Accuracy of Self-Reported Neuropsychological Functioning in Individuals with Epileptic or Psychogenic Non-Epileptic Seizures
Document Type
Article
Journal/Book Title/Conference
Epilepsy & Behavior
Volume
5
Issue
2
Publisher
Elsevier
Publication Date
2004
First Page
143
Last Page
150
Abstract
The aim of this study was to determine the degree to which subjective ratings of neurocognitive ability accurately reflect objectively measured neuropsychological functioning in patients diagnosed with epileptic (ES, n=45) or psychogenic nonepileptic (PNES; n=37) seizures. Patients received a battery of neuropsychological tests, measures of current mood state, and the Quality of Life In Epilepsy—89 questionnaire. Results indicated that subjective ratings of neuropsychological functioning were only partially accurate within each group. Patients with ES accurately rated their memory function, but overestimated language and attention abilities. Patients with PNES accurately rated attention, but underestimated memory and overestimated language. In both groups, poorer self-reported neurocognitive functioning was strongly related to poorer mood state; however, mood state did not predict objectively measured neurocognitive abilities. Given the inaccuracies that exist in patient self-report, results highlight the importance of a comprehensive neuropsychological assessment when evaluating the neurocognitive status of individuals with seizures.
Recommended Citation
Fargo JD, Schefft BK, Szaflarski JP, Dulay MF, Testa SM, Privitera MD, Yeh HS. Accuracy of self-reported neuropsychological functioning in individuals with epileptic or psychogenic non-epileptic seizures. Epilepsy & Behavior. 2004;5:143-150.
Comments
Originally published by Elsevier. Publisher's PDF and HTML fulltext available through remote link.
Note: Jamison Fargo was affiliated with the University of Cincinnati at time of publication.