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The Facilitation and Evocation of Seizures

A Questionnaire Study of Awareness and Control

Published online by Cambridge University Press:  02 January 2018

D. Antebi  and
J. Bird
D. Antebi*
Affiliation:
Glenbourne, Morlaix Drive, Derriford, Plymouth PL6 5AF
J. Bird
Affiliation:
Burden Neurological Hospital, Stapleton, Bristol
*
∗Correspondence
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Abstract

The finding that seizures can be precipitated in some epileptic patients by stimuli which originate from outside the central nervous system is not new. The influence of psychological changes on seizure frequency has, however, been much more difficult to determine. Patients who become aware of such associations may gain some control over their seizures. One hundred randomly selected out-patients with epilepsy were asked about their awareness of such associations and whether, as a consequence, they believed they had any control of their seizures. Ninety-two reported associations between seizures and facilitators or precipitants. The group who had made associations between independent states or stimuli and their seizures were more likely to have poorly controlled seizures and to be taking more anticonvulsants. Many had used this knowledge to control their seizures.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 162 , Issue 6 , June 1993 , pp. 759 - 764
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Antebi, D. & Bird, J. (1992) The facilitation and evocation of seizures - a review. British Journal of Psychiatry, 160, 154–164.CrossRefGoogle Scholar
Barker, W., Burgwin, S. & Simons, D. (1950) Studies in epilepsy -the significance of spontaneous abnormalities in brain wave patterns as observed during interview with epileptic patients. Journal of Nervous and Mental Disease, 112, 187–205.Google Scholar
Brown, S. W. & Fenwick, P. B. C. (1989) Evoked and psychogenic epileptic seizures: II. Inhibition. Acta Neurologica Scandinavica, 80, 541–547.Google Scholar
Dahl, J., Melin, L., Brorson, L., et al (1985) Effects of a broad spectrum behaviour modification treatment program on children with refractory epileptic seizures. Epilepsia, 26, 303–309.Google Scholar
Dahl, J., Melin, L., & Lund, L. (1987) Effects of contingent relaxation treatment program on adults with refractory epileptic seizures. Epilepsia, 28, 125–132.Google Scholar
Dahl, J., Melin, L., & Leissner, P. (1988) Effects of a behavioural intervention on epileptic seizure behaviour and paroxysmal activity: a systematic replication of 3 cases of children with intractable epilepsy. Epilepsia, 29, 172–183.CrossRefGoogle Scholar
Feldman, R. G. & Paul, N. L. (1976) Identity of emotional triggers in epilepsy. Journal of Nervous and Mental Disease, 162, 345–353.Google Scholar
Fenwick, P. B. C. (1981) Seizure precipitation and inhibition. In Epilepsy and Psychiatry (eds Reynolds, E. H. & Trimble, M. R.), p. 314. Edinburgh: Churchill Livingstone.Google Scholar
Fenwick, P. B. C. (1990) Behavioural treatment of epilepsy. Postgraduate Medical Journal, 66, 336–338.Google Scholar
Friis, M. L. & Lund, M. (1974) Stress convulsions. Archives of Neurology, 31, 155.Google Scholar
Gastaut, H. (1962) In “Self-induced epilepsy” (ed. Sherwood, S. L.). Archives of Neurology, 6, 49–65.Google Scholar
Goldstein, L. H. (1990) Behavioural and cognitive-behavioural treatments for epilepsy: a progress review. British Journal of Clinical Psychology, 29, 257–269.Google Scholar
Guey, J., Bureau, M., Dravet, C., et al (1969) Study of the rhythm of petit mal absences in children in relation to prevailing situations. Epilepsia, 10, 441–451.Google Scholar
International League Against Epilepsy (1981) Proposal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia, 22, 489–501.Google Scholar
Lockhard, J. S. (1980) A primate model of clinical epilepsy: mechanisms of action through quantification of therapeutic effects. In Epilepsy: a Window to Brain Mechanisms (eds Lockhard, J. S. & Ward, A. A.). New York: Raven Press.Google Scholar
Lubar, J. F. & Bahler, W. W. (1976) Behavioural management of epileptic seizure following EEG biofeedback training of sensorimotor rhythm. Biofeedback Self-Regulation, 1, 77–104.CrossRefGoogle ScholarPubMed
Mattson, R., Lerner, E. & Dix, G. (1974) Precipitating and inhibiting factors in epilepsy. A statistical study. Epilepsia, 15, 271–272.Google Scholar
Mostofsky, D. & Balschak, B. A. (1977) Psychobiological control of seizures. Psychological Bulletin, 84, 723–750.Google Scholar
Pond, D. A. & Bidwell, B. H. (1959) A survey of epilepsy in fourteen general practices II. Social and psychological aspects. Epilepsia, 1, 285–299.CrossRefGoogle Scholar
Powell, G. (1981) Psychological contributions to the control and management of epilepsy. In Brain Function Therapy, pp. 214–255. Aldershot: Gower Publishing.Google Scholar
Raven, J. C., Court, J. H. & Raven, J. (1988) The Mill Hill Vocabulary Scale: 1988 Revision. London: H. K. Lewis.Google Scholar
Servit, Z. (1962) The application of the reflex theory in the interpretation of the clinical picture, genesis and treatment of epilepsy. Epilepsia, 3, 209–228.Google Scholar
Small, J. G., Stevens, J. R. & Milstein, V. (1964) Electro-clinical correlates of emotional activation of the electroencephalogram. Journal of Nervous and Mental Disease, 138, 146–155.CrossRefGoogle ScholarPubMed
Stevens, J. R. (1959) Emotional activation of the electroencephalogram in patients with convulsive disorders. Journal of Nervous and Mental Diseases, 128, 339–351.Google Scholar
Toone, B. (1981) Psychosis of epilepsy. In Epilepsy and Psychiatry (eds Reynolds, R. H. & Trimble, M. R.). Edinburgh: Churchill Livingstone.Google Scholar
Treiman, D. M. & Delgado-Escueta, A. V. (1983) Violence and epilepsy: a critical review. In Recent Advances in Epilepsy, pp. 179–209. Edinburgh: Churchill Livingstone.Google Scholar
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