Is posttraumatic stress disorder specific to drug‐resistant epilepsy or a common feature of chronic disease? A comparative study with atrial fibrillation and type 1 diabetes

Auteurs

Soncin LD, Rodet C, Aboulmakarim M, Giusiano B, Arthuis M, Deharo JC, Darmon P, Ronsin O, Faure S, Bartolomei F

Les auteurs en lien sont membres de l'INS.

Équipes

DynaMap

Résumé

Abstract Objective Posttraumatic stress disorder (PTSD) is more prevalent in epilepsy than in the general population. However, it remains unclear whether this association is specific to epilepsy or a broader consequence of experiencing unpredictable acute episodes within chronic diseases. This study aimed to (1) compare PTSD prevalence and severity in patients with drug‐resistant epilepsy (DRE) and patients with other chronic episodic diseases, namely, type 1 diabetes (T1D) and drug‐resistant atrial fibrillation (AF); and (2) examine psychiatric comorbidities, emotion regulation, and quality of life across groups. Methods A total of 122 patients (64 with DRE; 58 with chronic diseases: 30 with AF, 28 with T1D) completed questionnaires assessing PTSD symptoms, trauma exposure, anxiety, depression, dissociation, emotion regulation, and quality of life. Statistical analyses included χ 2 tests, t ‐tests, analyses of covariance controlling for age, and correlation analyses. Results PTSD was significantly more prevalent in the DRE group (34.94%) than in the chronic disease group (12.07%; χ 2 = 9.5, p = .004). DRE patients also reported significantly more repeated trauma exposures (54.69%

Abstract Objective Posttraumatic stress disorder (PTSD) is more prevalent in epilepsy than in the general population. However, it remains unclear whether this association is specific to epilepsy or a broader consequence of experiencing unpredictable acute episodes within chronic diseases. This study aimed to (1) compare PTSD prevalence and severity in patients with drug‐resistant epilepsy (DRE) and patients with other chronic episodic diseases, namely, type 1 diabetes (T1D) and drug‐resistant atrial fibrillation (AF); and (2) examine psychiatric comorbidities, emotion regulation, and quality of life across groups. Methods A total of 122 patients (64 with DRE; 58 with chronic diseases: 30 with AF, 28 with T1D) completed questionnaires assessing PTSD symptoms, trauma exposure, anxiety, depression, dissociation, emotion regulation, and quality of life. Statistical analyses included χ 2 tests, t ‐tests, analyses of covariance controlling for age, and correlation analyses. Results PTSD was significantly more prevalent in the DRE group (34.94%) than in the chronic disease group (12.07%; χ 2 = 9.5, p = .004). DRE patients also reported significantly more repeated trauma exposures (54.69%

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