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  • Comparative study of percei...
    Gargiulo, Ángel JM; Colombini, Ana; Trovato, Antonella; Oddo, Silvia; Puddington, Martín; D´Alessio, Luciana

    Seizure (London, England), July 2024, 2024-07-00, 20240701, Letnik: 119
    Journal Article

    •Invalidating environment was analyzed in different seizure disorders.•Maternal negative response identified a group of patients with functional disorders.•Chaotic families predicted a specific drug-resistant epilepsy patients population.•Stress coping strategies were also analyzed in different seizure disorders.•The analysis of stress coping succeeded in identifying various seizure disorders. We investigated perceived invalidating environment during childhood and stress-coping strategies in patients with; functional dissociative seizures (FDS, n=26), drug-resistant epilepsy patients with no psychiatric comorbidity (DREnc, n=23), and drug-resistant epilepsy patients with psychiatric comorbidity (DREpc, n=34). We performed a cross-sectional study. Patients underwent Video Electroencephalography to confirm the diagnosis and completed a psychiatric assessment supported by clinical instruments. Invalidating environment and stress coping were studied through the ICES and CAE questionaries, respectively. A series of multinomial logistic regression analyses were performed with the explored variables. The maternal negative response model predicted a higher probability of FDS condition. A chaotic family type increased the likelihood of DREpc instead of FDS. DREpc and FDS patients displayed many different behaviors to cope with stress other than trying to solve the problem, the most used strategy in the DREnc group. Parental invalidation was higher in DREpc than in FDS. Our results deepen the data provided by previous studies indicating that multiple variables of biosocial origin have significant effects on these groups of patients. The presence of an invalidating environment may predict FDS but also the presence of psychiatric disorders among DRE. Psychotherapeutic strategies to enhance these variables might be necessary for this population.