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Ictal symptoms of anxiety, avoidance behaviour, and dissociation in patients with dissociative seizures
Open accessAbstract
OBJECTIVE: To examine anxiety related seizure symptoms and avoidance behaviour in adults with dissociative (psychogenic non-epileptic) seizures (DS) in comparison with a group suffering from partial epilepsy. METHODS: 25 DS and 19 epilepsy patients completed an attack symptom measure, the hospital anxiety and depression scale, the dissociative experiences scale, and the fear questionnaire. RESULTS: DS patients reported the presence of significantly greater numbers of somatic symptoms of anxiety during their attacks than the epilepsy group, despite not reporting subjectively higher levels of anxiety. The DS patients also reported higher levels of agoraphobic-type avoidance behaviour than the epilepsy group. Measures of dissociation were higher in the DS group, who also reported greater symptoms of depression. CONCLUSIONS: The findings support a model whereby DS occur as a paroxysmal, dissociative response to heightened arousal in the absence of raised general anxiety levels. The model has practical implications for clinical assessment and treatment: in clinical practice, inquiry about these symptoms may help in the diagnosis of DS; with respect to treatment, the anxiety related symptoms and avoidance behaviour prevalent in DS are a potential focus for a cognitive behavioural approach analogous to that used in the treatment of other anxiety disorders.
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“In FND populations, elevated dissociation has been related to anxiety levels, 21 lower interoceptive accuracy, 184,191 maternal disfunction, 192 other psychiatric comorbidities 169 and childhood trauma.169”
From A new science of emotion: implications for functional neurological disorder (2022) · cites this paper as [21]
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“loss of consciousness and memory are not specific for PNES, since they can also occur in other paroxysmal conditions (e.g., syncope) (98).”
From Combined Fainting and Psychogenic Non-epileptic Seizures as Significant Therapy Hurdles in Blood-Injury-Injection Phobia: A Mini-Review and Case Report (2022) · cites this paper as [98]
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“Hyperarousal is common in FND; this is exemplified by the observation of 'panic attack without panic' in people with functional seizures, as well as increased sympathetic tone and abnormal startle responses in FND populations.21,46,164,165”
From A new science of emotion: implications for functional neurological disorder (2022) · cites this paper as [21]
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Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
A cognitive model of posttraumatic stress disorder
Ehlers, A., & Clark, D. M. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00123-0 · Cited by 6,147
Development, reliability, and validity of a dissociation scale
BERNSTEIN, E. M., & PUTNAM, F. W. (1986) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198612000-00004 · Cited by 3,793
Brief standard self-rating for phobic patients
Marks, I. M., & Mathews, A. M. (1979) · Behaviour Research and Therapy · doi:10.1016/0005-7967(79)90041-x · Cited by 1,801
(1993) · Cited by 1,279
Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (2013) · PsycTESTS Dataset · doi:10.1037/t03589-000 · Cited by 946
Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences.
Waller, N., Putnam, F. W., & Carlson, E. B. (1996) · Psychological Methods · doi:10.1037/1082-989x.1.3.300 · Cited by 894
(1997) · Research Explorer (The University of Manchester) · Cited by 714
Cognitive Therapy of Anxiety Disorders: A Practice Manual and Conceptual Guide
Adrian Wells, A., & Leahy, R. L. (1998) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.12.4.350 · Cited by 466
Cognitive therapy of anxiety disorders.
