Personality disorders in individuals with functional seizures: a systematic review
Functional seizures (FS) are classified as conversion disorders in the DSM-5 and dissociative disorders in the ICD-11, showing a multifactorial psychopathology with various psychiatric comorbidities, such as depression and anxiety. Several studies have found a correlation between FS and personality...
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| Published in: | Frontiers in psychiatry Vol. 15; p. 1411189 |
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| Abstract | Functional seizures (FS) are classified as conversion disorders in the DSM-5 and dissociative disorders in the ICD-11, showing a multifactorial psychopathology with various psychiatric comorbidities, such as depression and anxiety. Several studies have found a correlation between FS and personality disorders, mainly those in cluster B. Within this cluster, borderline personality disorder (BPD) or borderline personality traits are the most prevalent in FS. Emotion dysregulation is a hallmark of BPD and is commonly reported in individuals with FS. Cluster C personality disorders, such as avoidant or obsessive-compulsive disorders, have also been reported in FS. In this review, we aim to evaluate the relationship between FS and personality disorders. Assessing personality disorders in the context of FS is relevant for determining the most appropriate intervention. Cognitive-behavioral therapy (CBT) is considered the first-line approach to treating FS. Among various CBT strategies, dialectical behavior therapy, which specifically targets emotion dysregulation, may be helpful for individuals with BPD. Future research should assess the advantages of systematically evaluating personality disorders in FS to address specific treatment planning and evaluate its effectiveness on seizure recurrence, psychological comorbidities, and quality of life.
https://www.crd.york.ac.uk/PROSPEROFILES/509286_STRATEGY_20240203.pdf, identifier CRD42024509286. |
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| AbstractList | Functional seizures (FS) are classified as conversion disorders in the DSM-5 and dissociative disorders in the ICD-11, showing a multifactorial psychopathology with various psychiatric comorbidities, such as depression and anxiety. Several studies have found a correlation between FS and personality disorders, mainly those in cluster B. Within this cluster, borderline personality disorder (BPD) or borderline personality traits are the most prevalent in FS. Emotion dysregulation is a hallmark of BPD and is commonly reported in individuals with FS. Cluster C personality disorders, such as avoidant or obsessive-compulsive disorders, have also been reported in FS. In this review, we aim to evaluate the relationship between FS and personality disorders. Assessing personality disorders in the context of FS is relevant for determining the most appropriate intervention. Cognitive-behavioral therapy (CBT) is considered the first-line approach to treating FS. Among various CBT strategies, dialectical behavior therapy, which specifically targets emotion dysregulation, may be helpful for individuals with BPD. Future research should assess the advantages of systematically evaluating personality disorders in FS to address specific treatment planning and evaluate its effectiveness on seizure recurrence, psychological comorbidities, and quality of life.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPEROFILES/509286_STRATEGY_20240203.pdf, identifier CRD42024509286. Functional seizures (FS) are classified as conversion disorders in the DSM-5 and dissociative disorders in the ICD-11, showing a multifactorial psychopathology with various psychiatric comorbidities, such as depression and anxiety. Several studies have found a correlation between FS and personality disorders, mainly those in cluster B. Within this cluster, borderline personality disorder (BPD) or borderline personality traits are the most prevalent in FS. Emotion dysregulation is a hallmark of BPD and is commonly reported in individuals with FS. Cluster C personality disorders, such as avoidant or obsessive-compulsive disorders, have also been reported in FS. In this review, we aim to evaluate the relationship