Differentiating PNES from epileptic seizures using conversational analysis
| Autor: | Martina Andrea Sirtori, Lorenzo Montali, Maria Paola Canevini, Valentina Chiesa, Alessandra Frigerio, Costanza Papagno, Katherine Turner, Elena Zambrelli |
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| Přispěvatelé: | Papagno, C, Montali, L, Turner, K, Frigerio, A, Sirtori, M, Zambrelli, E, Chiesa, V, Canevini, M |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurology Video-EEG Conversation analysi Behavioral neuroscience Sensitivity and Specificity Diagnosis Differential 03 medical and health sciences Behavioral Neuroscience Epilepsy 0302 clinical medicine Seizures medicine Humans Psychogenic disease Aged Electroencephalography Cognition Middle Aged Neuropsychological battery medicine.disease Psychophysiologic Disorders Mental health 030227 psychiatry Conversation analysis Psychogenic nonepileptic seizure Female Neurology (clinical) Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Epilepsy & Behavior. 76:46-50 |
| ISSN: | 1525-5050 |
| DOI: | 10.1016/j.yebeh.2017.08.034 |
| Popis: | We applied conversation analysis in an unselected continuous series of 70 patients to discriminate patients with psychogenic nonepileptic seizures (PNES) from patients with epilepsy. Two psychologists examined the patients' recorded reports. Patients were also submitted to an extensive neuropsychological battery in order to verify whether specific cognitive deficits or mental health problems are typical of patients with PNES and whether some cognitive deficits could prevent the correct diagnosis. The results showed a good percentage of correct diagnosis, with a sensitivity of 0.795 and a specificity of 0.83, while no difference in the cognitive profile was found between patients with PNES and patients with epilepsy. The results also suggest that psychologists can apply the conversation analysis as well as linguists, which is an important finding since psychologists are employed in specialized centers, while linguists in general are not part of the team. |
| Databáze: | OpenAIRE |
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