Nonepileptic attack disorder among married women.

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dc.contributor.authorDhanaraj, Men_US
dc.contributor.authorRangaraj, Ren_US
dc.contributor.authorArulmozhi, Ten_US
dc.contributor.authorVengatesan, Aen_US
dc.date.accessioned2005-06-13en_US
dc.date.accessioned2009-06-03T11:00:34Z
dc.date.available2005-06-13en_US
dc.date.available2009-06-03T11:00:34Z
dc.date.issued2005-06-13en_US
dc.description.abstractAIM: To study the clinical features, precipitating stressful life events and prognosis of nonepileptic attack disorder (NEAD) among married women. DESIGN: Prospective cohort study with 1-year follow-up. SETTING: A tertiary care teaching hospital. SUBJECTS: Of the 1020 patients with epilepsy referred to the epilepsy clinic during 2002-2003, 30 were married women with NEAD. MATERIALS AND METHODS: The diagnostic criteria for NEAD included normal EEG during ictal and post-ictal phase of the generalized 'attack.' The data collected included clinical characteristics, semiology of the attacks, precipitating stressful events, and co-morbid psychiatric disorders. The control group included 30 age-matched married women with generalized tonic-clonic seizures. The long-term outcome and factors influencing the outcomes were analyzed. RESULTS: The mean duration of illness was 18 months, and the pattern of the attack was 'fall and lying still' in 53% and 'fall with generalized motor movements' in 47%. The frequency was one or more per week in 57% and occasionally in 43%. The important stressful events were matrimonial discord following illegal relationship of the husband with another woman (chi2 = 9.02, P = 0.003) and constant quarrel with other family members (chi2 = 5.19, P = 0.02). The prevalence of sexual abuse was low (7%). Co-morbid psychiatric disorder was observed in 70%. At the end of 1 year, 39% were free from the attack. Resolution of the stressful life events (chi2 = 4.52, P = 0.03) and lower frequency of attack at the time of reporting (chi2 = 3.88, P = 0.05) correlated with good outcomes. CONCLUSION: Among patients with NEAD in India, the major precipitating factors were matrimonial discord following illegal relationship of the husband with another woman and constant quarrel with other family members and not sexual abuse. Women with low frequency of attack at the time of reporting and the remission of the stressful events had better outcomes.en_US
dc.description.affiliationDepartment of Neurology, Government Stanley Medical College and Hospital, Chennai, India. drmdhanaraj@yahoo.comen_US
dc.identifier.citationDhanaraj M, Rangaraj R, Arulmozhi T, Vengatesan A. Nonepileptic attack disorder among married women. Neurology India. 2005 Jun; 53(2): 174-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/120603
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAdulten_US
dc.subject.meshFamilyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshLife Change Eventsen_US
dc.subject.meshSeizures --epidemiologyen_US
dc.subject.meshStress, Psychological --complicationsen_US
dc.titleNonepileptic attack disorder among married women.en_US
dc.typeJournal Articleen_US
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