Chambless, D. L., & Gillis, M. M. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.2.248 · Cited by 437
Psychogenic nonepileptic seizures: review and update
Reuber, M., & Elger, C. E. (2003) · Epilepsy & Behavior · doi:10.1016/s1525-5050(03)00104-5 · Cited by 404
The clinical features and prognosis of pseudoseizures diagnosed using video‐EEG telemetry
Meierkord, H., DM, B. W., MD, D. F., & Shorvon, S. (1991) · Neurology · doi:10.1212/wnl.41.10.1643 · Cited by 305
Factors associated with panic attacks in nonclinical subjects
Norton, G. R., Dorward, J., & Cox, B. J. (1986) · Behavior Therapy · doi:10.1016/s0005-7894(86)80054-5 · Cited by 249
Development, reliability, and validity of a dissociation scale
Carlson, E. B., & Putnam, F. W. (1985) · PsycEXTRA Dataset · doi:10.1037/e609912012-081 · Cited by 221
Non-epileptic seizures: patients’ understanding and reaction to the diagnosis and impact on outcome
Carton, S., Thompson, P. J., & Duncan, J. S. (2003) · Seizure · doi:10.1016/s1059-1311(02)00290-x · Cited by 205
Rowan, A. J., & Gates, J. R. (1993) · Medical Entomology and Zoology · Cited by 175
An Evaluation of Cognitive Behavioral Therapy as a Treatment for Dissociative Seizures
Goldstein, L. H., Deale, A. C., O’Malley, S. J. M., Toone, B., & Mellers, J. D. C. (2004) · Cognitive and Behavioral Neurology · doi:10.1097/00146965-200403000-00005 · Cited by 151
Self-citationSpector, S., Cull, C. A., & Goldstein, L. H. (2000) · Epilepsy Research · doi:10.1016/s0920-1211(99)00093-5 · Cited by 150
Self-citationMultidimensional assessment of personality in patients with psychogenic non-epileptic seizures
Reuber, M. (2004) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.2003.013821 · Cited by 146
Goldstein, L. H., Drew, C., Mellers, J., Mitchell-O’Malley, S., & Oakley, D. A. (2000) · Seizure · doi:10.1053/seiz.2000.0421 · Cited by 145
Self-citationReuber, M., House, A., Pukrop, R., Bauer, J., & Elger, C. (2003) · Epilepsy Research · doi:10.1016/j.eplepsyres.2003.11.004 · Cited by 144
Stress and other psychosocial characteristics of patients with psychogenic nonepileptic seizures.
Tojek, T. M., Lumley, M., Barkley, G., Mahr, G., & Thomas, A. (2000) · Psychosomatics · doi:10.1176/appi.psy.41.3.221 · Cited by 134
Møkleby, K., Blomhoff, S., Malt, U. F., Dahlstroem, A., Taubøll, E., & Gjerstad, L. (2002) · Epilepsia · doi:10.1046/j.1528-1157.2002.20901.x · Cited by 134
Family Functioning in Subjects with Pseudoseizures and Epilepsy
Krawetz, P., Fleisher, W. P., Pillay, N., Staley, D., Arnett, J. L., & Maher, J. (2001) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200101000-00007 · Cited by 121
Are there physical risk factors for psychogenic non-epileptic seizures in patients with epilepsy?
Reuber, M., QURISHI, A., Bauer, J. M., Helmstaedter, C., Fernández, G., Widman, G., & Elger, C. E. (2003) · Seizure · doi:10.1016/s1059-1311(03)00064-5 · Cited by 109
Psychiatric issues in epilepsy : a practical guide to diagnosis and treatment
Ettinger, A. B., & Kanner, A. M. (2001) · Cited by 108
Reilly, J., Baker, G. A., Rhodes, J. M., & Salmon, P. (1999) · Psychological Medicine · doi:10.1017/s0033291798007892 · Cited by 98
The diagnosis of psychogenic non-epileptic seizures: A review
Kuyk, J., Leijten, F. S. S., Meinardi, H., Spinhoven, P., & van Dyck, R. (1997) · Seizure · doi:10.1016/s1059-1311(97)80072-6 · Cited by 98
Affective responses to hyperventilation: A test of the cognitive model of panic
Salkovskis, P. M., & Clark, D. M. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90054-m · Cited by 97
Dissociative psychopathology, non-epileptic seizures, and neurology
Brown, R. J. (2000) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.69.3.285 · Cited by 84
The symptom structure of panic attacks
Cox, B. J., Swinson, R. P., Endler, N. S., & Norton, G. R. (1994) · Comprehensive Psychiatry · doi:10.1016/0010-440x(94)90274-7 · Cited by 83
Stress and avoidance in Pseudoseizures: testing the assumptions
Frances, P. L., Baker, G. A., & Appleton, P. L. (1999) · Epilepsy Research · doi:10.1016/s0920-1211(98)00116-8 · Cited by 80
