Impulsiveness, personality traits and executive functioning in patients with juvenile myoclonic epilepsy.
Seizure
; 82: 125-132, 2020 Nov.
Article
em En
| MEDLINE
| ID: mdl-33068959
PURPOSE: To evaluate impulsiveness in adult patients with JME and its relationship with personality traits and executive functioning. METHODS: Patients completed psychiatric evaluation (DSM IV), Barratt Impulsiveness Scale (BIS-11), Neo Revised Personality Inventory (NEO PI-R) and executive functioning evaluation comprising Controlled Oral Word Association (COWA), Digit Span, Trail Making Tests (TMT), Stroop Test (ST) and Wisconsin Card Sorting Test (WSCT). Healthy controls (63 % female, mean age 35.7 yrs. (±8.37)) were examined to allow calculation of z-scores. RESULTS: 50 patients (70 % female; mean age 32.5 yrs. (±9.2)) presented higher scores of Total (z=-0.37; pâ¯=â¯0.005) and Motor Impulsiveness (z=-0.79; pâ¯<â¯0.001) on BIS-11. Motor Impulsiveness was associated with higher rates of mild psychiatric disorders (depression and anxiety) (pâ¯=â¯0.035) and worse myoclonic seizure control (pâ¯=â¯0.007). NEO PI-R showed differences on Neuroticism (z=-0.60; pâ¯<â¯0.001), Openness (zâ¯=â¯0.38; pâ¯=â¯0.043), Agreeableness (z=-0.38; pâ¯=â¯0.033) and Conscientiousness (z=-0.53; pâ¯=â¯0.003). There were positive correlations between BIS-11 and Neuroticism with Total, Motor and Non-Planning Impulsiveness, on the other hand, Conscientiousness was negatively correlated with these as well as with Attentive Impulsiveness. Patients performance was worse than that of controls on COWA (z=-0.43; pâ¯=â¯0.009) and WCST's Total Number of Completed Categories (z=-2.08; pâ¯=â¯0.005), Trials Taken to Complete First Category (z=-1.56; pâ¯=â¯0.013), Percentage of Total Errors (z=-1.56; pâ¯<â¯0.001), Perseverative Errors (z=-0.73; pâ¯=â¯0.002), Non-Perseverative Errors (z=-1.05; pâ¯=â¯0.003) and Conceptual Level Responses (z=-1.52; pâ¯<â¯0.001). Non-Planning Impulsiveness correlated with Performance (ST and TMT). CONCLUSION: Patients with JME present with impulsive behavior, personality features and executive dysfunction which are linked and may lead to lack of commitment in treatment and affect other aspects of life.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Personalidade
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Epilepsia Mioclônica Juvenil
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Função Executiva
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Seizure
Assunto da revista:
NEUROLOGIA
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Reino Unido