Functional seizures and binge eating disorder: A cross-sectional study
•Binge-eating behavior is significantly common in people with functional seizures.•Depression and dissociation are associated with binge-eating symptoms.•Perseveration predicts the presence of binge-eating symptoms in FS people. Functional seizures (FS) are brief, involuntary changes in behaviour or...
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creator | Mammì, Anna Bova, Valentina Martino, Iolanda Sammarra, Ilaria Ferlazzo, Edoardo Pascarella, Angelo Abelardo, Domenico Marsico, Oreste Torino, Claudia Cianci, Vittoria Viola, Giulia Pecoraro, Valeria Beghi, Massimiliano Gambardella, Antonio Pujia, Arturo Aguglia, Umberto Gasparini, Sara |
description | •Binge-eating behavior is significantly common in people with functional seizures.•Depression and dissociation are associated with binge-eating symptoms.•Perseveration predicts the presence of binge-eating symptoms in FS people.
Functional seizures (FS) are brief, involuntary changes in behaviour or consciousness, distinct from epileptic seizures, potentially associated with psychological dissociation. Binge eating disorder (BED) was linked to psychological and somatic dissociation also. However, any connection between FS and BED is insufficiently explored. We aimed to assess BED prevalence in individuals with FS, anxiety/depression (AD), and healthy subjects (HS), to investigate dissociation’s link to binge eating, and to explore psychological characteristics of FS individuals.
Participants underwent evaluations based on ILAE guidelines and DSM-5 criteria, including questionnaires assessing binge eating, dissociation, anxiety, depression and personality traits. Inclusion criteria were age > 18 years, no history of substance abuse, no history of epilepsy, and no use of medications inducing eating disorders.
We found significantly more frequent and severe binge-eating symptoms in individuals with FS and AD compared to HS. Depression and dissociation correlated with binge-eating symptoms in both AD and FS groups. The PID-5 facet ’Perseveration’ predicted binge-eating attitudes only in FS individuals; they reported more childhood emotional neglect and increased disinhibition compared do AD people.
This study underscores the commonality of binge-eating symptoms in FS individuals, emphasizing its association with dissociation symptoms. This finding support the hypothesis of a link between dissociation and eating disorders. Unique clinical characteristics in individuals with FS were identified, as a compulsive dimension related to binge-eating symptoms, providing a comprehensive understanding of their psychological profile and guiding targeted therapeutic interventions. |
doi_str_mv | 10.1016/j.yebeh.2024.109943 |
format | Article |
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Functional seizures (FS) are brief, involuntary changes in behaviour or consciousness, distinct from epileptic seizures, potentially associated with psychological dissociation. Binge eating disorder (BED) was linked to psychological and somatic dissociation also. However, any connection between FS and BED is insufficiently explored. We aimed to assess BED prevalence in individuals with FS, anxiety/depression (AD), and healthy subjects (HS), to investigate dissociation’s link to binge eating, and to explore psychological characteristics of FS individuals.
Participants underwent evaluations based on ILAE guidelines and DSM-5 criteria, including questionnaires assessing binge eating, dissociation, anxiety, depression and personality traits. Inclusion criteria were age > 18 years, no history of substance abuse, no history of epilepsy, and no use of medications inducing eating disorders.
We found significantly more frequent and severe binge-eating symptoms in individuals with FS and AD compared to HS. Depression and dissociation correlated with binge-eating symptoms in both AD and FS groups. The PID-5 facet ’Perseveration’ predicted binge-eating attitudes only in FS individuals; they reported more childhood emotional neglect and increased disinhibition compared do AD people.
