Personality traits in psychogenic nonepileptic seizures (PNES) and psychogenic movement disorder (PMD): Neuroticism and perfectionism
Psychogenic movement disorder (PMD) and psychogenic nonepileptic seizures (PNES) are two subtypes of conversion disorder (CD). In this case-control study, we asked whether these subtypes varied as a function of personality and history of childhood abuse. Fifty-nine patients with PMD from the Human M...
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| Veröffentlicht in: | Journal of psychosomatic research 2017-06, Vol.97, p.23-29 |
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| creator | Ekanayake, Vindhya Kranick, Sarah LaFaver, Kathrin Naz, Arshi Frank Webb, Anne LaFrance, W. Curt Hallett, Mark Voon, Valerie |
| description | Psychogenic movement disorder (PMD) and psychogenic nonepileptic seizures (PNES) are two subtypes of conversion disorder (CD). In this case-control study, we asked whether these subtypes varied as a function of personality and history of childhood abuse.
Fifty-nine patients with PMD from the Human Motor Control Section Clinic at the National Institutes of Health, 43 patients with PNES from the Rhode Island Hospital Neuropsychiatry and Behavioral Neurology Division, and 26 healthy volunteers (HC) received a battery of neurological, psychiatric and psychological assessments, including the NEO Personality Inventory Revised (NEO PI-R), the Childhood Trauma Questionnaire (CTQ), and the Traumatic Life Events Questionnaire (TLEQ).
One-way ANOVA between the three groups indicated significant differences in overall domains of Neuroticism (p=0.001) and Conscientiousness (p=0.009): Patients with PNES reported significantly greater levels of Neuroticism (p=0.002) and lower levels of Conscientiousness (p=0.023) than patients with PMD. Levels of Neuroticism remained significantly higher in both PMD and PNES than HC following correction for multiple comparisons. Patients with PNES reported greater levels of depressive and anxiety symptoms, overall psychopathology, greater history of sexual abuse, greater levels of alexithymia, higher levels of dissociative symptoms, and an earlier age at which they experienced their most distressing traumatic event than patients with PMD.
These findings suggest that personality traits, type of abuse and age of onset of trauma varies as a function of CD subtype. Patients with PNES rated greater Neuroticism and lower Conscientiousness than patients with PMD. These differing psychological profiles may inform differing treatment approaches such as psychological therapies for PNES and physiotherapy (with/without psychotherapy) for PMD.
•Neuroticism and Conscientiousness appear to vary by conversion disorder subtype.•PNES patients reported an earlier age of onset of trauma than PMD patients.•PNES patients reported a greater history of sexual abuse than PMD patients. |
| doi_str_mv | 10.1016/j.jpsychores.2017.03.018 |
| format | Article |
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Fifty-nine patients with PMD from the Human Motor Control Section Clinic at the National Institutes of Health, 43 patients with PNES from the Rhode Island Hospital Neuropsychiatry and Behavioral Neurology Division, and 26 healthy volunteers (HC) received a battery of neurological, psychiatric and psychological assessments, including the NEO Personality Inventory Revised (NEO PI-R), the Childhood Trauma Questionnaire (CTQ), and the Traumatic Life Events Questionnaire (TLEQ).
One-way ANOVA between the three groups indicated significant differences in overall domains of Neuroticism (p=0.001) and Conscientiousness (p=0.009): Patients with PNES reported significantly greater levels of Neuroticism (p=0.002) and lower levels of Conscientiousness (p=0.023) than patients with PMD. Levels of Neuroticism remained significantly higher in both PMD and PNES than HC following correction for multiple comparisons. Patients with PNES reported greater levels of depressive and anxiety symptoms, overall psychopathology, greater history of sexual abuse, greater levels of alexithymia, higher levels of dissociative symptoms, and an earlier age at which they experienced their most distressing traumatic event than patients with PMD.
These findings suggest that personality traits, type of abuse and age of onset of trauma varies as a function of CD subtype. Patients with PNES rated greater Neuroticism and lower Conscientiousness than patients with PMD. These differing psychological profiles may inform differing treatment approaches such as psychological therapies for PNES and physiotherapy (with/without psychotherapy) for PMD.
