Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.
Epilepsy Behav. 2010 Dec;19(4):584-90. doi: 10.1016/j.yebeh.2010.09.014. Epub 2010 Oct 20.
Past sexual trauma is frequently linked to the development of behavioral spells, present among 30% of patients admitted for video/EEG monitoring. Current attempts to verify and explore mechanisms in this reported association revealed that patients with epilepsy (n=58) and those with behavioral spells (n=38) did not differ in their self-report of past sexual trauma (among approximately 38% in each group). Ninety percent (90%) of men with behavioral spells endorsed past physical abuse, however, compared with 45% of men with epilepsy, and 40% of men with spells likely met current criteria for posttraumatic stress disorder. Among all patients, the presence of past physical, but not sexual, abuse positively predicted the diagnosis of spells rather than epilepsy. Current findings do not support a preponderance of sexual trauma in behavioral spells, yet within the subset of men with spells, greater exposure to physical abuse and current symptoms of posttraumatic stress disorder may be important etiological and sustaining factors.
过去的性创伤常与行为发作的发展有关，在接受视频/EEG 监测的患者中约有 30%存在这种情况。目前，为了验证和探讨这种报告关联中的机制，研究人员对 58 名癫痫患者和 38 名行为发作患者进行了调查，结果发现他们过去性创伤的自我报告没有差异（每组约有 38%的人报告）。然而，90%有行为发作的男性曾经历过过去的身体虐待，而癫痫患者中这一比例为 45%，可能符合创伤后应激障碍标准的发作患者中这一比例为 40%。在所有患者中，过去的身体虐待而非性虐待的存在，正向预测了发作而非癫痫的诊断。目前的研究结果并不支持行为发作中存在更多的性创伤，但在有发作的男性亚组中，更多地暴露于身体虐待和当前的创伤后应激障碍症状可能是重要的病因和维持因素。
