Moore P M, Baker G A, McDade G, Chadwick D, Brown S
Department of Psychology, University of Liverpool, UK.
Epilepsy Res. 1994 May;18(1):75-83. doi: 10.1016/0920-1211(94)90035-3.
Previous research in the area of pseudoseizures has focused upon their phenomenology and the characteristics of the individual with pseudoseizures. This study set out to examine the role of pseudoseizure behaviour in fulfilling a function within the family context. Pseudoseizure patients, patients with epilepsy and healthy controls completed questionnaires measuring the following variables--anxiety and depression, locus of control, self-esteem, family characteristics and perceived seizure severity. People with pseudoseizures perceived their families as displaying less commitment and support to each other (family Cohesion scale) and less emphasis on ethical issues and values (family Moral-religious scale) than both the epilepsy and the control groups. People with pseudoseizures reported levels of family interest in political, social and recreational activities (family Intellectual-cultural scale) similar to people with epilepsy, both these group scores being lower than the control group. The two patient groups also reported higher depression scores than controls, yet only the epilepsy group had lower self-esteem than the controls. These initial findings support a role of family involvement in therapy for people with pseudoseizures and may lead to a better understanding of the aetiology of pseudoseizures, as well as clarifying characteristics which may well aid the differentiation of pseudoseizures from epilepsy.
以往关于假性癫痫领域的研究主要集中在其现象学以及假性癫痫患者个体的特征上。本研究旨在探讨假性癫痫行为在家庭环境中所发挥的作用。假性癫痫患者、癫痫患者及健康对照者完成了测量以下变量的问卷调查——焦虑和抑郁、控制点、自尊、家庭特征以及感知到的癫痫严重程度。与癫痫组和对照组相比，假性癫痫患者认为他们的家庭在相互承诺和支持方面（家庭凝聚力量表）以及在对伦理问题和价值观的重视程度方面（家庭道德宗教量表）表现较差。假性癫痫患者报告的家庭在政治、社会和娱乐活动方面的关注程度（家庭智力文化量表）与癫痫患者相似，这两组的得分均低于对照组。两个患者组报告的抑郁得分也高于对照组，但只有癫痫组的自尊低于对照组。这些初步研究结果支持家庭参与对假性癫痫患者的治疗，可能会让人更好地理解假性癫痫的病因，并明确有助于区分假性癫痫与癫痫的特征。
