Personality traits in patients with juvenile myoclonic epilepsy

Nonpsychotic Psychiatric Disorders in Juvenile Myoclonic Epilepsy

“…The second method is not directed at personality traits; rather, it categorizes PDs, distinguishing 10 different subtypes of PDs as well as depressive PD and passive aggressive PD, which are grouped into three clusters based on their descriptive similarities. (6,15) Personality traits in JME Impulsivity is a multidimensional and complex personality trait that influences the pathogenesis of the course and clinical severity of several disorders. A pathological increase in impulsivity is the reason for impulse control disorders and hence impulsive PDs.…”

“…(16) Patients with JME, compared to people without the disorder, have a higher expression of impulsive personality traits that demand early recognition to avoid further consequences and facilitate social insertion, consequently avoiding future stigma. (6) S. Moschetta et al made the first study addressing the social functioning of 42 patients with JME using SAS (a standardized instrument using objective questions about the subject's life) and demonstrated that JME patients had worse performance than controls, considering overall social adjustment, work, and family relationships. They demonstrated that higher seizure frequency and impulsive traits, but not cognitive performance, were correlated with worse social adjustment, unlike TLE, in which cognitive deficits are very relevant (attention and verbal memory dysfunction were correlated with social adjustment), therefore recognizing the impact of higher seizure frequency on social adjustment.…”

“…(17) Impulsivity is a temperament feature that results from a combination of low harm avoidance and high novelty seeking, hence a high risk-seeking predisposition in subjects with a low level of temperamental inhibition leads to an impulsive temperament (which is a highly heritable personality trait). (6,18 ) E. Congton et al, in recent study, highlighted the heritability of impulsivity-familial transmission of impulsivity-within and outside the DSM-IV categories of mental disorders, which emphasizes the idea that the impulsivity trait may not be diagnosable by standard psychiatric investigation, as it may not represent a PD. (6,19) The deficit of executive functions and decision-making behavior is also not always determined in conventional behavioral measures, but neuropsychological deficits were detected in the imaging studies and more challenging frontal lobe tasks.…”

“…(11) Nonpsychotic psychiatric disorders in JME The 10 official PD subtypes, which are identified in the DSM-IV, are grouped into 3 clusters based on their descriptive similarities. (6) The patients with JME most often exhibit cluster B disorders-histrionic, narcissistic, antisocial, borderlineand are characterized by emotional instability, immaturity, lack of discipline, and rapid mood changes. Patients with these characteristics have been associated with a worse seizure outcome.…”

“…(4,5) The authors also identified lack of drive and endurance, unstable self-concept, and rapidly changing affect and mood states, that, according to them, often complicated treatment of JME. (4,6) People with personality disorders (PDs) often experience other mental health problems, especially depression and substance misuse.…”