Dissociation, Stressors, and Coping in Patients of Psychogenic Nonepileptic Seizures

Background: Psychogenic nonepileptic seizures (PNES) commonly present both to neurologists and psychiatrists and include a wide range of psychopathology. In order to understand the demographics, dissociative experiences, stressful life events, abuse, and coping in these patients, this study was unde...

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Autores principales:	Neena S Sawant, Maithili S Umate
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/092996f93c7148abb16c3a210d4aff09
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spelling	oai:doaj.org-article:092996f93c7148abb16c3a210d4aff092021-11-18T23:34:23ZDissociation, Stressors, and Coping in Patients of Psychogenic Nonepileptic Seizures0253-71760975-156410.1177/0253717620956460https://doaj.org/article/092996f93c7148abb16c3a210d4aff092021-11-01T00:00:00Zhttps://doi.org/10.1177/0253717620956460https://doaj.org/toc/0253-7176https://doaj.org/toc/0975-1564Background: Psychogenic nonepileptic seizures (PNES) commonly present both to neurologists and psychiatrists and include a wide range of psychopathology. In order to understand the demographics, dissociative experiences, stressful life events, abuse, and coping in these patients, this study was undertaken. Methods: This was a cross-sectional, observational study. A total of 71 patients of PNES, referred from neurology, were assessed on Dissociative Experience Scale (DES), Scale For Trauma and Abuse, Presumptive Stressful Life Events Scale (PSLES), and Ways of Coping Questionnaire to ascertain the dissociative experiences; the prevalence of trauma, abuse, and stressful life events, and the coping mechanisms. Results: Females predominated, with the duration of PNES up to 2 years. The mean ± SD total DES score was 38.14 ± 14.1, indicating high dissociation. On the PSLES, for the stressful life events in the last one year, the mean score was 98.28 ± 87.1. Marital and family conflicts and death were reported more. History of childhood or adult physical and sexual abuse was less reported. History of head trauma was present in 13 patients. Emotion-focused coping was used more than problem-solving strategies. Conclusions: Very few Indian studies have looked into these nuances. This study has helped in improving the understanding of the various risk factors of PNES and the coping strategies, and in sensitizing psychiatrists and neurologists to enquire into trauma and abuse of these patients.Neena S SawantMaithili S UmateSAGE PublishingarticlePsychiatryRC435-571ENIndian Journal of Psychological Medicine, Vol 43 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Psychiatry RC435-571
spellingShingle	Psychiatry RC435-571 Neena S Sawant Maithili S Umate Dissociation, Stressors, and Coping in Patients of Psychogenic Nonepileptic Seizures
description	Background: Psychogenic nonepileptic seizures (PNES) commonly present both to neurologists and psychiatrists and include a wide range of psychopathology. In order to understand the demographics, dissociative experiences, stressful life events, abuse, and coping in these patients, this study was undertaken. Methods: This was a cross-sectional, observational study. A total of 71 patients of PNES, referred from neurology, were assessed on Dissociative Experience Scale (DES), Scale For Trauma and Abuse, Presumptive Stressful Life Events Scale (PSLES), and Ways of Coping Questionnaire to ascertain the dissociative experiences; the prevalence of trauma, abuse, and stressful life events, and the coping mechanisms. Results: Females predominated, with the duration of PNES up to 2 years. The mean ± SD total DES score was 38.14 ± 14.1, indicating high dissociation. On the PSLES, for the stressful life events in the last one year, the mean score was 98.28 ± 87.1. Marital and family conflicts and death were reported more. History of childhood or adult physical and sexual abuse was less reported. History of head trauma was present in 13 patients. Emotion-focused coping was used more than problem-solving strategies. Conclusions: Very few Indian studies have looked into these nuances. This study has helped in improving the understanding of the various risk factors of PNES and the coping strategies, and in sensitizing psychiatrists and neurologists to enquire into trauma and abuse of these patients.
format	article
author	Neena S Sawant Maithili S Umate
author_facet	Neena S Sawant Maithili S Umate
author_sort	Neena S Sawant
title	Dissociation, Stressors, and Coping in Patients of Psychogenic Nonepileptic Seizures
title_short	Dissociation, Stressors, and Coping in Patients of Psychogenic Nonepileptic Seizures
title_full	Dissociation, Stressors, and Coping in Patients of Psychogenic Nonepileptic Seizures
title_fullStr	Dissociation, Stressors, and Coping in Patients of Psychogenic Nonepileptic Seizures
title_full_unstemmed	Dissociation, Stressors, and Coping in Patients of Psychogenic Nonepileptic Seizures
title_sort	dissociation, stressors, and coping in patients of psychogenic nonepileptic seizures
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/092996f93c7148abb16c3a210d4aff09
work_keys_str_mv	AT neenassawant dissociationstressorsandcopinginpatientsofpsychogenicnonepilepticseizures AT maithilisumate dissociationstressorsandcopinginpatientsofpsychogenicnonepilepticseizures
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Dissociation, Stressors, and Coping in Patients of Psychogenic Nonepileptic Seizures

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