Document Type : Original Article


1 Ms Candidate of Clinical Psychology, Shiraz University of Medical Science, Shiraz, Iran

2 PhD, Assistance professor, Research Center of Psychiatry & Behavior Sciences, Shiraz University of Medical Science, Shiraz, Iran

3 MD, Associate professor, Research Center of Psychiatry & Behavior Sciences, Shiraz University of Medical Science, Shiraz, Iran

4 MD, Associate professor, Neurological Research Center, Namazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran


Objective: To compare the emotional structure and coping strategies in patients with psychogenic non epileptic seizures, epilepsy and control group. Methods: Among patients with complaining of epilepsy attacks that referred to clinic of Imam Reza (Peace be upon him) in Shiraz, 30 patients with psychogenic non epileptic seizures and 30 patients with epilepsy were selected .A total of 30 patients were considered as the control group. Data were collected via positive and negative affective scale (PANAS), coping strategies questionnaire. Then, they were evaluated by SPSS descriptive and one way ANOVA. Results: Indicated that the patients with PNES and epileptics rather to control group had higher negative affect and lower positive affect significantly. A significant difference is shown in the structures of emotional test and coping strategies of people with psychogenic non epileptic seizures, epilepsy and control groups. Conclusions: People with epilepsy and psychogenic non epileptic seizures than the control group obtained higher scores on the subscale of negative emotions and positive emotions subscale scores were lower. For the structure of coping strategies patients with psychogenic non epileptic seizures ineffective use of coping strategies so that most of the patients use the withdraw from the everyday stress and steer.


1. Rusch MD, Morris GL, Allen L, Lathrop L. (2001). Psychological treatment of non- epileptic event. Epilepsy Behav, 2; 2770283.
2. Benbadis, SR, Agrawal, V., Tatum, W. O. (2001). How many patients with Psychogenic non-epileptic seizures also have epilepsy? Neurology, 57; 915-917.
3. Nynke M.GBodd, August M.A.J.Janssen, CeesTheuns, Joseph F.G. Vanhoutvin, PaulA.J.M.Boon, Alden Kamp. (2007). Factor involved in the long-term prognosis of psychogenic non-epileptic seizures, Journal of Psychosomatic Reaserch62, P: 545-551.
4. American Psychiatric Association. Diagnostic and Statical manual of mental disorder; (2000. (4 thed)). Washington, DC: Author (text rev)
5. Markus Reuber. (2008). psychogenic non-epileptic Seizure: Answer and question. Epilepsy & behavior, 12. P: 622-635.
6. Lindsey Hall-patch, Y. Richard Brown, Allan House, Z. Stephanie, Howlett, X. Steven Kemp, Z Gemma Lawton, Z Rebecca Mayor. (2010). Acceptability and effectiveness of a strategy for the communication of the diagnosis of psychogenic non-epileptic seizure. Epilepsia, 51, P:70-76.
7. John R. Gates, MD. (2002). Non-epileptic seizure: Classification co-existence with epilepsy: Diagnosis The raputic Approches and Consensus, Epilepsy & behavior, P:28-33.
8. AdrinaFiszman, SozinaVieria, Alvesleon, Renata Gomes Nunes, Isabella Dandera, Ivan Figueira. (2004). traumatic event and posttraumatic stress disorder in patient with psychogenic non-epileptic seizure: an article review, epilepsy &behavior, P:818-825.
9. S. Marc testa, Gerygory L. krauss, Roland p. Lesser, Jason Brandl. (2012). Stressful life event appraisal And coping in patient with psychogenic seizure and those epilepsy, seizure (21). P: 282-287
10. Philippal. Frances, GusA.Baker, Peter L.Appleton. (1999). Stress and avoidance in pseudo seizures: Testing the assumption. Epilepsy Research 34, P:241-249.
11. Patrica, Philiaspinhove, F.G. Zitman, Karin Roelofs (2012). Automatic avoidance tendencies in patient with psychogenic non epileptic seizure, seizure20, P: 628-634.
12. Nicola stahop, Laura H,Goldstein, Elizabeth Kuiper. (2003). Expressed Emotion jn the Relatives of people with epileptic or Non-epileptic seizure. Epilepsia448, P:1094-1102.
13. Meier kord H, Will B, Fish D, et al. ( 1991) Clinical Feature and prognosis of pseudoseizures diagnosed using video-telementry. Neurology, P:1634-6.
14. Par shall AM. (1993). Expressed emotion in epileptic and non-epileptic seizure, Epilepsia, P:34(supple2):87.
15. Watson, D, Clark,L.A, Tellegen,A. (1988). Development and validation a brief measure of positive and negative affect: The panas scale. Journal of personality and social psychology, P:1063-1070.
16. M. More, G.A. Barker, D. Chadwick, S. Brown. (1994). Epilepsy, pseudo seizure and perceived family characteristic: a controlled study, epilepsy research18, P: 75-83.
17. N.M.G. Bodd, j.l Brooks, G.A. Baker, P.A.M. Boon, j. G.M. Aldenkamp. (2002). psychogenic nonepileptic seizure- Diagnostic issue, clinical neurology and neurosurgery 111, P: 1-9.
18. Catherine Robson, Paul Drew, Traci walker, Markus Reuber. (2012). Catastrophising and normalizing in patients accounts of their seizure experience. Seizure2, P:795-801.
19. Deethasantosh, T. santosh kumar, P.Sankarasarma, Kurupath Rrandharkrishnan. (2001). Woman with onset of epilepsy prior to Marriage: Disclose or conseal?. Epilepsia485, P:1007-1010.
20. Watson, D., Clark, L.A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS-Scales. Journal of Personality and Social Psychology, 54; P: 1063–1070
21. Lazarus RS, Folkman S. (1984). Stress appraisal and coping. New York;127-139.
22. Tojek.TM, Barkley G, Mahr G, ThomasA. (2000). Stress and other psychogenic non-epileptic seizures. Psychosomatics, P:221-6.