Cognitive impairment and social functioning in organic personality disorder due to epilepsy

Usykina, Marina V; Kornilova, S. V.; Лаврущик, Марина Вячеславовна

doi:10.17116/jnevro202112106121

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…We conducted our research through only one database, potentially excluding relevant evidence available from other online sources. Moreover, few studies were not included for language reasons (58)(59)(60)(61). Lastly, we did not offer an analysis of the evidence strength provided by each work as the grand variety of statistical methodology used, population size, type of epilepsy and parameters considered made us opt for a purely descriptive presentation of our findings.…”

Section: Discussionmentioning

confidence: 99%

Personality disorders in people with epilepsy: a review

Viola,

Bisulli,

Cornaggia

et al. 2024

Front. Psychiatry

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Epileptologists and psychiatrists have long observed a correlation between epilepsy and personality disorders (PDs) in their clinical practice. We conducted a comprehensive PubMed search looking for evidence on PDs in people with epilepsy (PwE). Out of over 600 results obtained without applying any time restriction, we selected only relevant studies (both analytical and descriptive) limited to English, Italian, French and Spanish languages, with a specific focus on PDs, rather than traits or symptoms, thus narrowing our search down to 23 eligible studies. PDs have been investigated in focal epilepsy (predominantly temporal lobe epilepsy - TLE), juvenile myoclonic epilepsy (JME) and psychogenic non-epileptic seizures (PNES), with heterogeneous methodology. Prevalence rates of PDs in focal epilepsy ranged from 18 to 42% in surgical candidates or post-surgical individuals, with Cluster C personality disorders or related traits and symptoms being most common. In JME, prevalence rates ranged from 8 to 23%, with no strong correlation with any specific PDs subtype. In PNES, prevalence rates ranged from 30 to 60%, with a notable association with Cluster B personality disorders, particularly borderline personality disorder. The presence of a PD in PwE, irrespective of subtype, complicates treatment management. However, substantial gaps of knowledge exist concerning the neurobiological substrate, effects of antiseizure medications and epilepsy surgery on concomitant PDs, all of which are indeed potential paths for future research.

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Section: Discussionmentioning

confidence: 99%

Personality disorders in people with epilepsy: a review

Viola,

Bisulli,

Cornaggia

et al. 2024

Front. Psychiatry

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“…A number of reviews and pieces of research have been traditionally devoted to the problems of forensic psychiatric assessment of organic PD (F07.0), one of the most prevalent pathologies in expert practice [39 ▪ ,40,41]. The roles of gender (specifically female) and pathogenic family patterns on the dynamics and prognosis of these disorders are analysed by Kachaeva et al [39 ▪ ,40] The issues of the specifics of organic PD in connection with epilepsy are studied separately by Usyukina et al [41].…”

Section: Diagnosis and Mechanisms Of Personality Disordermentioning

confidence: 99%

Conceptualization and management of personality disorders in Russian psychiatry

Kulygina¹,

Chetkina²,

Berezantsev³

2021

Current Opinion in Psychiatry

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Purpose of reviewThis article aims to present the current picture on conceptualization, diagnosis and care provision of personality disorders (PD) in modern Russia. These issues are highly relevant to Russian psychiatry, which has a rich historical tradition of analysing psychopathic constitution, personality types and dynamics. Recent findingsThis narrative review covers the main tendencies in the recent Russian academic literature devoted to PD. PD are most frequently investigated in the frames of forensic psychiatry, in which expert conclusions and assessment of the risk factors for socially dangerous behaviour are particularly important. Another area of research concerns comorbidity, since PD often affect other health conditions or are co-occurrent with other mental or behavioural problems. Specialists have also focused on the challenges of therapy in PD. SummaryReviewed manuscripts show a pathogenic and pathoplastic role of personality factors in manifestation of other mental, behavioural or somatic disorders. Analysis of pathocharacterological profile and selfregulation processes is a major component in assessing and diagnosing PD. The principal perspectives in this particular area focus on evidence-based research of mechanisms of personality pathology and validation of targeted personalized combined therapeutic approaches.

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