Szaflarski Jerzy P, Aurora Kanika, Rawal Pawan, Szaflarski M, Allendorfer Jane B, DeWolfe Jennifer, Pati Sandipan, Thomas Ashley, Ver Hoef Lawrence L, Dworetzky Barbara A
Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA; UAB Epilepsy Center, University of Alabama at Birmingham, Birmingham, AL, USA; Birmingham VA Medical Center, Birmingham, AL, USA; Department of Neurology, University of Cincinnati Academic Health Center, Cincinnati, OH, USA.
Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
Epilepsy Behav. 2015 Nov;52(Pt A):143-8. doi: 10.1016/j.yebeh.2015.09.001. Epub 2015 Sep 27.
The purposes of this study were to determine whether personalities of patients with nonepileptic psychogenic status (NEPS) are different from those of patients with typical intermittent psychogenic nonepileptic seizures (iPNES) using the Personality Assessment Inventory (PAI) and to compare their PAI profiles with the population norms. We hypothesized that patients with NEPS have more psychopathology compared with patients with iPNES and that, as a group, patients with PNES (iPNES+NEPS) would have more psychopathology compared with healthy individuals. We first compared the PAI profiles of patients with iPNES and NEPS and then the profiles of patients with NEPS, iPNES, and PNES with population norms in order to assess which PAI specific scales differed between groups in order to better characterize the psychopathology of PNES. All patients admitted for diagnostic evaluation to the epilepsy monitoring unit (EMU) were prospectively approached for participation. All patient/family interviews were conducted by an epileptologist, and the diagnosis of iPNES or NEPS was confirmed in all cases through video/EEG and/or family interview. The population norms for PAI were obtained from the manual. Of the 224 approached patients, 130 completed the PAI, and included 43 iPNES and 11 with NEPS. There were no significant differences between the two groups in regard to demographic or PAI profiles. Comparison with population norms revealed the presence of abnormal personality profiles on all scales in patients with iPNES, NEPS, or PNES. We conclude that while the occurrence of NEPS is relatively common in patients with PNES, the demographic characteristics and personality profiles of patients with NEPS are not different from those of patients with iPNES. We also confirmed the presence of significant psychopathology in the group with PNES when compared with population norms.
本研究的目的是使用人格评估量表（PAI）确定非癫痫性心因性状态（NEPS）患者的人格是否与典型间歇性心因性非癫痫发作（iPNES）患者不同，并将他们的PAI剖面图与总体常模进行比较。我们假设，与iPNES患者相比，NEPS患者有更多的精神病理学表现，并且作为一个群体，PNES患者（iPNES+NEPS）与健康个体相比有更多的精神病理学表现。我们首先比较了iPNES和NEPS患者的PAI剖面图，然后将NEPS、iPNES和PNES患者的剖面图与总体常模进行比较，以评估哪些PAI特定量表在组间存在差异，以便更好地描述PNES的精神病理学特征。所有因诊断评估入住癫痫监测单元（EMU）的患者均被前瞻性地邀请参与研究。所有患者/家属访谈均由癫痫专家进行，所有病例均通过视频/脑电图和/或家属访谈确诊为iPNES或NEPS。PAI的总体常模来自手册。在224名被邀请的患者中，130名完成了PAI，其中包括43名iPNES患者和11名NEPS患者。两组在人口统计学或PAI剖面图方面没有显著差异。与总体常模的比较显示，iPNES、NEPS或PNES患者在所有量表上均存在异常人格剖面图。我们得出结论，虽然NEPS在PNES患者中相对常见，但NEPS患者的人口统计学特征和人格剖面图与iPNES患者并无不同。我们还证实，与总体常模相比，PNES组存在显著的精神病理学表现。
