CC BY-NC-ND 4.0 · International Journal of Epilepsy 2025; 11(01): 033-039
DOI: 10.1055/s-0045-1802599
Original Article

Perceptual Sensitivity of Psychogenic Nonepileptic Seizure (PNES) Patients

1   Department of Cognitive Sciences and Psychology, School of Social and Behavioral Sciences, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India
› Author Affiliations

Funding This study was funded by the UGC Research Fellowship. The author wish to acknowledge the partial financial support received from the Banaras Hindu University an Institution of Eminence vide Development Scheme No. 6031 toward conducting this research.

Abstract

Aim The aim of the present study was assess the perceptual sensitivity of psychogenic nonepileptic seizure (PNES) patients. Secondarily, we also aimed to replicate previous findings and explore whether PNES patients exhibit tendencies of preattentiveness in response to unpleasant stimulus.

Materials and Methods A total of 56 individuals were selected for the present research, from which 28 were PNES patients and 28 healthy individuals. A 2 × 3 design was used for the present study. The emotional-N-back paradigm was used for presenting stimuli. Perceptual sensitivity (d') was calculated on the basis of hits and false positives.

Result The result of analysis of variance (ANOVA) showed significant distinction between PNES and healthy individuals on perceptual sensitivity (d') measure (F(1, 50) = 19.11, p = 0.000). Similarly, result of ANOVA (F(2, 100) = 63.64, p = 0.000) for within-group valence showed a significant difference between pleasant, unpleasant, and neutral stimuli among PNES and healthy individuals ensuring a clear distinction between them.

Conclusion These findings suggest a notable disparity in perceptual sensitivity between PNES and healthy individuals, supporting the notion that individual with PNES experience emotional disturbance and possess a dysfunctional cognitive-affective system. Moreover, the result lends credence to the hypothesis that PNES patients are more responsive to unpleasant emotions than to pleasant or neutral ones.

Biographical Statement

Dr. Priyesh Kumar Singh has been working as an Assistant Professor in Amrita Vishwa Vidyapeetham and is a registered counselor at the National Career Service (NCS), MHRD Government of India. His doctoral research work has been a collaborative study with Department of Neurology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India. He has published several articles in journal of repute. His research area includes health psychology and cognitive psychology. He has more than 10 publications to his name indexed in Scopus and Web of Science. Link of his two best publications are provided below:


Paper 1: https://www.sciencedirect.com/science/article/pii/S2772632024000242


Paper 2: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357501/#:~:text=Conclusion%20Conclusively%2C%20the%20finding%20of,are%20poor%20at%20emotional%E2%80%93cognitive




Publication History

Article published online:
12 February 2025

© 2025. Indian Epilepsy Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Mandeville B. A treatise of the hypochondriack and hysterick diseases. In: Three Dialogues. Corrected and Enlarged by the Author. 2nd ed. London: J. Tonson; 1730
  • 2 Moore PM, Baker GA. Non-epileptic attack disorder: a psychological perspective. Seizure 1997; 6: 429-434
  • 3 Xue Q, Wang ZY, Xiong XC. et al. Altered brain connectivity in patients with psychogenic non-epileptic seizures: a scalp electroencephalography study. J Int Med Res 2013; 41: 1682-1690
  • 4 Pillai JA, Haut SR, Masur D. Orbitofrontal cortex dysfunction in psychogenic non-epileptic seizures. A proposal for a two-factor model. Med Hypotheses 2015; 84: 363-369
  • 5 Labate A, Cerasa A, Mula M. et al. Neuroanatomic correlates of psychogenic nonepileptic seizures: a cortical thickness and VBM study. Epilepsia 2012; 53: 377-385
  • 6 Ding J, An D, Liao W. et al. Abnormal functional connectivity density in psychogenic non-epileptic seizures. Epilepsy Res 2014; 108: 1184-1194
  • 7 Ding JR, An D, Liao W. et al. Altered functional and structural connectivity networks in psychogenic non-epileptic seizures. PLoS One 2013; 8: e63850
  • 8 Reuber M, Fernández G, Bauer J, Singh DD, Elger CE. Interictal EEG abnormalities in patients with psychogenic nonepileptic seizures. Epilepsia 2002; 43: 1013-1020
  • 9 Reuber M, Fernández G, Helmstaedter C, Qurishi A, Elger CE. Evidence of brain abnormality in patients with psychogenic nonepileptic seizures. Epilepsy Behav 2002; 3: 249-254
  • 10 Hur J, Iordan AD, Dolcos F, Berenbaum H. Emotional influences on perception and working memory. Cogn Emot 2017; 31 (06) 1294-1302
  • 11 Lang PJ, Bradley MM, Cuthbert BN. International affective picture system (IAPS): Instruction manual and affective ratings. Technical Report A-4. Gainesville, FL: The Center for Research in Psychophysiology,; University of Florida; 1999
  • 12 Willment K. Baslet HM, Loring DW. Cognitive impairment and evaluation in psychogenic non-epileptic seizures: an integrated cognitive-emotional approach. Clin EEG Neurosci 2015; 46: 42-53
  • 13 Gul A, Ahmad H. Cognitive deficits and emotion regulation strategies in patients with psychogenic nonepileptic seizures: a task-switching study. Epilepsy Behav 2014; 32: 108-113
  • 14 Roberts NA, Burleson MH, Weber DJ. et al. Emotion in psychogenic nonepileptic seizures: responses to affective pictures. Epilepsy Behav 2012; 24: 107-115
  • 15 Black LC. Schefft K'Howe SR, Sazaflaraski JP, Yeh HS, Privitera MD. The effect of seizure on working memory and executive functioning. Epilepsy Behav 2010; 17: 412-419
  • 16 Bakvis P, Spinhoven P, Zitman FG, Roelofs K. Automatic avoidance tendencies in patients with psychogenic non epileptic seizures. Seizure 2011; 20: 628-634
  • 17 Bakvis P, Roelofs K, Kuyk J, Edelbroek PM, Swinkels WA, Spinhoven P. Trauma, stress, and preconscious threat processing in patients with psychogenic nonepileptic seizures. Epilepsia 2009; 50: 1001-1011
  • 18 Singh PK, Chaurasia RN, Pratap S, Tiwari T, Mishra VN, Singh T. Effect of emotional valence on working memory of psychogenic non-epileptic seizures (PNES) patients. J Neurosci Rural Pract 2022; 13 (03) 521-524
  • 19 Singh PK, Singh T, Mishra VN. et al. Diagnostic perspective in psychogenic non-epileptic seizures: an overview. Ann Indian Psychiatry 2018; 2: 80-87
  • 20 Bewley J, Murphy PN, Mallows J, Baker GA. Does alexithymia differentiate between patients with non-epileptic seizures, patients with epilepsy and non-patient controls?. Epilepsy Behav 2005; 7: 430-437