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ISSN 2225-4676 (Electronic)

2020, Number 2

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Rev Cubana Neurol Neurocir 2020; 10 (2)

Behavior of anxiety, depression and dissociation in patients with epileptic seizures and non-epileptic psychogenic seizures

Zaldívar BM, Morales CLM, Báez MMM, González GJ, Garbey FR, Alfonso AM

Language: Spanish
References: 33
Page: 1-19
PDF size: 262.90 Kb.


ABSTRACT

Objective: To evaluate the behavior of anxiety, depression and dissociation in patients with epileptic seizures and non-epileptic psychogenic seizures.
Methods: A descriptive and correlational study was carried out. Thirty eight (38) patients participated (15 with epileptic seizures and 23 with non-epileptic psychogenic seizures), who were evaluated in the Neuropsychology and Clinical Neurophysiology Services, at the International Center for Neurological Restoration, from January 2001 to February 2018. Demographic variables were analyzed, as well as the type of psychogenic crisis, anxiety, depression and dissociation from the application of a structured interview, the dissociative experiences scale, the generalized anxiety disorder scale and the major depressive episode scale. Non-parametric statistics were used with statistical significance p≤ 0.05.
Results: Differences were identified between the groups in relation to chronological age (p= 0.04) and suspicion of generalized anxiety disorder (p= 0.03). A negative relationship was obtained between age and dissociative experiences in the group of non-epileptic psychogenic seizures, specifically, in the group with hypermotor seizures.
Conclusions: In the group with epileptic seizures, there is a suspicion of generalized anxiety disorder and a higher age range than the group with non-epileptic psychogenic seizures. The type of non-epileptic psychogenic seizures and their relationship with dissociative experiences offer practical information to redirect the comprehensive care of this group of patients. This diagnosis could help to develop rapid interventions that benefit the quality of life of these patients and their families.


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