Pediatric psychogenic nonepileptic seizures: A study of assessment tools

Jay A. Salpekar; Sigita Plioplys; Prabha Siddarth; Brenda Bursch; Richard J. Shaw; Miya R. Asato; W. Curt LaFrance; Deborah M. Weisbrot; David W. Dunn; Joan K. Austin; Donald M. Olson; Rochelle Caplan

doi:10.1016/j.yebeh.2009.10.002

Pediatric psychogenic nonepileptic seizures: A study of assessment tools

Jay A. Salpekar^*, Sigita Plioplys, Prabha Siddarth, Brenda Bursch, Richard J. Shaw, Miya R. Asato, W. Curt LaFrance, Deborah M. Weisbrot, David W. Dunn, Joan K. Austin, Donald M. Olson, Rochelle Caplan

^*Corresponding author for this work

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

30 Scopus citations

Abstract

The goal of this study was to identify assessment tools and associated behavioral domains that differentiate children with psychogenic nonepileptic seizures (PNES) from those with epilepsy. A sample of 24 children with PNES (mean age 14.0 years, 14 female), 24 children with epilepsy (mean age 13.6 years, 13 female), and their parents were recruited from five epilepsy centers in the United States. Participants completed a battery of behavioral questionnaires including somatization, anxiety, and functional disability symptoms. Children with PNES had significantly higher scores on the Childhood Somatization and Functional Disability Inventories, and their parents reported more somatic problems on the Child Behavior Checklist (CBCL). Depression, anxiety, and alexithymia instruments did not differentiate the groups. Measures of somatization and functional disability may be promising tools for differentiating the behavioral profile of PNES from that of epilepsy. Increased somatic awareness and perceived disability emphasize the similarity of PNES to other pediatric somatoform disorders.

Original language	English (US)
Pages (from-to)	50-55
Number of pages	6
Journal	Epilepsy and Behavior
Volume	17
Issue number	1
DOIs	https://doi.org/10.1016/j.yebeh.2009.10.002
State	Published - Jan 2010

Keywords

Comorbidities
Diagnosis
Epilepsy
Nonepileptic seizures

ASJC Scopus subject areas

Clinical Neurology
Neurology
Behavioral Neuroscience

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10.1016/j.yebeh.2009.10.002

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title = "Pediatric psychogenic nonepileptic seizures: A study of assessment tools",

abstract = "The goal of this study was to identify assessment tools and associated behavioral domains that differentiate children with psychogenic nonepileptic seizures (PNES) from those with epilepsy. A sample of 24 children with PNES (mean age 14.0 years, 14 female), 24 children with epilepsy (mean age 13.6 years, 13 female), and their parents were recruited from five epilepsy centers in the United States. Participants completed a battery of behavioral questionnaires including somatization, anxiety, and functional disability symptoms. Children with PNES had significantly higher scores on the Childhood Somatization and Functional Disability Inventories, and their parents reported more somatic problems on the Child Behavior Checklist (CBCL). Depression, anxiety, and alexithymia instruments did not differentiate the groups. Measures of somatization and functional disability may be promising tools for differentiating the behavioral profile of PNES from that of epilepsy. Increased somatic awareness and perceived disability emphasize the similarity of PNES to other pediatric somatoform disorders.",

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AU - Shaw, Richard J.

AU - Asato, Miya R.

AU - LaFrance, W. Curt

AU - Weisbrot, Deborah M.

AU - Dunn, David W.

AU - Austin, Joan K.

AU - Olson, Donald M.

AU - Caplan, Rochelle

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AB - The goal of this study was to identify assessment tools and associated behavioral domains that differentiate children with psychogenic nonepileptic seizures (PNES) from those with epilepsy. A sample of 24 children with PNES (mean age 14.0 years, 14 female), 24 children with epilepsy (mean age 13.6 years, 13 female), and their parents were recruited from five epilepsy centers in the United States. Participants completed a battery of behavioral questionnaires including somatization, anxiety, and functional disability symptoms. Children with PNES had significantly higher scores on the Childhood Somatization and Functional Disability Inventories, and their parents reported more somatic problems on the Child Behavior Checklist (CBCL). Depression, anxiety, and alexithymia instruments did not differentiate the groups. Measures of somatization and functional disability may be promising tools for differentiating the behavioral profile of PNES from that of epilepsy. Increased somatic awareness and perceived disability emphasize the similarity of PNES to other pediatric somatoform disorders.

KW - Comorbidities

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KW - Nonepileptic seizures

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Pediatric psychogenic nonepileptic seizures: A study of assessment tools

Abstract

Keywords

ASJC Scopus subject areas

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