Effects of attachment styles, childhood traumas, and alexithymia in Turkish patients with epilepsy and functional seizures

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dc.contributor.authorKeskin, Ahmet Onur
dc.contributor.authorAltintas, Ebru
dc.contributor.authorYerdelen, Vahide Deniz
dc.contributor.authorDemir, Bireyluel
dc.contributor.authorColak, Meric Yavuz
dc.date.accessioned2024-08-04T20:58:31Z
dc.date.available2024-08-04T20:58:31Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction: In this cross-sectional study, we used self-report scales to compare childhood traumas, attachment styles, and alexithymia among patients with functional seizures (FS) to patients with epilepsy and healthy controls. We also investigated risk factors associated with FS.Material and methods: A total of 44 patients with epilepsy, 14 patients with FS, and 25 healthy controls were included. All participants were over the age of 18 and were referred to the Baskent University Adana Epilepsy and Video-EEG Center. The patients underwent neurological examinations, brain MRIs, and video-EEG evaluations. Epileptic seizures were classified based on video EEG. The control group consisted of healthy individuals without neurological or psychiatric illness and a history of epileptic seizures or syncope. Beck Depression Inventory (BDI), Childhood Trauma Questionnaire (CTQ), Adult Attachment Scale (AAS), and Toronto Alexithymia Scale-20 (TAS-20) were applied to all participants.Results: Patients with FS had lower educational levels, higher rates of unemployment and single-marital status. The FS group had higher depression, childhood trauma, and alexithymia scores than the other groups. Furthermore, FS patients had a higher prevalence of avoidant attachment. The alexithymia and childhood trauma scores were both correlated with depression. Through the logistic regression analysis, childhood trauma scores and alexithymia were significant risk factors for FS.Conclusion: The use of video-EEG for diagnosing FS can reduce the risk of misdiagnosis and inappropriate antiepileptic treatment. Psychiatric comorbidities, childhood traumas, and alexithymia are prevalent in patients with FS. Therefore, implementing a multidisciplinary treatment approach that addresses the psychological, medical, and social aspects of FS can significantly improve outcomes.(c) 2023 Elsevier Inc. All rights reserved.en_US
dc.description.sponsorshipBaskent University Research Funden_US
dc.description.sponsorshipAcknowledgement This study was supported by the Baskent University Research Fund. We stated that the study was supported by Basykent Univer-sity in the Material and Methods and Acknowledgements sections of the article.en_US
dc.identifier.doi10.1016/j.yebeh.2023.109458
dc.identifier.issn1525-5050
dc.identifier.issn1525-5069
dc.identifier.pmid37844436en_US
dc.identifier.urihttps://doi.org/10.1016/j.yebeh.2023.109458
dc.identifier.urihttps://hdl.handle.net/11616/102932
dc.identifier.volume148en_US
dc.identifier.wosWOS:001096916800001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAcademic Press Inc Elsevier Scienceen_US
dc.relation.ispartofEpilepsy & Behavioren_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFunctional seizuresen_US
dc.subjectChildhood traumaen_US
dc.subjectAttachment styleen_US
dc.subjectAlexithymiaen_US
dc.subjectNeglecten_US
dc.subjectAbuseen_US
dc.titleEffects of attachment styles, childhood traumas, and alexithymia in Turkish patients with epilepsy and functional seizuresen_US
dc.typeArticleen_US

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