between FS and personality disorders. Assessing personality disorders in the context of FS is relevant for determining the most appropriate intervention. Cognitive-behavioral therapy (CBT) is considered the first-line approach to treating FS. Among various CBT strategies, dialectical behavior therapy, which specifically targets emotion dysregulation, may be helpful for individuals with BPD. Future research should assess the advantages of systematically evaluating personality disorders in FS to address specific treatment planning and evaluate its effectiveness on seizure recurrence, psychological comorbidities, and quality of life.Functional seizures (FS) are classified as conversion disorders in the DSM-5 and dissociative disorders in the ICD-11, showing a multifactorial psychopathology with various psychiatric comorbidities, such as depression and anxiety. Several studies have found a correlation between FS and personality disorders, mainly those in cluster B. Within this cluster, borderline personality disorder (BPD) or borderline personality traits are the most prevalent in FS. Emotion dysregulation is a hallmark of BPD and is commonly reported in individuals with FS. Cluster C personality disorders, such as avoidant or obsessive-compulsive disorders, have also been reported in FS. In this review, we aim to evaluate the relationship between FS and personality disorders. Assessing personality disorders in the context of FS is relevant for determining the most appropriate intervention. Cognitive-behavioral therapy (CBT) is considered the first-line approach to treating FS. Among various CBT strategies, dialectical behavior therapy, which specifically targets emotion dysregulation, may be helpful for individuals with BPD. Future research should assess the advantages of systematically evaluating personality disorders in FS to address specific treatment planning and evaluate its effectiveness on seizure recurrence, psychological comorbidities, and quality of life.https://www.crd.york.ac.uk/PROSPEROFILES/509286_STRATEGY_20240203.pdf, identifier CRD42024509286.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPEROFILES/509286_STRATEGY_20240203.pdf, identifier CRD42024509286. Functional seizures (FS) are classified as conversion disorders in the DSM-5 and dissociative disorders in the ICD-11, showing a multifactorial psychopathology with various psychiatric comorbidities, such as depression and anxiety. Several studies have found a correlation between FS and personality disorders, mainly those in cluster B. Within this cluster, borderline personality disorder (BPD) or borderline personality traits are the most prevalent in FS. Emotion dysregulation is a hallmark of BPD and is commonly reported in individuals with FS. Cluster C personality disorders, such as avoidant or obsessive-compulsive disorders, have also been reported in FS. In this review, we aim to evaluate the relationship between FS and personality disorders. Assessing personality disorders in the context of FS is relevant for determining the most appropriate intervention. Cognitive-behavioral therapy (CBT) is considered the first-line approach to treating FS. Among various CBT strategies, dialectical behavior therapy, which specifically targets emotion dysregulation, may be helpful for individuals with BPD. Future research should assess the advantages of systematically evaluating personality disorders in FS to address specific treatment planning and evaluate its effectiveness on seizure recurrence, psychological comorbidities, and quality of life. Functional seizures (FS) are classified as conversion disorders in the DSM-5 and dissociative disorders in the ICD-11, showing a multifactorial psychopathology with various psychiatric comorbidities, such as depression and anxiety. Several studies have found a correlation between FS and personality disorders, mainly those in cluster B. Within this cluster, borderline personality disorder (BPD) or borderline personality traits are the most prevalent in FS. Emotion dysregulation is a hallmark of BPD and is commonly reported in individuals with FS. Cluster C personality disorders, such as avoidant or obsessive-compulsive disorders, have also been reported in FS. In this review, we aim to evaluate the relationship