Psychological Inflexibility and Somatisation in Non-Epileptic Attack Disorder
| Autor: | Tasha Cullingham, William Sellwood, Antonia Kirkby, Fiona Eccles |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Mindfulness
Cognitive fusion Psychological intervention medicine.disease Ordinal regression Acceptance and commitment therapy Psychophysiologic Disorders Odds 03 medical and health sciences Behavioral Neuroscience 0302 clinical medicine Neurology Seizures medicine Experiential avoidance Humans 030212 general & internal medicine Neurology (clinical) Acceptance and Commitment Therapy Psychology Somatoform Disorders Somatization 030217 neurology & neurosurgery Clinical psychology |
| Popis: | Background There is no clear understanding of what causes and maintains nonepileptic attack (NEA) disorder (NEAD), or which psychological therapies may be helpful. The relationships between variables of psychological inflexibility: experiential avoidance (EA), cognitive fusion (CF), mindfulness, and key outcome variables in NEAD: somatization, impact upon life, and NEA frequency were investigated. Method Two hundred eighty-five individuals with NEAD completed validated measures online. Linear regression was used to explore which variables predicted somatization and impact upon life. Ordinal regression was used to explore variables of interest in regard to NEA frequency. Results Mindfulness, EA, CF, somatization, and impact upon life were all significantly correlated. Mindfulness uniquely predicted somatization when considered in a model with EA and CF. Higher levels of somatization increased the odds of experiencing more NEAs. Individuals who perceived NEAD as having a more significant impact upon their lives had more NEAs, more somatic complaints, and more EA. Conclusions Higher levels of CF and EA appear to be related to lower levels of mindfulness. Lower levels of mindfulness predicted greater levels of somatization, and somatization predicted NEA frequency. Interventions that tackle avoidance and increase mindfulness, such as, acceptance and commitment therapy, may be beneficial for individuals with NEAD. Future directions for research are suggested as the results indicate more research is needed. |
| Databáze: | OpenAIRE |
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