Overlap between dissociation and other psychological characteristics in patients with psychogenic nonepileptic seizures

Matthew L. Cohen, S. Marc Testa, Jennifer M. Pritchard, Jingkun Zhu, Jennifer L. Hopp

Research output: Contribution to journalArticle

Abstract

Patients with psychogenic nonepileptic seizures (PNES) often report symptoms of dissociation. However, it is unclear how these symptoms relate to psychotherapeutic treatment, for example, with cognitive-behavioral therapy (CBT). Here, we investigated the degree of overlap between symptoms of dissociation and other psychiatric features that are more traditional targets for CBT. We used a hierarchical linear regression to measure the variance associated with dissociative symptoms (as assessed by the Dissociative Experiences Scale - DES) among 46 individuals with PNESs. The regression predictor variables are indices of participants' self-rated mood, self-efficacy, quality of life, locus of control, and life outlook (e.g., optimism). Results revealed that 70.2% of the variance associated with DES score was explained by psychological distress and locus of control. The other factors examined did not make a significant contribution to the regression model. These results suggest that traditional CBT targets - mood symptoms, mood distress, and dysfunctional beliefs about locus of control - overlap substantially with self-reported dissociative symptoms.

Original languageEnglish (US)
Pages (from-to)47-49
Number of pages3
JournalEpilepsy and Behavior
Volume34
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Dissociative Disorders
Internal-External Control
Cognitive Therapy
Seizures
Psychology
Self Efficacy
Psychiatry
Linear Models
Quality of Life
Therapeutics

Keywords

  • Dissociation
  • Dissociative seizures
  • Psychogenic nonepileptic seizures

ASJC Scopus subject areas

  • Clinical Neurology
  • Behavioral Neuroscience
  • Neurology
  • Medicine(all)

Cite this

Overlap between dissociation and other psychological characteristics in patients with psychogenic nonepileptic seizures. / Cohen, Matthew L.; Testa, S. Marc; Pritchard, Jennifer M.; Zhu, Jingkun; Hopp, Jennifer L.

In: Epilepsy and Behavior, Vol. 34, 2014, p. 47-49.

Research output: Contribution to journalArticle

Cohen, Matthew L. ; Testa, S. Marc ; Pritchard, Jennifer M. ; Zhu, Jingkun ; Hopp, Jennifer L. / Overlap between dissociation and other psychological characteristics in patients with psychogenic nonepileptic seizures. In: Epilepsy and Behavior. 2014 ; Vol. 34. pp. 47-49.
@article{45e7a89c3ba349ce901e9cf6ac87f8c1,
title = "Overlap between dissociation and other psychological characteristics in patients with psychogenic nonepileptic seizures",
abstract = "Patients with psychogenic nonepileptic seizures (PNES) often report symptoms of dissociation. However, it is unclear how these symptoms relate to psychotherapeutic treatment, for example, with cognitive-behavioral therapy (CBT). Here, we investigated the degree of overlap between symptoms of dissociation and other psychiatric features that are more traditional targets for CBT. We used a hierarchical linear regression to measure the variance associated with dissociative symptoms (as assessed by the Dissociative Experiences Scale - DES) among 46 individuals with PNESs. The regression predictor variables are indices of participants' self-rated mood, self-efficacy, quality of life, locus of control, and life outlook (e.g., optimism). Results revealed that 70.2{\%} of the variance associated with DES score was explained by psychological distress and locus of control. The other factors examined did not make a significant contribution to the regression model. These results suggest that traditional CBT targets - mood symptoms, mood distress, and dysfunctional beliefs about locus of control - overlap substantially with self-reported dissociative symptoms.",
keywords = "Dissociation, Dissociative seizures, Psychogenic nonepileptic seizures",
author = "Cohen, {Matthew L.} and Testa, {S. Marc} and Pritchard, {Jennifer M.} and Jingkun Zhu and Hopp, {Jennifer L.}",
year = "2014",
doi = "10.1016/j.yebeh.2014.03.001",
language = "English (US)",
volume = "34",
pages = "47--49",
journal = "Epilepsy and Behavior",
issn = "1525-5050",
publisher = "Academic Press Inc.",

}

TY - JOUR

T1 - Overlap between dissociation and other psychological characteristics in patients with psychogenic nonepileptic seizures

AU - Cohen, Matthew L.

AU - Testa, S. Marc

AU - Pritchard, Jennifer M.

AU - Zhu, Jingkun

AU - Hopp, Jennifer L.

PY - 2014

Y1 - 2014

N2 - Patients with psychogenic nonepileptic seizures (PNES) often report symptoms of dissociation. However, it is unclear how these symptoms relate to psychotherapeutic treatment, for example, with cognitive-behavioral therapy (CBT). Here, we investigated the degree of overlap between symptoms of dissociation and other psychiatric features that are more traditional targets for CBT. We used a hierarchical linear regression to measure the variance associated with dissociative symptoms (as assessed by the Dissociative Experiences Scale - DES) among 46 individuals with PNESs. The regression predictor variables are indices of participants' self-rated mood, self-efficacy, quality of life, locus of control, and life outlook (e.g., optimism). Results revealed that 70.2% of the variance associated with DES score was explained by psychological distress and locus of control. The other factors examined did not make a significant contribution to the regression model. These results suggest that traditional CBT targets - mood symptoms, mood distress, and dysfunctional beliefs about locus of control - overlap substantially with self-reported dissociative symptoms.

AB - Patients with psychogenic nonepileptic seizures (PNES) often report symptoms of dissociation. However, it is unclear how these symptoms relate to psychotherapeutic treatment, for example, with cognitive-behavioral therapy (CBT). Here, we investigated the degree of overlap between symptoms of dissociation and other psychiatric features that are more traditional targets for CBT. We used a hierarchical linear regression to measure the variance associated with dissociative symptoms (as assessed by the Dissociative Experiences Scale - DES) among 46 individuals with PNESs. The regression predictor variables are indices of participants' self-rated mood, self-efficacy, quality of life, locus of control, and life outlook (e.g., optimism). Results revealed that 70.2% of the variance associated with DES score was explained by psychological distress and locus of control. The other factors examined did not make a significant contribution to the regression model. These results suggest that traditional CBT targets - mood symptoms, mood distress, and dysfunctional beliefs about locus of control - overlap substantially with self-reported dissociative symptoms.

KW - Dissociation

KW - Dissociative seizures

KW - Psychogenic nonepileptic seizures

UR - http://www.scopus.com/inward/record.url?scp=84897863517&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84897863517&partnerID=8YFLogxK

U2 - 10.1016/j.yebeh.2014.03.001

DO - 10.1016/j.yebeh.2014.03.001

M3 - Article

C2 - 24681385

AN - SCOPUS:84897863517

VL - 34

SP - 47

EP - 49

JO - Epilepsy and Behavior

JF - Epilepsy and Behavior

SN - 1525-5050

ER -