PSYCHIATRIC DIAGNOSES IN PSYCHOGENIC NON EPILEPTIC SEIZURES (P-NES) PATIENTS. A PRELIMINARY COMPARISON BETWEEN PATIENTS WITH P-NES WITHOUT EPILEPSY AND PATIENTS WITH P-NES AND EPILEPSY COMORBIDITY
Abstract number :
1.019
Submission category :
Year :
2003
Submission ID :
2534
Source :
www.aesnet.org
Presentation date :
12/6/2003 12:00:00 AM
Published date :
Dec 1, 2003, 06:00 AM
Authors :
Luciana L.D. D[acute]Alessio, Brenda B.G. Giagante, Silvia S.O. Oddo, Walter W.S. Silva, Silvia S.K. Kochen, Damian D.C. Consalvo, Patricia P.S. Solis, Luis Mar[iacute]a L.M.Z. Zieher Health Ministery, Ramos Mej[iacute]a Hospital, Buenos Aires, Capital Fe
The aim of this study is to determine the current and lifetime rates of DSM IV psychiatric disorders in patients with psychogenic non epileptic seizures (P-NES), and describe the similarities and differences in the psychopatology profile between the patients with and without epilepsy co morbidity (pure P-NES group and mixed P-NES group).
Thirty two patients were studied by a neurologist and a psychiatrist. It was determined the personal and psychopatology history, and the past and current psychiatry disorders using the Structural Interview, SCID I and II of DSM IV. It has been also analyzed the specific psychiatry syndromes witch are in close relation with P-NES; conversive symptoms, dissociative symptoms, other somatomoforms symptoms, and trauma history. It was also determined the diagnostic delay and the use of AEDS.
Most of the subjects were female, 75%, and the mean age was 30 years. The diagnostic delay was 5,4 years (SD=7,19). Common current psychiatric diagnoses included: conversive disorder, 87,5%, dissociative disorder, 56%, somatoform disorder, 43,7% and anxiety disorder, 25%. Trauma experiences were found in 46,8% of patients but only 23,8% developed post traumatic stress disorder. All of them belong to the P-NES group but this differences were not statitistically significant. Twelve patients (37,5%) have had criteria for Axis II comorbidity and all of them belong to the pure P-NES group (57,1%). This differences were statiscally significant, P[lt] 0,05. Both group of patients have had high rates of psychiatry disorders in Axis I. We also found differences between the groups in P-NES semiology. The absence of lack of responsiveness during the P-NES were more frequent found in the pure P-NES group P[lt]0,05.
We found similairties and differences in the psychiatric profile between patients with pure P-NES and mixed P-NES. Both groups have hade high rates in psychiatric diagnoses in Axis I, and trauma experiences. We found that personality disorders were more common in pures P-NES group.