This study underscores the commonality of binge-eating symptoms in FS individuals, emphasizing its association with dissociation symptoms. This finding support the hypothesis of a link between dissociation and eating disorders. Unique clinical characteristics in individuals with FS were identified, as a compulsive dimension related to binge-eating symptoms, providing a comprehensive understanding of their psychological profile and guiding targeted therapeutic interventions.</description><identifier>ISSN: 1525-5050</identifier><identifier>ISSN: 1525-5069</identifier><identifier>EISSN: 1525-5069</identifier><identifier>DOI: 10.1016/j.yebeh.2024.109943</identifier><identifier>PMID: 39002280</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Anxiety - epidemiology ; Anxiety - psychology ; Binge-Eating Disorder - complications ; Binge-Eating Disorder - epidemiology ; Binge-Eating Disorder - psychology ; Cross-Sectional Studies ; Depression - epidemiology ; Depression - psychology ; Dissociation ; Dissociative Disorders - epidemiology ; Dissociative Disorders - psychology ; Eating disorders ; Female ; Humans ; Male ; Middle Aged ; Neurological functional disorders ; Psychiatric Status Rating Scales ; Seizures - epidemiology ; Seizures - psychology ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Epilepsy & behavior, 2024-09, Vol.158, p.109943, Article 109943</ispartof><rights>2024 The Author(s)</rights><rights>Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c239t-592cca98fe244c7f22f1d911d55e7b3f08ea5081d947870c20ab9e258bdde7be3</cites><orcidid>0000-0002-0085-9494 ; 0000-0002-3735-7746 ; 0000-0002-4574-2951 ; 0000-0001-6779-435X ; 0009-0000-9676-3675 ; 0000-0002-2352-5710</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.yebeh.2024.109943$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39002280$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mammì, Anna</creatorcontrib><creatorcontrib>Bova, Valentina</creatorcontrib><creatorcontrib>Martino, Iolanda</creatorcontrib><creatorcontrib>Sammarra, Ilaria</creatorcontrib><creatorcontrib>Ferlazzo, Edoardo</creatorcontrib><creatorcontrib>Pascarella, Angelo</creatorcontrib><creatorcontrib>Abelardo, Domenico</creatorcontrib><creatorcontrib>Marsico, Oreste</creatorcontrib><creatorcontrib>Torino, Claudia</creatorcontrib><creatorcontrib>Cianci, Vittoria</creatorcontrib><creatorcontrib>Viola, Giulia</creatorcontrib><creatorcontrib>Pecoraro, Valeria</creatorcontrib><creatorcontrib>Beghi, Massimiliano</creatorcontrib><creatorcontrib>Gambardella, Antonio</creatorcontrib><creatorcontrib>Pujia, Arturo</creatorcontrib><creatorcontrib>Aguglia, Umberto</creatorcontrib><creatorcontrib>Gasparini, Sara</creatorcontrib><title>Functional seizures and binge eating disorder: A cross-sectional study</title><title>Epilepsy & behavior</title><addtitle>Epilepsy Behav</addtitle><description>•Binge-eating behavior is significantly common in people with functional seizures.•Depression and dissociation are associated with binge-eating symptoms.•Perseveration predicts the presence of binge-eating symptoms in FS people.
Functional seizures (FS) are brief, involuntary changes in behaviour or consciousness, distinct from epileptic seizures, potentially associated with psychological dissociation. Binge eating disorder (BED) was linked to psychological and somatic dissociation also. However, any connection between FS and BED is insufficiently explored. We aimed to assess BED prevalence in individuals with FS, anxiety/depression (AD), and healthy subjects (HS), to investigate dissociation’s link to binge eating, and to explore psychological characteristics of FS individuals.
Participants underwent evaluations based on ILAE guidelines and DSM-5 criteria, including questionnaires assessing binge eating, dissociation, anxiety, depression and personality traits. Inclusion criteria were age > 18 years, no history of substance abuse, no history of epilepsy, and no use of medications inducing eating disorders.
We found significantly more frequent and severe binge-eating symptoms in individuals with FS and AD compared to HS. Depression and dissociation correlated with binge-eating symptoms in both AD and FS groups. The PID-5 facet ’Perseveration’ predicted binge-eating attitudes only in FS individuals; they reported more childhood emotional neglect and increased disinhibition compared do AD people.