between FS and personality disorders. Assessing personality disorders in the context of FS is relevant for determining the most appropriate intervention. Cognitive-behavioral therapy (CBT) is considered the first-line approach to treating FS. Among various CBT strategies, dialectical behavior therapy, which specifically targets emotion dysregulation, may be helpful for individuals with BPD. Future research should assess the advantages of systematically evaluating personality disorders in FS to address specific treatment planning and evaluate its effectiveness on seizure recurrence, psychological comorbidities, and quality of life. https://www.crd.york.ac.uk/PROSPEROFILES/509286_STRATEGY_20240203.pdf, identifier CRD42024509286. |
| Author | Martino, Iolanda Sammarra, Ilaria Marino, Laura Fortunato, Francesco Gambardella, Antonio |
| AuthorAffiliation | Institute of Neurology, Department of Medical and Surgical Sciences, Magna Graecia University , Catanzaro , Italy |
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| Cites_doi | 10.1016/j.seizure.2011.07.001 10.1016/j.psc.2018.07.011 10.1016/j.seizure.2010.10.032 10.1111/epi.12106 10.1016/j.cpr.2016.06.003 10.1016/j.yebeh.2011.11.013 10.1016/j.seizure.2016.12.007 10.1016/j.cpr.2016.01.003 10.1136/bmj.n71 10.1001/jama.2023.0589 10.1684/epd.2008.0156 10.1016/j.yebeh.2007.09.010 10.1176/appi.psy.45.6.492 10.1007/s11920-012-0335-2 10.1002/epi4.12060 10.1016/j.yebeh.2008.12.012 10.1016/j.yebeh.2018.08.027 10.1016/j.yebeh.2019.106534 10.1136/jnnp.2003.013821 10.1212/WNL.0b013e3181f4d5a9 10.1007/s00415-003-1009-0 10.1111/epi.12356 10.1016/j.seizure.2020.05.007 10.2147/NDT.S82079 10.1016/j.yebeh.2015.12.037 10.1007/s13760-023-02365-0 10.1016/S1525-5050(03)00104-5 10.1016/j.yebeh.2019.02.010 10.1179/1743132811Y.0000000003 10.1016/j.genhosppsych.2004.04.003 10.1016/j.yebeh.2013.07.012 10.1016/j.seizure.2009.06.006 10.1037/0033-2909.130.5.793 10.1016/j.yebeh.2021.107918 10.1684/epd.2019.1107 10.1016/S1059-1311(03)00184-5 10.1016/j.seizure.2006.04.003 |
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| Copyright | Copyright © 2024 Sammarra, Martino, Marino, Fortunato and Gambardella. Copyright © 2024 Sammarra, Martino, Marino, Fortunato and Gambardella 2024 Sammarra, Martino, Marino, Fortunato and Gambardella |
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| Keywords | emotion dysregulation cluster B personality disorder functional seizures personality disorders borderline personality disorder dialectical-behavior therapy |
| Language | English |
| License | Copyright © 2024 Sammarra, Martino, Marino, Fortunato and Gambardella. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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| References | Page (B21) 2021; 372 Direk (B30) 2012; 23 Turner (B36) 2011; 20 Labudda (B32) 2018; 88 Levy (B41) 2018; 41 (B2) 2013 Asadi-Pooya (B14) 2023; 124 Rady (B33) 2021; 118 Galimberti (B37) 2003; 250 Gupta (B15) 2020; 81 Baslet (B4) 2011; 20 Popkirov (B9) 2019; 21 D'Alessio (B29) 2006; 15 Bodde (B10) 2009; 18 Binzer (B28) 2004; 13 Linehan (B40) 1993 (B23) 2011 Leichsenring (B20) 2023; 329 Brown (B8) 2016; 47 Scévola (B17) 2013; 29 LaFrance (B19) 2013 LaFrance (B26) 2010; 75 Carlson (B39) 2017; 45 Hovorka (B25) 2007 Diprose (B13) 2016; 56 Harden (B31) 2009; 14 Lacey (B16) 2007; 11 Beghi (B12) 2015; 11 Kanemoto (B5) 2017; 2 Wells (B22) 2000 LaFrance (B1) 2013; 54 Baslet (B42) 2020; 103 Nežádal (B27) 2011; 33 Reuber (B6) 2003; 4 B3 Baillés (B24) 2004; 26 Reuber (B18) 2004; 75 Carpenter (B38) 2013; 15 Brown (B7) 2016; 45 Salinsky (B34) 2019; 94 Brown (B11) 2004; 130 Stone (B35) 2004; 45 |
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| SubjectTerms | borderline personality disorder cluster B personality disorder dialectical-behavior therapy emotion dysregulation functional seizures personality disorders Psychiatry |
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| Title | Personality disorders in individuals with functional seizures: a systematic review |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/39165499 https://www.proquest.com/docview/3095173222 https://pubmed.ncbi.nlm.nih.gov/PMC11333798 https://doaj.org/article/cf445bc47936476aac2f7b9fa378236a |
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