Neuropsychological performance and effort in patients diagnosed with psychogenic nonepileptic seizures – Descriptive study of a Czech sample

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F48135445%3A_____%2F22%3AN0000029" target="_blank" >RIV/48135445:_____/22:N0000029 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.epilepsybehavior.com/article/S1525-5050(22)00033-6/fulltext" target="_blank" >https://www.epilepsybehavior.com/article/S1525-5050(22)00033-6/fulltext</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.yebeh.2022.108584" target="_blank" >10.1016/j.yebeh.2022.108584</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Neuropsychological performance and effort in patients diagnosed with psychogenic nonepileptic seizures – Descriptive study of a Czech sample

Popis výsledku v původním jazyce

• Purpose • The aim of the study was to examine the neuropsychological performance and effort in patients with a confirmed PNES diagnosis. The second aim of the study was to investigate the relationship between validity indicators from the cognitive battery with validity and clinical scales from a personality scale. • Method • Patients with PNES (N = 250; F:M 186:64; mean age 38.32 (13.23)) were assessed utilizing the RBANS (Czech Research version) to evaluate cognitive performance and to obtain the Effort Index. The MMPI-2 was used to evaluate personality and psychopathology. • Results • Global cognitive performance was 0.92 SD below average (according to the Gaussian distribution) in patients with PNES. The lowest scores in the sample were in the Attention domain (−1.7SD). Insufficient effort was detected in 10% of patients. Education correlated negatively with the Effort index (rs = −0.25, p = 0.01). A mild significant correlation in Scale 7 (rs = 0.21, p = 0.01) and Scale 8 (rs = 0.24, p = 0.01), and a significant correlation between Effort Index and Back F Scale (rs = 0.23, p = 0.01) were noted. • Conclusions • Assessment of cognitive performance and effort is an essential part of the comprehensive evaluation of patients with PNES during their hospitalization at Epilepsy centers. Many aspects of the neuropsychological assessment can offer useful indications for reaching a differential diagnosis, including clinical history, behavioral observations, cognitive and symptom validity testing, and structured psychological inventories.

Název v anglickém jazyce

Neuropsychological performance and effort in patients diagnosed with psychogenic nonepileptic seizures – Descriptive study of a Czech sample

Popis výsledku anglicky

• Purpose • The aim of the study was to examine the neuropsychological performance and effort in patients with a confirmed PNES diagnosis. The second aim of the study was to investigate the relationship between validity indicators from the cognitive battery with validity and clinical scales from a personality scale. • Method • Patients with PNES (N = 250; F:M 186:64; mean age 38.32 (13.23)) were assessed utilizing the RBANS (Czech Research version) to evaluate cognitive performance and to obtain the Effort Index. The MMPI-2 was used to evaluate personality and psychopathology. • Results • Global cognitive performance was 0.92 SD below average (according to the Gaussian distribution) in patients with PNES. The lowest scores in the sample were in the Attention domain (−1.7SD). Insufficient effort was detected in 10% of patients. Education correlated negatively with the Effort index (rs = −0.25, p = 0.01). A mild significant correlation in Scale 7 (rs = 0.21, p = 0.01) and Scale 8 (rs = 0.24, p = 0.01), and a significant correlation between Effort Index and Back F Scale (rs = 0.23, p = 0.01) were noted. • Conclusions • Assessment of cognitive performance and effort is an essential part of the comprehensive evaluation of patients with PNES during their hospitalization at Epilepsy centers. Many aspects of the neuropsychological assessment can offer useful indications for reaching a differential diagnosis, including clinical history, behavioral observations, cognitive and symptom validity testing, and structured psychological inventories.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

30210 - Clinical neurology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Epilepsy & Behavior

ISSN

1525-5050

e-ISSN

1525-5069

Svazek periodika

128

Číslo periodika v rámci svazku

2022

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

8

Strana od-do

nestrankovano

Kód UT WoS článku

000761035600034

EID výsledku v databázi Scopus

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