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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Veröffentlicht in:Epilepsy & behavior 2024-09, Vol.158, p.109943, Article 109943
Hauptverfasser: 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
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container_issue
container_start_page 109943
container_title Epilepsy & behavior
container_volume 158
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.
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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. 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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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