Non-epileptic seizures and other functional neurological symptoms:: Predisposing, precipitating, and perpetuating factors

被引:132
作者
Reuber, Markus [1 ]
Howlett, Stephanie [1 ]
Khan, Ajjaz [1 ]
Grunewald, Richard A. [1 ]
机构
[1] Univ Sheffield, Royal Hallamshire Hosp, Acad Neurol Unit, Sheffield Teaching Hosp,NHS Trust, Sheffield S10 2JF, S Yorkshire, England
关键词
D O I
10.1176/appi.psy.48.3.230
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This naturalistic study describes potential etiological factors in outpatients with functional neurological symptoms recorded during a screening interview with a single psychotherapist in 59 consecutive patients. The most commonly identified predisposing/precipitating factors were trauma (78.0%), family dysfunction (62.7%), and bereavement (62.7%). Family dysfunction (54.2%) and affective disorder (42%) were the commonest perpetuating factors. Trauma was more common in non-epileptic seizures; health anxiety, in men; family problems, in women. This study demonstrates the heterogeneity of this patient population. Further research is indicated to explore differences in predisposing, precipitating, and perpetuating factors in different patient groups with functional symptoms.
引用
收藏
页码:230 / 238
页数:9
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