Psychogenic Nonepileptic Seizures

Binder, Laurence M.; Salinsky, Martin

doi:10.1007/s11065-007-9047-5

Cited by 40 publications

(19 citation statements)

References 42 publications

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“…somatization symptoms, such as non-epileptic seizure disorder (NES) patients, shows more of a relationship (Binder & Salinsky, 2007;Crager, Berry, Fakhouy, Cibula, & Schmitt, 2006;Drane et al, 2006;Williamson, Drane, & Stroup, 2007). Specifically, Drane et al found that NES patients had problematic cognitive effort as measured by the Word Memory Test (WMT; Green, Allen, & Aster, 1996).…”

Section: Introductionmentioning

confidence: 99%

Relationship between suboptimal cognitive effort and the clinical scales of the Personality Assessment Inventory

Whiteside¹,

Clinton²,

Diamonti³

et al. 2010

The Clinical Neuropsychologist

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Little research has examined the relationship between the Personality Assessment Inventory (PAI) and cognitive effort. The current study extends the research on personality assessment and suboptimal cognitive effort by evaluating the relationship between the PAI clinical scales and the Test of Memory Malingering (TOMM) in a neuropsychological population. Utilizing corrections for multiple comparisons, rank-order correlations with the TOMM Trial 2 (T2) and the PAI clinical scales indicated a significant relationship with the SOM (rho = -.26, p <.001), with additional scales (SCZ, ANX, and DEP) trending toward significance. Analysis of SOM subscales indicated a significant relationship between SOM-C and T2 as well. To further explore the relationship between SOM and the TOMM, ANOVA results indicated that individuals scoring within normal limits on the SOM had higher mean TOMM scores than those with extremely elevated SOM. Additional analyses indicated that utilizing the cut-off for extreme responding on the SOM scale (T > 87) had adequate sensitivity (93%) and specificity (76%) in predicting TOMM performance, with a positive predictive power of 54% and a negative predictive power of 97%, resulting in a 91% correct classification rate. Thus, the evidence suggests that extreme scores on SOM should prompt careful evaluation for suboptimal cognitive effort.

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Section: Introductionmentioning

confidence: 99%

Relationship between suboptimal cognitive effort and the clinical scales of the Personality Assessment Inventory

Whiteside¹,

Clinton²,

Diamonti³

et al. 2010

The Clinical Neuropsychologist

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show abstract

“…For example, PNES patients tend to perform worse than those with epilepsy on the Portland Digit Recognition Test and Word Memory Test. While there is no single psychological pro fi le that differentiates PNES from epilepsy, extreme scores on the Hs and Hy scales of the MMPI-2 are more common in PNES patients [ 82,84 ] . Initial work with the MMPI-2-RF suggests that the RC1 (Somatic Complaints) correctly classi fi es about two-thirds of epilepsy and PNES patients.…”

Section: Psychogenic Non-epileptic Seizuresmentioning

confidence: 99%

Epilepsy and Aging

Bell

Giovagnoli

2012

Handbook on the Neuropsychology of Aging and Dementia

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Epilepsy is the third most common neurological disorder of old age and a substantial public health problem. As the elderly population rises, the elderly will account for a large percentage of all new-onset seizures. However, while the study of epilepsy in adults in general has led to major advances in neuropsychology, epilepsy in the aged has been one of the more neglected areas within the fi eld. Geriatric epilepsy is now an emerging fi eld for all health-care practitioners, including neuropsychologists. Patient management requires assessment and treatment of cognitive and functional impairment and psychological issues. A thorough assessment of cognitive function is essential in discriminating epilepsy from classic progressive dementias and for assessing functioning prior to treatments for seizures once they are diagnosed. Neuropsychological assessment plays an important role to characterize cognitive impairments, reveal preserved abilities, help monitor medication treatment, track for coexistence of MCI or dementia, and assess for emotional distress.

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“…Given the complexity of this condition, psychological and neuropsychological testing may be coupled with vEEG (Dickinson and Looper, 2012;Walker, 2000). Given that the prevalence rate of PNES is three times higher in females than males, (Binder and Salinsky, 2007) most studies consist mainly of females, which could potentially affect diagnostic and treatment decisions (Dworetzky et al, 2005;Oto et al, 2005). In addition, less is known regarding symptoms, including self-reported mood and personality characteristics, in males with PNES.…”

Section: Introductionmentioning

confidence: 99%

Seizure semiology in males with psychogenic nonepileptic seizures is associated with somatic complaints

2015

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Psychogenic Nonepileptic Seizures

Abstract: Neurological, neurodiagnostic, and neuropsychological aspects of psychogenic nonepileptic seizures (PNES) are reviewed, including psychosocial, psychiatric, cognitive, and MMPI-2 findings.

Cited by 40 publications

References 42 publications

Relationship between suboptimal cognitive effort and the clinical scales of the Personality Assessment Inventory

Relationship between suboptimal cognitive effort and the clinical scales of the Personality Assessment Inventory

Epilepsy and Aging

Seizure semiology in males with psychogenic nonepileptic seizures is associated with somatic complaints

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