Impulsiveness, personality traits and executive functioning in patients with juvenile myoclonic epilepsy
| Autor: | Neide Barreira Alonso, Maria Helena da Silva Noffs, Laura Maria de Figueiredo Ferreira Guilhoto, Elza Márcia Targas Yacubian, Artur Victor Menezes Sousa, André Peres Gama, Mariângela Taura |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Personality Inventory media_common.quotation_subject Neuropsychological Tests Impulsivity Executive Function 03 medical and health sciences 0302 clinical medicine Barratt Impulsiveness Scale Wisconsin Card Sorting Test medicine Humans Personality media_common Myoclonic Epilepsy Juvenile General Medicine Executive functions Neurology Female Neurology (clinical) Personality Assessment Inventory medicine.symptom Psychology 030217 neurology & neurosurgery Executive dysfunction Stroop effect Clinical psychology |
| Zdroj: | Seizure. 82:125-132 |
| ISSN: | 1059-1311 |
| DOI: | 10.1016/j.seizure.2020.09.029 |
| Popis: | To evaluate impulsiveness in adult patients with JME and its relationship with personality traits and executive functioning.Patients completed psychiatric evaluation (DSM IV), Barratt Impulsiveness Scale (BIS-11), Neo Revised Personality Inventory (NEO PI-R) and executive functioning evaluation comprising Controlled Oral Word Association (COWA), Digit Span, Trail Making Tests (TMT), Stroop Test (ST) and Wisconsin Card Sorting Test (WSCT). Healthy controls (63 % female, mean age 35.7 yrs. (±8.37)) were examined to allow calculation of z-scores.50 patients (70 % female; mean age 32.5 yrs. (±9.2)) presented higher scores of Total (z=-0.37; p = 0.005) and Motor Impulsiveness (z=-0.79; p 0.001) on BIS-11. Motor Impulsiveness was associated with higher rates of mild psychiatric disorders (depression and anxiety) (p = 0.035) and worse myoclonic seizure control (p = 0.007). NEO PI-R showed differences on Neuroticism (z=-0.60; p 0.001), Openness (z = 0.38; p = 0.043), Agreeableness (z=-0.38; p = 0.033) and Conscientiousness (z=-0.53; p = 0.003). There were positive correlations between BIS-11 and Neuroticism with Total, Motor and Non-Planning Impulsiveness, on the other hand, Conscientiousness was negatively correlated with these as well as with Attentive Impulsiveness. Patients performance was worse than that of controls on COWA (z=-0.43; p = 0.009) and WCST's Total Number of Completed Categories (z=-2.08; p = 0.005), Trials Taken to Complete First Category (z=-1.56; p = 0.013), Percentage of Total Errors (z=-1.56; p 0.001), Perseverative Errors (z=-0.73; p = 0.002), Non-Perseverative Errors (z=-1.05; p = 0.003) and Conceptual Level Responses (z=-1.52; p 0.001). Non-Planning Impulsiveness correlated with Performance (ST and TMT).Patients with JME present with impulsive behavior, personality features and executive dysfunction which are linked and may lead to lack of commitment in treatment and affect other aspects of life. |
| Databáze: | OpenAIRE |
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