Akyuz Gamze, Kugu Nesim, Akyuz Aytekin, Dogan Orhan
Department of Psychiatry, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey.
Epileptic Disord. 2004 Sep;6(3):187-92.
The aim of this study was to examine dissociative experiences, childhood abuse and anxiety in epileptic and pseudoseizure female patients. Thirty-three patients with pseudoseizures and thirty patients with epilepsy were recruited from Cumhuriyet University Hospital Psychiatry and Neurology Units. We assessed each participant using the Dissociative Experiences Scale, the Clinician-Administered Dissociative States Scale and the Childhood Abuse and Neglect Questionnaire. The female patients with pseudoseizures showed significantly higher levels of dissociative experiences and childhood trauma. Epileptic female patients showed higher levels of anxiety. The significantly higher incidence of dissociative experiences and childhood trauma in the patients with pseudoseizures makes a case for dissociation in the pathogenesis of these seizures.
本研究的目的是调查癫痫和假性癫痫女性患者的分离性体验、童年期受虐情况及焦虑状况。从居米什尔大学医院精神科和神经科招募了33例假性癫痫患者和30例癫痫患者。我们使用分离性体验量表、临床医生施测的分离状态量表以及童年期受虐与忽视问卷对每位参与者进行了评估。假性癫痫女性患者表现出显著更高水平的分离性体验和童年期创伤。癫痫女性患者表现出更高水平的焦虑。假性癫痫患者中分离性体验和童年期创伤的发生率显著更高，这为这些发作的发病机制中存在分离现象提供了依据。
