METHOD: Patients (N = 64 F:M 52:12; mean age 35.5 years; duration ≥ 2 years) were assessed while inpatients at the Epilepsy Center, Na Homolce Hospital, Prague. PNES diagnosis was based on normal EEG findings, habitual seizure capture, suggestive seizure provocation, neuropsychological assessment and patients´ history. The clinical sample was compared with healthy volunteers (N = 64 F:M 52:12; mean age 35.8 years). The presence of maladaptive emotional regulation was assessed through the Czech research version of the ASQ and DERS. RESULTS: Compared with a healthy sample, patients with PNES had greater emotion regulation impairments across nearly all dimensions of the DERS - Nonacceptance = 17.0 (M = 14.5), p = 0.006, Goals = 16.0 (M = 11.5), p < 0.001, Impulse control = 13.8 (M = 11.5), p = 0.005, Awareness = 16.4 (M = 15.3), p = 0.183, Strategies = 17.9 (M = 13.0), p < 0.001, Clarity = 11.8 (M = 9.5), p < 0.001 and the total score of the DERS = 92.9 (M = 75.3), p < 0.001. Similar results were found in ASQ questionnaire scales - Concealing = 24.5 (M = 21.0), p = 0.002, and Adjusting = 20.9 (M = 22.8), p = 0.076 but not on the Tolerating Scale = 14.5 (M = 14.7), p = 0.873. CONCLUSION: Our results highlight that maladaptive emotional regulation is a key psychological mechanism in PNES. Emotional dysregulation may represent an important target when designing psychoeducational and psychotherapeutic approaches for patients with PNES.
650    _2
$a adaptace psychologická $x fyziologie $7 D000223
650    _2
$a dospělí $7 D000328
650    _2
$a konverzní poruchy $x patofyziologie $7 D003291
650    _2
$a emoční regulace $x fyziologie $7 D000080103
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a lidé $7 D006801
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a záchvaty $x patofyziologie $7 D012640
655    _2
$a časopisecké články $7 D016428
700    1_
$a Hrešková, Lucia $u Department of Clinical Psychology, Na Homolce Hospital, Prague, Czech Republic
700    1_
$a Vojtěch, Zdeněk $u Epilepsy Center, Na Homolce Hospital, Prague, Czech Republic
700    1_
$a Krámský, David $u Charles University in Prague, Czech Republic
700    1_
$a Myers, Lorna $u Northeast Regional Epilepsy Group, New York, United States
773    0_
$w MED00004310 $t Seizure $x 1532-2688 $g Roč. 78, č. - (2020), s. 7-11
856    41
$u https://pubmed.ncbi.nlm.nih.gov/32135449 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20210420 $b ABA008
991    __
$a 20210507104447 $b ABA008
999    __
$a ok $b bmc $g 1650935 $s 1133048
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2020 $b 78 $c - $d 7-11 $e 20200213 $i 1532-2688 $m Seizure $n Seizure $x MED00004310
LZP    __
$a Pubmed-20210420
Zpět

Najít záznam

Citační ukazatele

Možnosti archivace