Family functioning in subjects with pseudoseizures and epilepsy.
The purpose of this study was to identify differences in family functioning between subjects with pseudoseizures and their families, and control subjects with epilepsy. Thirty-one adult subjects with pseudoseizures and 31 controls with intractable epilepsy, whose diagnoses were confirmed using video...
| Published in: | Journal of Nervous & Mental Disease Vol. 189; no. 1; pp. 38 - 44 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | research Journal Article |
| Published: |
Lippincott Williams & Wilkins
Jan2001
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=25203817&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 25203817 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00223018 1YZ jtl: Journal of Nervous & Mental Disease issn: 00223018 maglogo: N pubinfo: dt: Jan2001 vid: 189 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 25203817 25203817 NLM11206663 25203817 10.1097/00005053-200101000-00007 NLM11206663 25203817 ppf: 38 ppct: 6 formats: tig: atl: Family functioning in subjects with pseudoseizures and epilepsy. aug: au: Krawetz, Patricia Fleisher, William Pillay, Neelan Staley, Douglas Arnett, John Maher, John Krawetz, P Fleisher, W Pillay, N Staley, D Arnett, J Maher, J affil: Selkirk Mental Health Centre, P.O. Box 9600, Selkirk, Manitoba, Canada R1A 1B5 sug: subj: Epilepsy Diagnosis Seizures Diagnosis Family Health Depression Epidemiology Seizures Psychosocial Factors Anxiety Disorders Diagnosis Adult Epilepsy Psychosocial Factors Depression Diagnosis Female Nonverbal Communication Epilepsy Epidemiology Seizures Epidemiology Male Somatoform Disorders Diagnosis Comorbidity Electroencephalography Statistics and Numerical Data Diagnosis, Differential Quality of Life Human Verbal Behavior Somatoform Disorders Psychosocial Factors Family Relations Myers-Briggs Type Indicator Statistics and Numerical Data Anxiety Disorders Epidemiology Validation Studies Comparative Studies Evaluation Research Multicenter Studies Clinical Assessment Tools Family Inventory of Life Events and Changes Adult: 19-44 years Female Male ab: The purpose of this study was to identify differences in family functioning between subjects with pseudoseizures and their families, and control subjects with epilepsy. Thirty-one adult subjects with pseudoseizures and 31 controls with intractable epilepsy, whose diagnoses were confirmed using video-EEG, were recruited from the epilepsy unit of a tertiary care hospital over a 4-year period. Each study participant and their first-degree adult family members completed two standardized questionnaires designed to measure family functioning: the McMaster Family Assessment Device (FAD) and the Beavers Self-Report Family Inventory (SFI). Individuals with pseudoseizures, when compared with epileptic subjects, exhibited significantly elevated scores in three scales of the FAD and in one scale of the SFI, indicating greater psychopathology within the family, as perceived by the individual. Statistically significant differences with the FAD were on measures of affective involvement (p = .044), communication (p = .004), and general functioning (p = .013). The SFI revealed significantly greater difficulty with conflict (p = .050). No differences were noted between subjects with both pseudoseizures and epilepsy and subjects with pseudoseizures alone. In comparison with the families of the epileptic group, the families of subjects with pseudoseizures displayed statistically significant elevations in their responses on the roles scale (p = .003) of the FAD. The responses of the family members did not differ in regard to the role they assumed within the family unit (i.e., spouse, parent). In summary, individuals with pseudoseizures view their families as being more dysfunctional, particularly in the area of communication, whereas their family members perceived difficulties in defining roles. This suggests that family education and interventions focusing on these areas, may be an important aspect of the treatment of patients with pseudoseizures. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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