Anna Mammì , Valentina Bova , Iolanda Martino , Ilaria Sammarra , Edoardo Ferlazzo , Angelo Pascarella , Domenico Abelardo , Oreste Marsico , Claudia Torino , Vittoria Cianci , Giulia Viola , Valeria Pecoraro , Massimiliano Beghi , Antonio Gambardella , Arturo Pujia , Umberto Aguglia , Sara Gasparini
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引用次数: 0
摘要
目的：功能性癫痫发作（FS）是一种短暂的、不自主的行为或意识变化，有别于癫痫发作，可能与心理分离有关。暴食症（BED）也与心理和躯体解离有关。然而，FS 和 BED 之间的任何联系都没有得到充分探讨。我们旨在评估FS、焦虑/抑郁（AD）和健康受试者（HS）的暴食症患病率，研究解离与暴食的关系，并探索FS患者的心理特征：参与者根据 ILAE 指南和 DSM-5 标准接受评估，包括评估暴食、解离、焦虑、抑郁和人格特质的问卷。纳入标准为年龄大于 18 岁、无药物滥用史、无癫痫病史、未使用诱发饮食失调的药物：结果：我们发现，与 HS 相比，FS 和 AD 患者的暴食症状更为频繁和严重。在 AD 和 FS 组中，抑郁和分离与暴食症状相关。PID-5的 "毅力 "面仅对FS患者的暴饮暴食态度有预测作用；与AD患者相比，FS患者报告了更多的童年情感忽视和更多的抑制：本研究强调了FS患者暴饮暴食症状的普遍性，并强调了其与解离症状的关联。这一发现支持了解离症状与进食障碍之间存在联系的假设。研究发现了FS患者的独特临床特征，即与暴饮暴食症状相关的强迫性维度，从而为全面了解FS患者的心理特征提供了依据，并为有针对性的治疗干预提供了指导。
Functional seizures and binge eating disorder: A cross-sectional study
Objective
Functional seizures (FS) are brief, involuntary changes in behaviour or consciousness, distinct from epileptic seizures, potentially associated with psychological dissociation. Binge eating disorder (BED) was linked to psychological and somatic dissociation also. However, any connection between FS and BED is insufficiently explored. We aimed to assess BED prevalence in individuals with FS, anxiety/depression (AD), and healthy subjects (HS), to investigate dissociation’s link to binge eating, and to explore psychological characteristics of FS individuals.
Method
Participants underwent evaluations based on ILAE guidelines and DSM-5 criteria, including questionnaires assessing binge eating, dissociation, anxiety, depression and personality traits. Inclusion criteria were age > 18 years, no history of substance abuse, no history of epilepsy, and no use of medications inducing eating disorders.
Results
We found significantly more frequent and severe binge-eating symptoms in individuals with FS and AD compared to HS. Depression and dissociation correlated with binge-eating symptoms in both AD and FS groups. The PID-5 facet ’Perseveration’ predicted binge-eating attitudes only in FS individuals; they reported more childhood emotional neglect and increased disinhibition compared do AD people.
Discussion
This study underscores the commonality of binge-eating symptoms in FS individuals, emphasizing its association with dissociation symptoms. This finding support the hypothesis of a link between dissociation and eating disorders. Unique clinical characteristics in individuals with FS were identified, as a compulsive dimension related to binge-eating symptoms, providing a comprehensive understanding of their psychological profile and guiding targeted therapeutic interventions.
期刊介绍：
Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy.
Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging.
From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.
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