W Curt LaFrance1, Peter Vo2, Grayson Baird3, Rotunda East4, Nathan R Stein5. 1. Providence VA Medical Center, Providence, RI, United States of America; Center for Neurorestoration and Neurotechnology, Providence, RI, United States of America; Brown University, Providence, RI, United States of America; Rhode Island Hospital, Providence, RI, United States of America. Electronic address: william_lafrance_jr@brown.edu. 2. Brown University, Providence, RI, United States of America. 3. Providence VA Medical Center, Providence, RI, United States of America; Brown University, Providence, RI, United States of America; Rhode Island Hospital, Providence, RI, United States of America. 4. Providence VA Medical Center, Providence, RI, United States of America. 5. Providence VA Medical Center, Providence, RI, United States of America; Brown University, Providence, RI, United States of America.
Abstract
OBJECTIVE: Over 40% of combat Veterans report exposure to at least one type of morally injurious experience (MIE). While moral injury (MI) is described among Veterans with posttraumatic stress disorder (PTSD), MI has not been studied in Veterans with psychogenic nonepileptic seizures (PNES). We sought to identify MI in a clinical sample of Veterans with PNES and describe differences between those with MI and those without. METHODS: We conducted a retrospective cross-sectional study of 82 male and female Veterans with video-electroencephalography (EEG)-confirmed PNES consecutively seen in a Veterans Administration neuropsychiatry clinic. Identification of MI (witnessed or experienced events that conflict with one's moral compass) was made based by an independent observer using a survey of MIEs. Comorbidities, trauma history, and symptom scales were compared among those with and without MI. RESULTS: Twelve of 82 Veterans with PNES had MI. Those with MI reported higher guilt, depression symptoms and were of younger average age. There were no significant differences for categorical PTSD diagnosis, abuse history, or other demographic variables between those with and without MI. SUMMARY: In this sample of Veterans with PNES, MI was present in 14.6%. Those with MI had more guilt and depressive symptoms than those without. An increased understanding of this condition may aid in the development of diagnostic screenings and therapy options for those with PNES. Published by Elsevier Inc.
OBJECTIVE: Over 40% of combat Veterans report exposure to at least one type of morally injurious experience (MIE). While moral injury (MI) is described among Veterans with posttraumatic stress disorder (PTSD), MI has not been studied in Veterans with psychogenic nonepileptic seizures (PNES). We sought to identify MI in a clinical sample of Veterans with PNES and describe differences between those with MI and those without. METHODS: We conducted a retrospective cross-sectional study of 82 male and female Veterans with video-electroencephalography (EEG)-confirmed PNES consecutively seen in a Veterans Administration neuropsychiatry clinic. Identification of MI (witnessed or experienced events that conflict with one's moral compass) was made based by an independent observer using a survey of MIEs. Comorbidities, trauma history, and symptom scales were compared among those with and without MI. RESULTS: Twelve of 82 Veterans with PNES had MI. Those with MI reported higher guilt, depression symptoms and were of younger average age. There were no significant differences for categorical PTSD diagnosis, abuse history, or other demographic variables between those with and without MI. SUMMARY: In this sample of Veterans with PNES, MI was present in 14.6%. Those with MI had more guilt and depressive symptoms than those without. An increased understanding of this condition may aid in the development of diagnostic screenings and therapy options for those with PNES. Published by Elsevier Inc.
Entities:
Keywords:
Moral injury; PTSD; Psychogenic nonepileptic seizures; Veterans
Authors: Alistair Wardrope; Barbara A Dworetzky; Gregory L Barkley; Gaston Baslet; Jeffrey Buchhalter; Julia Doss; Laura H Goldstein; Mark Hallett; Kasia Kozlowska; W Curt LaFrance; Aileen McGonigal; Bridget Mildon; Maria Oto; David L Perez; Ellen Riker; Nicole A Roberts; Jon Stone; Benjamin Tolchin; Markus Reuber Journal: Seizure Date: 2021-10-24 Impact factor: 3.414
Authors: Beijka Mensink; Annette van Schagen; Niels van der Aa; F Jackie June Ter Heide Journal: Front Psychiatry Date: 2022-07-11 Impact factor: 5.435