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Interictal Behavior Abnormality in Temporal Lobe Epilepsy: Title and subTitle BreakA Specific Syndrome or Nonspecific Psychopathology?

Dan Mungas, PhD
[+] Author Affiliations

Accepted for publication March 30, 1981.

Reprint requests to Neurobehavioral Clinic, UCLA, Reed Neurological Research Center, 710 Westwood Plaza, Los Angeles, CA 90024 (Dr Mungas).


Arch Gen Psychiatry. 1982;39(1):108-111. doi:10.1001/archpsyc.1982.04290010080014
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• Two studies examine the degree to which the traits measured by the Bear and Fedio personality inventory are specific to temporal lobe epilepsy. In the first study, none of the 18 traits discriminated among a group of temporal lobe epileptics with behavioral-psychiatric disorders, a group of patients with concomitant neurological and behavioral-psychiatric disorders, and a group of patients with psychiatric but not neurological illness. The second study demonstrated that a very large percentage of variance in the traits can be accounted for by presence or absence of psychiatric illness. The results of these two studies suggest that previously reported differences between temporal lobe epileptics and normals on these trait variables reflect underlying differences in degree of nonspecific psychopathology and do not necessarily indicate the presence of a specific behavioral syndrome in temporal lobe epilepsy.

REFERENCES

Davison K, Bagley L:  Schizophrenia-like psychoses associated with organic disorders of the central nervous system: Review of literature . Br J Psychiatry 1969;;4:113-184.
Flor-Henry P:  Psychosis and temporal lobe epilepsy: A controlled investigation . Epilepsia 1969;;10:363-395.
Gibbs FA, Gibbs EL: Atlas of Electroencephalography . Reading, Mass, Addison-Wesley Publishing Co Inc, 1964;; vol 3.
Slater E, Beard AW:  Schizophrenia-like psychoses of epilepsy . Br J Psychiatry 1963;;109:95-15.
Stevens JR:  Psychiatric implications of psychomotor epilepsy . Arch Gen Psychiatry 1966;;14:461-471.
Stevens JR:  Interictal clinical manifestations of complex partial seizures , in Penry JK, Daly DD (eds): Complex Partial Seizures and Their Treatment, vol 11, in Advances in Neurology . New York, Raven Press, 1975;, pp 85-112.
Mirsky AF, Primac DW, Marsan CA, et al:  A comparison of psychological test performance of patients with focal and non-focal epilepsy . Exp Neuroll 1960;;2:75-89.
Small JG, Milstein V, Stevens JR:  Are psychomotor epileptics different? Archh Neu rol 1962;;7:187-194.
Mignone RJ, Donnelly EF, Sadowsky D:  Psychological and neurological comparisons of psychomotor and non-psychomotor epileptic patients . Epilepsia 1970;;11:345-359.
Lachar D, Lewis R, Kupke T:  MMPI differentiation of temporal lobe and nontemporal lobe epilepsy: Investigation of three levels of test performance . J Consult Clin Psychol 1979;;47:186-188.
Bear DM, Fedio P:  Quantitative analysis of interictal behavior in temporal lobe epilepsy . Arch Neuroll 1977;;34:454-467.
Fabrega H:  Neurobiology, culture, and behavior disturbances: An integrative review . J Nerv Ment Dis 1979;;167:467-474.
Flor-Henry P:  On certain aspects of the localization of cerebral systems regulating and determining emotion . Biol Psychiatry 1979;;14:677-698.
Geschwind N:  Behavior changes in temporal lobe epilepsy . Psychol Med 1979;;9:217-219.
Geschwind N:  Behavior change in temporal lobe epilepsy . Arch Neurol 1977;;34:453.
Meehl PE, Hathaway SR:  The K factor as a suppressor variable in the MMPI . J Appl Psychol 1946;;30:525-564.
Kirk RE: Experimental Design: Procedures for the Behavioral Sciences . Belmont, Calif, Brooks/Cole Publishing Co, 1968;.
Waxman SG, Geschwind N:  The interictal behavior syndrome of temporal lobe epilepsy . Arch Gen Psychiatry 1975;;32:1580-1586.

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Davison K, Bagley L:  Schizophrenia-like psychoses associated with organic disorders of the central nervous system: Review of literature . Br J Psychiatry 1969;;4:113-184.
Flor-Henry P:  Psychosis and temporal lobe epilepsy: A controlled investigation . Epilepsia 1969;;10:363-395.
Gibbs FA, Gibbs EL: Atlas of Electroencephalography . Reading, Mass, Addison-Wesley Publishing Co Inc, 1964;; vol 3.
Slater E, Beard AW:  Schizophrenia-like psychoses of epilepsy . Br J Psychiatry 1963;;109:95-15.
Stevens JR:  Psychiatric implications of psychomotor epilepsy . Arch Gen Psychiatry 1966;;14:461-471.
Stevens JR:  Interictal clinical manifestations of complex partial seizures , in Penry JK, Daly DD (eds): Complex Partial Seizures and Their Treatment, vol 11, in Advances in Neurology . New York, Raven Press, 1975;, pp 85-112.
Mirsky AF, Primac DW, Marsan CA, et al:  A comparison of psychological test performance of patients with focal and non-focal epilepsy . Exp Neuroll 1960;;2:75-89.
Small JG, Milstein V, Stevens JR:  Are psychomotor epileptics different? Archh Neu rol 1962;;7:187-194.
Mignone RJ, Donnelly EF, Sadowsky D:  Psychological and neurological comparisons of psychomotor and non-psychomotor epileptic patients . Epilepsia 1970;;11:345-359.
Lachar D, Lewis R, Kupke T:  MMPI differentiation of temporal lobe and nontemporal lobe epilepsy: Investigation of three levels of test performance . J Consult Clin Psychol 1979;;47:186-188.
Bear DM, Fedio P:  Quantitative analysis of interictal behavior in temporal lobe epilepsy . Arch Neuroll 1977;;34:454-467.
Fabrega H:  Neurobiology, culture, and behavior disturbances: An integrative review . J Nerv Ment Dis 1979;;167:467-474.
Flor-Henry P:  On certain aspects of the localization of cerebral systems regulating and determining emotion . Biol Psychiatry 1979;;14:677-698.
Geschwind N:  Behavior changes in temporal lobe epilepsy . Psychol Med 1979;;9:217-219.
Geschwind N:  Behavior change in temporal lobe epilepsy . Arch Neurol 1977;;34:453.
Meehl PE, Hathaway SR:  The K factor as a suppressor variable in the MMPI . J Appl Psychol 1946;;30:525-564.
Kirk RE: Experimental Design: Procedures for the Behavioral Sciences . Belmont, Calif, Brooks/Cole Publishing Co, 1968;.
Waxman SG, Geschwind N:  The interictal behavior syndrome of temporal lobe epilepsy . Arch Gen Psychiatry 1975;;32:1580-1586.

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