This study underscores the commonality of binge-eating symptoms in FS individuals, emphasizing its association with dissociation symptoms. This finding support the hypothesis of a link between dissociation and eating disorders. Unique clinical characteristics in individuals with FS were identified, as a compulsive dimension related to binge-eating symptoms, providing a comprehensive understanding of their psychological profile and guiding targeted therapeutic interventions.</description><subject>Adult</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Binge-Eating Disorder - complications</subject><subject>Binge-Eating Disorder - epidemiology</subject><subject>Binge-Eating Disorder - psychology</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Dissociation</subject><subject>Dissociative Disorders - epidemiology</subject><subject>Dissociative Disorders - psychology</subject><subject>Eating disorders</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurological functional disorders</subject><subject>Psychiatric Status Rating Scales</subject><subject>Seizures - epidemiology</subject><subject>Seizures - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1525-5050</issn><issn>1525-5069</issn><issn>1525-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFKAzEQhoMotlafQJA9etk6STbdjeChFKtCwYueQzaZ1ZR2tya7Qn16027t0dMMw_fPJB8h1xTGFOjkbjneYomfYwYsixMpM35ChlQwkQqYyNNjL2BALkJYAlAqOD0nAy4BGCtgSObzrjata2q9SgK6n85jSHRtk9LVH5igbmNNrAuNt-jvk2lifBNCGvCYaju7vSRnlV4FvDrUEXmfP77NntPF69PLbLpIDeOyTYVkxmhZVMiyzOQVYxW1klIrBOYlr6BALaCIsywvcjAMdCmRiaK0NgLIR-S237vxzVeHoVVrFwyuVrrGpguKQy6lmFAqI8p7dP9gj5XaeLfWfqsoqJ1AtVR7gWonUPUCY-rmcKAr12iPmT9jEXjoAYzf_HboVTAOa4PW-ehE2cb9e-AXrWmCXg</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Mammì, Anna</creator><creator>Bova, Valentina</creator><creator>Martino, Iolanda</creator><creator>Sammarra, Ilaria</creator><creator>Ferlazzo, Edoardo</creator><creator>Pascarella, Angelo</creator><creator>Abelardo, Domenico</creator><creator>Marsico, Oreste</creator><creator>Torino, Claudia</creator><creator>Cianci, Vittoria</creator><creator>Viola, Giulia</creator><creator>Pecoraro, Valeria</creator><creator>Beghi, Massimiliano</creator><creator>Gambardella, Antonio</creator><creator>Pujia, Arturo</creator><creator>Aguglia, Umberto</creator><creator>Gasparini, Sara</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0085-9494</orcidid><orcidid>https://orcid.org/0000-0002-3735-7746</orcidid><orcidid>https://orcid.org/0000-0002-4574-2951</orcidid><orcidid>https://orcid.org/0000-0001-6779-435X</orcidid><orcidid>https://orcid.org/0009-0000-9676-3675</orcidid><orcidid>https://orcid.org/0000-0002-2352-5710</orcidid></search><sort><creationdate>202409</creationdate><title>Functional seizures and binge eating disorder: A cross-sectional study</title><author>Mammì, Anna ; 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Functional seizures (FS) are brief, involuntary changes in behaviour or consciousness, distinct from epileptic seizures, potentially associated with psychological dissociation. Binge eating disorder (BED) was linked to psychological and somatic dissociation also. However, any connection between FS and BED is insufficiently explored. We aimed to assess BED prevalence in individuals with FS, anxiety/depression (AD), and healthy subjects (HS), to investigate dissociation’s link to binge eating, and to explore psychological characteristics of FS individuals.
Participants underwent evaluations based on ILAE guidelines and DSM-5 criteria, including questionnaires assessing binge eating, dissociation, anxiety, depression and personality traits. Inclusion criteria were age > 18 years, no history of substance abuse, no history of epilepsy, and no use of medications inducing eating disorders.
We found significantly more frequent and severe binge-eating symptoms in individuals with FS and AD compared to HS. Depression and dissociation correlated with binge-eating symptoms in both AD and FS groups. The PID-5 facet ’Perseveration’ predicted binge-eating attitudes only in FS individuals; they reported more childhood emotional neglect and increased disinhibition compared do AD people.
This study underscores the commonality of binge-eating symptoms in FS individuals, emphasizing its association with dissociation symptoms. This finding support the hypothesis of a link between dissociation and eating disorders. Unique clinical characteristics in individuals with FS were identified, as a compulsive dimension related to binge-eating symptoms, providing a comprehensive understanding of their psychological profile and guiding targeted therapeutic interventions.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39002280</pmid><doi>10.1016/j.yebeh.2024.109943</doi><orcidid>https://orcid.org/0000-0002-0085-9494</orcidid><orcidid>https://orcid.org/0000-0002-3735-7746</orcidid><orcidid>https://orcid.org/0000-0002-4574-2951</orcidid><orcidid>https://orcid.org/0000-0001-6779-435X</orcidid><orcidid>https://orcid.org/0009-0000-9676-3675</orcidid><orcidid>https://orcid.org/0000-0002-2352-5710</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Anxiety - epidemiology Anxiety - psychology Binge-Eating Disorder - complications Binge-Eating Disorder - epidemiology Binge-Eating Disorder - psychology Cross-Sectional Studies Depression - epidemiology Depression - psychology Dissociation Dissociative Disorders - epidemiology Dissociative Disorders - psychology Eating disorders Female Humans Male Middle Aged Neurological functional disorders Psychiatric Status Rating Scales Seizures - epidemiology Seizures - psychology Surveys and Questionnaires Young Adult |
title | Functional seizures and binge eating disorder: A cross-sectional study |
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