Goldstein L H, Drew C, Mellers J, Mitchell-O'Malley S, Oakley D A
Department of Psychology, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK.
Seizure. 2000 Jul;9(5):314-22. doi: 10.1053/seiz.2000.0421.
Although literature in this area is relatively sparse, the occurrence of psychogenic non-epileptic seizures (pseudoseizures) has been linked to stress, anxiety and possible dissociative tendencies. An association between dissociation and hypnotic susceptibility has also been proposed and dissociative tendencies have themselves been found to relate to the use of emotion-focused coping strategies. In order to investigate the hypothesis that pseudoseizure patients may exhibit higher levels of dissociation, a more emotion-focused coping style, and greater hypnotic susceptibility than the general population, the questionnaire responses of 20 patients with pseudoseizures were compared with those obtained from a non-clinical control group. As predicted, pseudoseizure patients demonstrated some evidence of higher levels of dissociation and escape-avoidance coping strategies. They also expressed a greater belief in external control over health and higher depression scores, compared to the control group, but the previously reported elevation in hypnotizability scores in the pseudoseizure patients was not found. Possible explanations for this pattern of results are discussed.
尽管该领域的文献相对较少，但心因性非癫痫性发作（假性发作）的发生与压力、焦虑以及可能的解离倾向有关。解离与催眠易感性之间的关联也已被提出，并且发现解离倾向本身与使用以情绪为中心的应对策略有关。为了研究假性发作患者可能比一般人群表现出更高水平的解离、更以情绪为中心的应对方式以及更高的催眠易感性这一假设，将20例假性发作患者的问卷回答与从非临床对照组获得的回答进行了比较。正如所预测的，假性发作患者表现出一些更高水平的解离和逃避 - 回避应对策略的证据。与对照组相比，他们还表现出对健康外部控制的更强信念以及更高的抑郁得分，但未发现先前报道的假性发作患者催眠易感性得分升高的情况。讨论了这种结果模式的可能解释。
