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RI Hospital: Traumatic brain injury worsens outcomes for those with nonepileptic seizures
Date:4/8/2013

rity of symptoms, but also may reflect the criteria for granting disability.

"Another significant finding from the study was that if a patient had both PNES and TBI, the combination resulted in 2.75 odds increase of having PTSD, and triple the odds increase of having a history of trauma/abuse," LaFrance said. "This finding illustrates the importance of the 'double hit' of emotional and physical traumatic experiences that may occur with abuse and/or a head injury commonly found in the PNES population. This study shows that TBI and PNES are significantly associated with a cluster of diagnoses including depression and PTSD, personality, and/or trauma/abuse history, all of which could have an impact on functioning."

Mild TBI appears to be a significant risk factor in patients with PNES, and is associated with increased psychiatric co-morbidity, symptom severity, poor functioning and increased disability. Developing appropriate protocols to more accurately diagnose these patients is the first step to ensuring proper care is provided.

"This study underscores the necessity of assessing not only the seizures, but also the somatic and psychiatric co-morbidities in patients with seizures," LaFrance emphasized.

Previous studies have assessed TBI as a risk factor for PNES, but did not measure psychiatric and functioning outcome measures. More study is needed to explore the development of new treatments as new pharmacological and rehabilitative options become available.


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Contact: Ellen Slingsby
eslingsby@lifespan.org
401-444-6421
Lifespan
Source:Eurekalert

Page: 1 2

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