•Neuroticism and Conscientiousness appear to vary by conversion disorder subtype.•PNES patients reported an earlier age of onset of trauma than PMD patients.•PNES patients reported a greater history of sexual abuse than PMD patients.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2017.03.018</identifier><identifier>PMID: 28606495</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Abuse ; Adult ; Affective Symptoms - psychology ; Age of onset ; Alexithymia ; Anxiety ; Case-Control Studies ; Child abuse & neglect ; Childhood ; Children ; Conscientiousness ; Conversion disorder ; Conversion Disorder - psychology ; Convulsions & seizures ; Dissociative Disorders - psychology ; Emotions ; Female ; Functional disorders ; Hospitalization ; Humans ; Male ; Mental depression ; Middle Aged ; Motor task performance ; Movement disorders ; Movement Disorders - psychology ; Neo Personality Inventory ; Neurology ; Neurosis ; Neuroticism ; Neuroticism - physiology ; Nonepileptic seizures ; Patients ; Perfectionism ; Personality ; Personality tests ; Personality Tests - standards ; Personality traits ; Physiotherapy ; Psychiatry ; Psychogenic movement disorder ; Psychological assessment ; Psychological profiles ; Psychological trauma ; Psychopathology ; Psychopathology - methods ; Psychosomatic symptoms ; Psychotherapy ; Questionnaires ; Seizures ; Seizures - etiology ; Seizures - psychology ; Sexual abuse ; Subtypes ; Symptoms ; Trauma ; Traumatic life events ; Treatment methods ; Variance analysis ; Volunteers</subject><ispartof>Journal of psychosomatic research, 2017-06, Vol.97, p.23-29</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jun 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-b2008013f29bd7529fe34cafac76e4bf2b21f72190a95b3963711289116e0d053</citedby><cites>FETCH-LOGICAL-c452t-b2008013f29bd7529fe34cafac76e4bf2b21f72190a95b3963711289116e0d053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2017.03.018$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,33774,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28606495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ekanayake, Vindhya</creatorcontrib><creatorcontrib>Kranick, Sarah</creatorcontrib><creatorcontrib>LaFaver, Kathrin</creatorcontrib><creatorcontrib>Naz, Arshi</creatorcontrib><creatorcontrib>Frank Webb, Anne</creatorcontrib><creatorcontrib>LaFrance, W. Curt</creatorcontrib><creatorcontrib>Hallett, Mark</creatorcontrib><creatorcontrib>Voon, Valerie</creatorcontrib><title>Personality traits in psychogenic nonepileptic seizures (PNES) and psychogenic movement disorder (PMD): Neuroticism and perfectionism</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>Psychogenic movement disorder (PMD) and psychogenic nonepileptic seizures (PNES) are two subtypes of conversion disorder (CD). In this case-control study, we asked whether these subtypes varied as a function of personality and history of childhood abuse.
Fifty-nine patients with PMD from the Human Motor Control Section Clinic at the National Institutes of Health, 43 patients with PNES from the Rhode Island Hospital Neuropsychiatry and Behavioral Neurology Division, and 26 healthy volunteers (HC) received a battery of neurological, psychiatric and psychological assessments, including the NEO Personality Inventory Revised (NEO PI-R), the Childhood Trauma Questionnaire (CTQ), and the Traumatic Life Events Questionnaire (TLEQ).
One-way ANOVA between the three groups indicated significant differences in overall domains of Neuroticism (p=0.001) and Conscientiousness (p=0.009): Patients with PNES reported significantly greater levels of Neuroticism (p=0.002) and lower levels of Conscientiousness (p=0.023) than patients with PMD. Levels of Neuroticism remained significantly higher in both PMD and PNES than HC following correction for multiple comparisons. Patients with PNES reported greater levels of depressive and anxiety symptoms, overall psychopathology, greater history of sexual abuse, greater levels of alexithymia, higher levels of dissociative symptoms, and an earlier age at which they experienced their most distressing traumatic event than patients with PMD.
These findings suggest that personality traits, type of abuse and age of onset of trauma varies as a function of CD subtype. Patients with PNES rated greater Neuroticism and lower Conscientiousness than patients with PMD. These differing psychological profiles may inform differing treatment approaches such as psychological therapies for PNES and physiotherapy (with/without psychotherapy) for PMD.