Non-epileptic attack disorder: a psychological perspective
Moore, P. M., & Baker, G. A. (1997) · Seizure · doi:10.1016/s1059-1311(97)80016-7 · Cited by 77
Epilepsy, pseudoseizures and perceived family characteristics: A controlled study
Moore, P. M., Baker, G. A., McDade, G., Chadwick, D., & Brown, S. (1994) · Epilepsy Research · doi:10.1016/0920-1211(94)90035-3 · Cited by 72
Brief Standard Self-Rating for Phobic Patients
Marks, I. M., & Mathews, A. M. (1979) · PsycTESTS Dataset · doi:10.1037/t11849-000 · Cited by 69
Dikel, T. N., Fennell, E. B., & Gilmore, R. L. (2003) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2003.08.006 · Cited by 67
The Neuropsychiatry of Epilepsy
Trimble, M., & Schmitz, B. (2002) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544354 · Cited by 65
Bowman, E. S., & Coons, P. M. (2000) · PubMed · Cited by 59
Value of the Fear Questionnaire in Differentiating Agoraphobia and Social Phobia
Cox, B. J., Swinson, R. P., & Shaw, B. F. (1991) · The British Journal of Psychiatry · doi:10.1192/bjp.159.6.842 · Cited by 47
Вейн, А. М., Djukova, G. M., & Vorobieva, O. V. (1995) · PubMed · Cited by 47
Personality and Psychopathology in Nonepileptic Attack Disorder and Epilepsy: A Prospective Study
Krishnamoorthy, E. S., Brown, R. J., & Trimble, M. (2001) · Epilepsy & Behavior · doi:10.1006/ebeh.2001.0233 · Cited by 39
Expressed Emotion in the Relatives of People with Epileptic or Nonepileptic Seizures
Stanhope, N., Goldstein, L. H., & Kuipers, E. (2003) · Epilepsia · doi:10.1046/j.1528-1157.2003.09503.x · Cited by 22
Self-citationRING, H. A., & Gene‐Cos, N. (2002) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544354.015 · Cited by 4
Dikel, T. N. (2003) · Epilepsy & Behavior · doi:10.1016/s1525-5050(03)00207-5 · Cited by 1
Research works printed but not linked: 1
- [26]26. Nelson HE, Willison J. National Adult Reading Test (NART), second edition. Windsor: NFER-Nelson, 1991.
Cited by
Sorted by citations
Cognitive-behavioral therapy for psychogenic nonepileptic seizures
Goldstein, L. H., Chalder, T., Chigwedere, C., Khondoker, M. R., Moriarty, J., Toone, B., & Mellers, J. D. C. (2010) · Neurology · doi:10.1212/wnl.0b013e3181e39658 · Cited by 499
Self-citationManagement of psychogenic nonepileptic seizures
LaFrance, W. C., Reuber, M., & Goldstein, L. H. (2013) · Epilepsia · doi:10.1111/epi.12106 · Cited by 316
Self-citationTowards an integrative theory of psychogenic non-epileptic seizures (PNES)
Brown, R. J., & Reuber, M. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.06.003 · Cited by 279
Brown, R. J., & Reuber, M. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.01.003 · Cited by 276
Psychogenic nonepileptic seizures: Answers and questions
Reuber, M. (2008) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2007.11.006 · Cited by 253
Metadata
- Authors
- Goldstein, L. H.
- Affiliations
- King's College London (GB)
- Corresponding author
- Goldstein, L H
- ORCID
- Goldstein, L H
- Venue
- Journal of Neurology, Neurosurgery & Psychiatry
- Publisher
- BMJ
- Published
- 2006-05-01
- Volume
- 77
- Issue
- 5
- Pages
- 616-621
- ISSN
- 0022-3050 (ISSN-L)
- PMC
- PMC2117432
- OpenAlex
- W2134244149
- Semantic Scholar
- c7b45c28e499465a317ced25eb5fafc3406a1d9e
- Cited by
- 224
- References
- 46
- Citations by year
- 2026: 10 · 2025: 10 · 2024: 15 · 2023: 12 · 2022: 13 · 2021: 11 · 2020: 17 · 2019: 12 · 2018: 12 · 2017: 9 · 2016: 19 · 2015: 12 · 2014: 10 · 2013: 17 · 2012: 11
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Keywords
- psychogenic non-epileptic seizures, avoidance behavior, agoraphobic avoidance, dissociation, focal epilepsy, somatic anxiety, depression, cognitive-behavioral intervention
- MeSH terms
- Adult, Agoraphobia, Anxiety, Anxiety Disorders, Avoidance Learning, Conversion Disorder, Depressive Disorder, Diagnosis, Differential, Dissociative Disorders, Electroencephalography, Epilepsies, Partial, Female, Humans, Male, Middle Aged, Personality Inventory, Seizures, Somatoform Disorders
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