Awad Hassan, Softić Jasmin
Cantonal Institution for Fight Against Addiction Diseases, Zenica, Bosnia and Herzegovina.
Med Glas (Zenica). 2011 Aug;8(2):224-8.
To explore psychic and psychological characteristics of patients suffering from non- epileptic seizures and compare them with the patients suffering from epilepsy.
Using medical documentation 40 patients with non epileptic seizures were compared with 40 randomly selected epilepsy patients according to psychiatric and psychological report, and using psychotropic medications.
Both psychiatric and psychological reports have shown that pathologic changes were more frequently found within the epilepsy group (n = 20 and n=7, respectively) than in non-epileptic fits group (n= 18 and n=4, respectively). Six patients had neurotic disorders within the epilepsy group, versus 3 within the non-epileptic fits group. Conversion disorders were more frequently found within the non-epileptic group (n=6) as compared to epilepsy group (n=2). Disorders due to acute reaction to stress occurred in six patients in the non-epileptic fits group versus three patients in the epilepsy group. Cognitive disorders were found more frequently within the epilepsy group (n=6) as compared to the non-epileptic fits group (n=1). Vulnerable character, adolescence crisis, deficit of social abilities and indifference were more frequently found within the non-epileptic fits group (n=3) in comparison with the epilepsy group (n=1).
Psychiatric and psychological reports are most important elements in the diagnostic of psychogenic non-epileptic seizures.
探讨非癫痫性发作患者的精神和心理特征，并与癫痫患者进行比较。
根据精神科和心理报告以及使用精神药物情况，将40例非癫痫性发作患者与40例随机选取的癫痫患者进行比较。
精神科和心理报告均显示，癫痫组（分别为n = 20和n = 7）出现病理改变的频率高于非癫痫发作组（分别为n = 18和n = 4）。癫痫组有6例患有神经症，而非癫痫发作组有3例。与癫痫组（n = 2）相比，非癫痫组（n = 6）转换障碍更为常见。非癫痫发作组有6例患者出现应激急性反应所致障碍，癫痫组有3例。与非癫痫发作组（n = 1）相比，癫痫组（n = 6）认知障碍更为常见。与癫痫组（n = 1）相比，非癫痫发作组（n = 3）更容易出现性格脆弱、青春期危机、社交能力缺陷和冷漠。
精神科和心理报告是诊断心因性非癫痫性发作的最重要因素。
