2005, Number 4
<< Back Next >>
Rev Mex Neuroci 2005; 6 (4)
Personality and intellectual performance in patients with temporal lobe epilepsy (TLE), delinquents and non delinquents
Díaz VAR, Balbuena BLL, Trujillo GI, Idrovo ÁJ
Language: Spanish
References: 34
Page: 297-304
PDF size: 90.04 Kb.
ABSTRACT
Introduction: Epilepsy is frequently associated with cognitive and personality impairments. Nevertheless, very few reports on the study of the relationship between this disease and the commission of criminal, especially violent, acts are available.
Objective: To analyze the personality features and intellectual performance of epileptic criminal subjects.
Material and methods: We analyzed four groups of subjects: a) control subjects (n = 4), b) epileptic subjects (n = 4), c) criminal non-epileptic subjects (n = 4) and d) criminal epileptic subjects (n = 3), matched by age and schooling. The epileptic subjects were selected after medical diagnosis, and all the subjects provided informed consent. Additionally, Wechsler Adults Intelligence Scale (WAIS), Minnesota Multiphasic Personality Inventory (MMPI) and a specific clinical interview were administered.
Results: The WAIS profiles of both criminal groups are similarly low (p = 0.05). Profiles for both epileptic groups are similar only concerning the low record ( 6) obtained on Digit Span subtest, associated with verbal memory tasks. No significant differences were obtained from the MMPI, hence combination of depression and schizophrenia scales was highly rated (› 70) among the rest of the scales.
Conclusions: These results suggest that both epileptic and non epileptic criminal subjects have similar cognitive profile. They also suggest that both groups of epileptic subjects could have similar personality features, independently of being criminals, although they are not conclusive about the epilepsy as a cause of the commission of criminal acts.
REFERENCES
Feria-Velasco A, Martínez de Muñoz D, Rubio-Donnadieu F. Epilepsia. Aspectos neurobiológicos, médicos y sociales. México: Instituto Nacional de Neurología y Neurocirugía; 1997.
Taylor MA. The fundamentals of clinical neuropsychiatry. New York: Oxford University Press; 1999.
Kaplan HI, Sadock J. Sinopsis de psiquiatría. Ciencias de la conducta, psiquiatría clínica. Madrid: Editorial Médica Panamericana; 2000.
Commission on Classification and Terminology of the International League Against Epilepsy: proposed revisions of clinical and electroencephalographic classification of epileptic seizures. Epilepsia 1981; 22: 489-501.
Lesser RP, Lüders H, Wyllie E, Dinner DS, Morris HH. Mental deterioration in epilepsy. Epilepsia 1986, 27(Suppl. 2): S105-23.
McConell HW, Snyder JP. Cormobilidad psiquiátrica en la epilepsia. Mecanismos básicos, diagnóstico y tratamiento. Barcelona: Masson; 1999.
Moore DP. Textbook of clinical neuropsychiatry. New York: Arnold; 2001.
Marchori H. Psicología criminal. México: Porrúa; 1985.
Tieghi ON. Tratado de criminología. Buenos Aires: Ed. Universidad; 1989.
Blackburn R. The psychology of criminal conduct. Theory, research and practice. Great Britain: John Wiley & Sons, LTD Press; 2001.
Sheley JF. Criminology. A contemporary handbook. Belmont: Wadsworth Publishing Company; 1991.
Treiman D. Violence and the epilepsy defense. Neurologic Clinics 1999; 17(2): 245-55.
Borum R, Appelbaum KL. Epilepsy, aggression and criminal responsibility. Psychiatr Serv 1996; 47(7): 762-3.
Gunn J, Bonn J. Criminality and violence in epileptic prisoners. J Psychiat 1971: 337-43.
Gunn J. Epileptic homicide: a case report. J Psychiat 1978; 132: 510-13.
Núñez R. Manual práctico del MMPI. Pruebas psicométricas de la personalidad. México, D.F.: Trillas; 1991.
Wechsler D. Escala de inteligencia de Wechsler para adultos en español. México: Manual Moderno; 1981.
Dodrill CB. Correlates of generalized tonic-clonic seizures with intellectual neuropsychological, emotional and social function in patients with epilepsy. Epilepsia 1986; 27: 399-411.
Maestú F, Martín P, de Sola RG, Obregón CD, Gómez-Utrero E, Fernández A et al. Neuropsicología de la epilepsia parcial temporal: comparación entre pacientes farmacorresistentes y pacientes controlados farmacológicamente. Rev Neurol 2000, 31(9): 817-21.
Trimble M, Schmitz B. Eds. The neuropsychiatry of epilepsy. New York: Cambridge University Press; 2002.
Maestú F, Martín P, de Sola RG, Ortiz T. Neuropsicología y deterioro cognitivo en la epilepsia. Rev Neurol 1999; 28(8): 793-8.
Devinsky O, Vázquez, B. Behavioral changes associated with epilepsy. Neurologic Clinics (Behavioral Neurology) 1993; 11(1): 127-49.
Shukla G, Srivastava O, Katiyar B, Joshi V, Mohan P. Psychiatric manifestations in temporal lobe epilepsy: a controlled study. Brit J Psychiat 1979; 135: 411-7.
Cummings J. Epilepsy: ictal and interictal behavioral alterations. In: Clinical Neuropsychiatry. Orlando: Grune & Stratton; 1985.
Filley CM. Neurobehavioral anatomy. Boulder: University Press of Colorado; 2001.
Bogousslavsky J, Cummings JL Eds. Behavior and mood disorders in focal brain lesions. New York: Cambridge University Press. 2000.
Blumer, D. Temporal lobe epilepsy and its psychiatric significance. In: Benson F, Blumer D. Psychiatric aspects of neurological disease. New York: Grune & Stratton; 1975.
Stevenson M, King J. Neuropsychiatry aspects of epilepsy and epileptic seizures. In: Hales R, Yudofsky S (Eds.). Textbook of neuropsychiatry. Belmont: The American Psychiatric Press. 1987.
Hermann B. Developing a model of quality of life in epilepsy: the contribution of neuropsychology. Epilepsia 1993; 34(Suppl. 4): S14-21.
Derry P, Harnadek M, McLachlan R, Sontrop J. Influence of seizure content on interpreting psychopathology on the MMPI-2 in patients with epilepsy. J Clinic Experiment Neuropsychol 1997; 19(3): 396-404.
Whitman S, Hermann BP, Gordon AC. Psychopathology in epilepsy: How great is the risk? Biol Psychiatry 1984; 19: 213-36.
Dodrill CB, Batzell LW. Interictal behavioral features of patients with epilepsy. Epilepsia 1986; 27(Suppl. 2): S64-76.
Bear D, Fedio, P. Quantitative analysis of interictal behavior in temporal lobe epilepsy. Arch Neurol 1977; 34: 454-67.
Wuerfel J, Krishnamoorthy ES, Brown RJ, Lemieux L, Koepp M, Tebartz van Elst L, Trimble MR. Religiosity is associated with hippocampal but not amygdale volumes in patients with refractory epilepsy. J Neurol Neurosurg Psychiat 2004; 75(4): 640-2.