Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders

Türk, Bengi Gül; Yeni, Seher Naz; Akbaba, Gözde

Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders

Bengi Gül TÜRK, (Dr. Selahattin Cizrelioğlu Cizre Devlet Hastanesi, Nöroloji Anabilim Dalı, Şırnak. Türkiye)

Gözde AKBABA, (Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi Psikiyatri Anabilim Dalı, İstanbul. Türkiye)

Seher Naz YENİ (İstanbul Üniversitesi-Cerrahpaşa Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul. Türkiye)

Epilepsi

9 0

Yıl: 2021 Cilt: 27 Sayı: 2 Sayfa Aralığı: 91 - 95 Metin Dili: İngilizce İndeks Tarihi: 17-02-2022

Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders

Öz:

Objectives: It has been found that pain response is higher in patients with depression and anxiety and also found higher in the patients with psychogenic non-epileptic seizures (PNES). However, these studies are limited in number and they are mainly focused on the chronic pain perception. We aimed to investigate anxiety and depression levels and the perception of acute pain along with childhood traumas among the patients with PNES.Methods: In our study, a total of 100 gender- and age-matched patients with PNES and 50 healthy controls were included in the study. The beck depression inventory (BDI), the beck anxiety inventory (BAI), and the childhood trauma questionnaire-28 were applied to all the participants. Pain perception was also evaluated by applying gradually increasing pressure with tension cuff while the participants were in a seated position. While the tension was about 180 mmHg, the participants were asked to evaluate their pain using the visual analog scale (VAS).Results: The major findings of our study are as follows: (i) The BDI and BAI scores were significantly higher in the PNES group than in the control group; (ii) VAS scores were significantly higher in the PNES group than in the control group; and (iii) among the PNES group, BAI scores were correlated with VAS scores.Conclusion: PNES is experienced by a heterogeneous patient group, and its underlying factors are still not well described. Depression and anxiety are common accompanying factors, and the pain response is higher in patients with PNES with high anxiety levels.

Anahtar Kelime:

Psikojenik Nonepileptik Nöbetleri Olan Hastalarda Akut Ağrı Algısı ve Duygudurum Bozuklukları ile İlişkisi

Öz:

Amaç: Depresyon ve anksiyete hastalarında ağrı cevabının daha yüksek olduğu gösterilmiştir. Psikojenik epileptik olmayan nöbetleri (PNES) olan hastalarda da yüksek ağrı yanıtları olduğu bildirilmiştir. Bununla birlikte, bu çalışmalar sayıca sınırlıdır ve esas olarak kronik ağrı algısına odaklanmıştır. Çalışmamızda, PNES hastalarında çocukluk travmaları ile birlikte anksiyete ve depresyon düzeylerini ve akut ağrı algısını araştırmayı amaçladık.Gereç ve Yöntem: Çalışmamıza toplam 100 cinsiyet ve yaş uyumlu PNES hastası ve 50 sağlıklı kontrol dahil edildi. Tüm katılımcılara Beck Depresyon Envanteri (BDI), Beck Anksiyete Envanteri (BAI) ve Çocukluk Çağı Travma Anketi (CTQ-28) uygulandı. Ağrı algısı da katılımcılar oturmuş pozisyondayken tansiyon manşetiyle giderek artan basınç uygulanarak değerlendirildi. Gerilim yaklaşık 180 mmHg iken katılımcılardan ağrılarını görsel analog skala (VAS) kullanarak değerlendirmeleri istendi.Bulgular: Çalışmamızın başlıca bulguları şöyledir: (i) BDI ve BAI skorları PNES grubunda kontrol grubuna göre anlamlı derecede yüksek saptanmıştır; (ii) VAS skorları PNES grubunda kontrol grubuna göre anlamlı derecede yüksek tespit edilmiştir; ve (iii) PNES grubu arasında BAI skorları VAS skorları ile korele saptanmıştır. Sonuç: Depresyon ve anksiyete PNES’e eşlik eden komorbiditelerdir. Yüksek anksiyete düzeyine sahip PNES hastalarında ağrı yanıtı daha yüksek saptanmıştır

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Türk B, Akbaba G, Yeni S (2021). Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. , 91 - 95.
Chicago	Türk Bengi Gül,Akbaba Gözde,Yeni Seher Naz Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. (2021): 91 - 95.
MLA	Türk Bengi Gül,Akbaba Gözde,Yeni Seher Naz Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. , 2021, ss.91 - 95.
AMA	Türk B,Akbaba G,Yeni S Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. . 2021; 91 - 95.
Vancouver	Türk B,Akbaba G,Yeni S Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. . 2021; 91 - 95.
IEEE	Türk B,Akbaba G,Yeni S "Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders." , ss.91 - 95, 2021.
ISNAD	Türk, Bengi Gül vd. "Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders". (2021), 91-95.

APA	Türk B, Akbaba G, Yeni S (2021). Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. Epilepsi, 27(2), 91 - 95.
Chicago	Türk Bengi Gül,Akbaba Gözde,Yeni Seher Naz Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. Epilepsi 27, no.2 (2021): 91 - 95.
MLA	Türk Bengi Gül,Akbaba Gözde,Yeni Seher Naz Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. Epilepsi, vol.27, no.2, 2021, ss.91 - 95.
AMA	Türk B,Akbaba G,Yeni S Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. Epilepsi. 2021; 27(2): 91 - 95.
Vancouver	Türk B,Akbaba G,Yeni S Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders. Epilepsi. 2021; 27(2): 91 - 95.
IEEE	Türk B,Akbaba G,Yeni S "Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders." Epilepsi, 27, ss.91 - 95, 2021.
ISNAD	Türk, Bengi Gül vd. "Acute Pain Perception in Patients with Psychogenic Non-Epileptic Seizures and its Relationship with Mood Disorders". Epilepsi 27/2 (2021), 91-95.