•Neuroticism and Conscientiousness appear to vary by conversion disorder subtype.•PNES patients reported an earlier age of onset of trauma than PMD patients.•PNES patients reported a greater history of sexual abuse than PMD patients.</description><subject>Abuse</subject><subject>Adult</subject><subject>Affective Symptoms - psychology</subject><subject>Age of onset</subject><subject>Alexithymia</subject><subject>Anxiety</subject><subject>Case-Control Studies</subject><subject>Child abuse & neglect</subject><subject>Childhood</subject><subject>Children</subject><subject>Conscientiousness</subject><subject>Conversion disorder</subject><subject>Conversion Disorder - psychology</subject><subject>Convulsions & seizures</subject><subject>Dissociative Disorders - psychology</subject><subject>Emotions</subject><subject>Female</subject><subject>Functional disorders</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Motor task performance</subject><subject>Movement disorders</subject><subject>Movement Disorders - psychology</subject><subject>Neo Personality Inventory</subject><subject>Neurology</subject><subject>Neurosis</subject><subject>Neuroticism</subject><subject>Neuroticism - physiology</subject><subject>Nonepileptic seizures</subject><subject>Patients</subject><subject>Perfectionism</subject><subject>Personality</subject><subject>Personality tests</subject><subject>Personality Tests - standards</subject><subject>Personality traits</subject><subject>Physiotherapy</subject><subject>Psychiatry</subject><subject>Psychogenic movement disorder</subject><subject>Psychological assessment</subject><subject>Psychological profiles</subject><subject>Psychological trauma</subject><subject>Psychopathology</subject><subject>Psychopathology - methods</subject><subject>Psychosomatic symptoms</subject><subject>Psychotherapy</subject><subject>Questionnaires</subject><subject>Seizures</subject><subject>Seizures - etiology</subject><subject>Seizures - psychology</subject><subject>Sexual abuse</subject><subject>Subtypes</subject><subject>Symptoms</subject><subject>Trauma</subject><subject>Traumatic life events</subject><subject>Treatment methods</subject><subject>Variance analysis</subject><subject>Volunteers</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkUtv1TAUhC0EoreFv4AssWkXCcd2XmYHpTykUioBa8txTsBRYqd2Uul2z__GVykg2LCyjvXNjDRDCGWQM2DViyEf5rg3333AmHNgdQ4iB9Y8IDvW1DJjooKHZAfAeSaklEfkOMYBACrJy8fkiDcVVIUsd-THNYbonR7tsqdL0HaJ1Dq6uX9DZw113uFsR5yXdES0d2tKpafXVxefz6h23V_w5G9xQrfQzkYfOgwJ_Pjm7CW9wjX45GDjtIkw9GgW6136eUIe9XqM-PT-PSFf3158OX-fXX569-H81WVmipIvWcsBGmCi57Lt6pLLHkVhdK9NXWHR9rzlrK85k6Bl2QpZiZox3kjGKoQOSnFCTjffOfibFeOiJhsNjqN26NeoklLygjWcJ_T5P-jg15CKOlCirhpelgfDZqNM8DEG7NUc7KTDXjFQh6nUoP5MpQ5TKRAqTZWkz-4D1nbC7rfw1zYJeL0BmBq5tRhUNBadwc6G1JzqvP1_yk_eqquJ</recordid><startdate>201706</startdate><enddate>201706</enddate><creator>Ekanayake, Vindhya</creator><creator>Kranick, Sarah</creator><creator>LaFaver, Kathrin</creator><creator>Naz, Arshi</creator><creator>Frank Webb, Anne</creator><creator>LaFrance, W. 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Curt ; Hallett, Mark ; Voon, Valerie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-b2008013f29bd7529fe34cafac76e4bf2b21f72190a95b3963711289116e0d053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abuse</topic><topic>Adult</topic><topic>Affective Symptoms - psychology</topic><topic>Age of onset</topic><topic>Alexithymia</topic><topic>Anxiety</topic><topic>Case-Control Studies</topic><topic>Child abuse & neglect</topic><topic>Childhood</topic><topic>Children</topic><topic>Conscientiousness</topic><topic>Conversion disorder</topic><topic>Conversion Disorder - psychology</topic><topic>Convulsions & seizures</topic><topic>Dissociative Disorders - psychology</topic><topic>Emotions</topic><topic>Female</topic><topic>Functional disorders</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Male</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Motor task performance</topic><topic>Movement disorders</topic><topic>Movement Disorders - psychology</topic><topic>Neo Personality Inventory</topic><topic>Neurology</topic><topic>Neurosis</topic><topic>Neuroticism</topic><topic>Neuroticism - physiology</topic><topic>Nonepileptic seizures</topic><topic>Patients</topic><topic>Perfectionism</topic><topic>Personality</topic><topic>Personality tests</topic><topic>Personality Tests - standards</topic><topic>Personality traits</topic><topic>Physiotherapy</topic><topic>Psychiatry</topic><topic>Psychogenic movement disorder</topic><topic>Psychological assessment</topic><topic>Psychological profiles</topic><topic>Psychological trauma</topic><topic>Psychopathology</topic><topic>Psychopathology - methods</topic><topic>Psychosomatic symptoms</topic><topic>Psychotherapy</topic><topic>Questionnaires</topic><topic>Seizures</topic><topic>Seizures - etiology</topic><topic>Seizures - psychology</topic><topic>Sexual abuse</topic><topic>Subtypes</topic><topic>Symptoms</topic><topic>Trauma</topic><topic>Traumatic life events</topic><topic>Treatment methods</topic><topic>Variance analysis</topic><topic>Volunteers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ekanayake, Vindhya</creatorcontrib><creatorcontrib>Kranick, Sarah</creatorcontrib><creatorcontrib>LaFaver, Kathrin</creatorcontrib><creatorcontrib>Naz, Arshi</creatorcontrib><creatorcontrib>Frank Webb, Anne</creatorcontrib><creatorcontrib>LaFrance, W. Curt</creatorcontrib><creatorcontrib>Hallett, Mark</creatorcontrib><creatorcontrib>Voon, Valerie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ekanayake, Vindhya</au><au>Kranick, Sarah</au><au>LaFaver, Kathrin</au><au>Naz, Arshi</au><au>Frank Webb, Anne</au><au>LaFrance, W. Curt</au><au>Hallett, Mark</au><au>Voon, Valerie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Personality traits in psychogenic nonepileptic seizures (PNES) and psychogenic movement disorder (PMD): Neuroticism and perfectionism</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2017-06</date><risdate>2017</risdate><volume>97</volume><spage>23</spage><epage>29</epage><pages>23-29</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>Psychogenic movement disorder (PMD) and psychogenic nonepileptic seizures (PNES) are two subtypes of conversion disorder (CD). In this case-control study, we asked whether these subtypes varied as a function of personality and history of childhood abuse.
Fifty-nine patients with PMD from the Human Motor Control Section Clinic at the National Institutes of Health, 43 patients with PNES from the Rhode Island Hospital Neuropsychiatry and Behavioral Neurology Division, and 26 healthy volunteers (HC) received a battery of neurological, psychiatric and psychological assessments, including the NEO Personality Inventory Revised (NEO PI-R), the Childhood Trauma Questionnaire (CTQ), and the Traumatic Life Events Questionnaire (TLEQ).
One-way ANOVA between the three groups indicated significant differences in overall domains of Neuroticism (p=0.001) and Conscientiousness (p=0.009): Patients with PNES reported significantly greater levels of Neuroticism (p=0.002) and lower levels of Conscientiousness (p=0.023) than patients with PMD. Levels of Neuroticism remained significantly higher in both PMD and PNES than HC following correction for multiple comparisons. Patients with PNES reported greater levels of depressive and anxiety symptoms, overall psychopathology, greater history of sexual abuse, greater levels of alexithymia, higher levels of dissociative symptoms, and an earlier age at which they experienced their most distressing traumatic event than patients with PMD.
These findings suggest that personality traits, type of abuse and age of onset of trauma varies as a function of CD subtype. Patients with PNES rated greater Neuroticism and lower Conscientiousness than patients with PMD. These differing psychological profiles may inform differing treatment approaches such as psychological therapies for PNES and physiotherapy (with/without psychotherapy) for PMD.
•Neuroticism and Conscientiousness appear to vary by conversion disorder subtype.•PNES patients reported an earlier age of onset of trauma than PMD patients.•PNES patients reported a greater history of sexual abuse than PMD patients.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>28606495</pmid><doi>10.1016/j.jpsychores.2017.03.018</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abuse Adult Affective Symptoms - psychology Age of onset Alexithymia Anxiety Case-Control Studies Child abuse & neglect Childhood Children Conscientiousness Conversion disorder Conversion Disorder - psychology Convulsions & seizures Dissociative Disorders - psychology Emotions Female Functional disorders Hospitalization Humans Male Mental depression Middle Aged Motor task performance Movement disorders Movement Disorders - psychology Neo Personality Inventory Neurology Neurosis Neuroticism Neuroticism - physiology Nonepileptic seizures Patients Perfectionism Personality Personality tests Personality Tests - standards Personality traits Physiotherapy Psychiatry Psychogenic movement disorder Psychological assessment Psychological profiles Psychological trauma Psychopathology Psychopathology - methods Psychosomatic symptoms Psychotherapy Questionnaires Seizures Seizures - etiology Seizures - psychology Sexual abuse Subtypes Symptoms Trauma Traumatic life events Treatment methods Variance analysis Volunteers |
| title | Personality traits in psychogenic nonepileptic seizures (PNES) and psychogenic movement disorder (PMD): Neuroticism and perfectionism |
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