Emotional-social functioning in three epilepsy groups which vary in lack of insight

Ballini, E.E., Helmes, E., Archer, J.S., and Andrews, D.G. (2008) Emotional-social functioning in three epilepsy groups which vary in lack of insight. Australian Journal of Psychology, 60 (S1). p. 210.

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Epilepsy patients can have emotional-social dysfunction and lack of insight. This might be due to organic brain pathology or psycho-social interactions. Emotional-Social Dysfunction was scored from three groups of patients and partners/family (ESDQ); Test of Everyday Attention (TEA); and Executive Functions (D-KEFS) were assessed in patients. Groups were generalized convulsive status epilepticus (GCSE, 6); temporal lobe epilepsy (TLE, 7); or idiopathic generalized epilepsy (IGE, 7). Epilepsy groups were more emotionally dysfunctional than normal controls. Compared to partners’ ratings of them, TLE patients consistently over-estimated their ESDQ ratings while GCSE patients under-estimated. Compared to control ESDQ datasets, TLE patient-partner scores showed significant discrepancy for Anger and Lack of Insight; and GCSE for Anger and Indifference. IGE produced minimal discrepancies. TLE overestimations of Lack of Insight were significantly linked to reduced perseveration errors. GCSE underestimations correlated with increasing distractibility scores. Lack of Insight negatively correlated with vigilant attention in GCSE and TLE. Patient Lack of Insight self-ratings correlated with estimated number of lifetime seizures, suggesting seizure chronicity had an impact. Group specific patterns of insight suggest insight impairment may be mediated by local brain dysfunction rather than a global effect of chronic disease.

Item ID: 25427
Item Type: Article (Abstract)
ISSN: 1742-9536
Date Deposited: 15 Mar 2013 00:22
FoR Codes: 17 PSYCHOLOGY AND COGNITIVE SCIENCES > 1701 Psychology > 170199 Psychology not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9299 Other Health > 929999 Health not elsewhere classified @ 100%
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